Thirteen-megahertz ultrasound probe: its role in diagnosing localized scleroderma
Summary Background Ultrasound imaging has been shown to be useful for the evaluation of systemic and localized scleroderma (LS). However, its specificity and sensitivity have not been studied. Objectives To define morphological ultrasound diagnostic criteria in LS and to test their sensitivity and s...
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| Veröffentlicht in: | British journal of dermatology (1951) 2003-04, Vol.148 (4), p.724-729 |
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| container_title | British journal of dermatology (1951) |
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| creator | Cosnes, A. Anglade, M-C. Revuz, J. Radier, C. |
| description | Summary Background Ultrasound imaging has been shown to be useful for the evaluation of systemic and localized scleroderma (LS). However, its specificity and sensitivity have not been studied.
Objectives To define morphological ultrasound diagnostic criteria in LS and to test their sensitivity and specificity with a 13‐MHz ultrasound probe.
Methods Forty plaques in 26 consecutive patients with LS were examined and compared blindly with 17 control plaques in 16 patients with skin diseases where LS was in the differential diagnosis. Data were also compared with a normal control group. Five patients were re‐evaluated 12–18 months after the first examination.
Results Ultrasound examination disclosed a characteristic dense image resembling a flattened ‘yo‐yo’. Undulations of the dermis, disorganization, loss of thickness and thickened hyperechoic bands in the hypodermis, and the ‘yo‐yo’ image had a high sensitivity and a high specificity for LS. A 92% sensitivity and a 100% specificity for LS were found when at least four of these five signs were present.
Conclusions Thirteen‐megahertz ultrasound is a valuable tool for diagnosing LS. Morphological ultrasound diagnostic criteria had a high specificity and a high sensitivity. |
| doi_str_mv | 10.1046/j.1365-2133.2003.05289.x |
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Objectives To define morphological ultrasound diagnostic criteria in LS and to test their sensitivity and specificity with a 13‐MHz ultrasound probe.
Methods Forty plaques in 26 consecutive patients with LS were examined and compared blindly with 17 control plaques in 16 patients with skin diseases where LS was in the differential diagnosis. Data were also compared with a normal control group. Five patients were re‐evaluated 12–18 months after the first examination.
Results Ultrasound examination disclosed a characteristic dense image resembling a flattened ‘yo‐yo’. Undulations of the dermis, disorganization, loss of thickness and thickened hyperechoic bands in the hypodermis, and the ‘yo‐yo’ image had a high sensitivity and a high specificity for LS. A 92% sensitivity and a 100% specificity for LS were found when at least four of these five signs were present.
Conclusions Thirteen‐megahertz ultrasound is a valuable tool for diagnosing LS. Morphological ultrasound diagnostic criteria had a high specificity and a high sensitivity.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1046/j.1365-2133.2003.05289.x</identifier><identifier>PMID: 12752130</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>13-MHz ultrasound probe ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Female ; Follow-Up Studies ; Humans ; localized scleroderma ; Male ; Medical sciences ; Middle Aged ; morphoea ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Scleroderma, Localized - diagnostic imaging ; Scleroderma, Localized - pathology ; Sensitivity and Specificity ; Skin - blood supply ; Skin - diagnostic imaging ; Skin - pathology ; Subcutaneous Tissue - diagnostic imaging ; Subcutaneous Tissue - pathology ; Ultrasonography, Doppler, Color ; Ultrasonography, Doppler, Duplex</subject><ispartof>British journal of dermatology (1951), 2003-04, Vol.148 (4), p.724-729</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. Apr 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5269-b4899770d9149d615da85f76bef49f6c8691bf3ba9691acff9ad873307ea497a3</citedby><cites>FETCH-LOGICAL-c5269-b4899770d9149d615da85f76bef49f6c8691bf3ba9691acff9ad873307ea497a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2133.2003.05289.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2133.2003.05289.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14782619$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12752130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cosnes, A.</creatorcontrib><creatorcontrib>Anglade, M-C.</creatorcontrib><creatorcontrib>Revuz, J.</creatorcontrib><creatorcontrib>Radier, C.</creatorcontrib><title>Thirteen-megahertz ultrasound probe: its role in diagnosing localized scleroderma</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description>Summary Background Ultrasound imaging has been shown to be useful for the evaluation of systemic and localized scleroderma (LS). However, its specificity and sensitivity have not been studied.
Objectives To define morphological ultrasound diagnostic criteria in LS and to test their sensitivity and specificity with a 13‐MHz ultrasound probe.
Methods Forty plaques in 26 consecutive patients with LS were examined and compared blindly with 17 control plaques in 16 patients with skin diseases where LS was in the differential diagnosis. Data were also compared with a normal control group. Five patients were re‐evaluated 12–18 months after the first examination.
Results Ultrasound examination disclosed a characteristic dense image resembling a flattened ‘yo‐yo’. Undulations of the dermis, disorganization, loss of thickness and thickened hyperechoic bands in the hypodermis, and the ‘yo‐yo’ image had a high sensitivity and a high specificity for LS. A 92% sensitivity and a 100% specificity for LS were found when at least four of these five signs were present.
Conclusions Thirteen‐megahertz ultrasound is a valuable tool for diagnosing LS. Morphological ultrasound diagnostic criteria had a high specificity and a high sensitivity.</description><subject>13-MHz ultrasound probe</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>localized scleroderma</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>morphoea</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Scleroderma, Localized - diagnostic imaging</subject><subject>Scleroderma, Localized - pathology</subject><subject>Sensitivity and Specificity</subject><subject>Skin - blood supply</subject><subject>Skin - diagnostic imaging</subject><subject>Skin - pathology</subject><subject>Subcutaneous Tissue - diagnostic imaging</subject><subject>Subcutaneous Tissue - pathology</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Ultrasonography, Doppler, Duplex</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi0EokvhLyALCW4J_kjsGIkDFGhBVQFpEdwsJx5vvSRxsROx7a_HYVetxInTjDTPO3r1IIQpKSmpxMttSbmoC0Y5LxkhvCQ1a1S5u4dWt4f7aEUIkQVRgh-hRyltCaGc1OQhOqJM1pkhK_R1fenjBDAWA2zMJcTpBs_9FE0K82jxVQwtvMJ-SjiGHrAfsfVmM4bkxw3uQ2d6fwMWp66HGCzEwTxGD5zpEzw5zGP07cP79clZcf759OPJm_Oiq5lQRVs1SklJrKKVsoLW1jS1k6IFVyknukYo2jreGpUX0zmnjG0k50SCqZQ0_Bi92P_NHX_NkCY9-NRB35sRwpy05EwxwnkGn_0DbsMcx9xNZ3eUNZyrDDV7qIshpQhOX0U_mHitKdGLc73Vi1q9qF1yXP91rnc5-vTwf24HsHfBg-QMPD8AJmVhLpqx8-mOq2TDBF06vN5zv30P1_9dQL_99G7Zcr7Y532aYHebN_GnFpLLWn-_ONXrH5Rd0C9rfcb_ABi4q64</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Cosnes, A.</creator><creator>Anglade, M-C.</creator><creator>Revuz, J.</creator><creator>Radier, C.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200304</creationdate><title>Thirteen-megahertz ultrasound probe: its role in diagnosing localized scleroderma</title><author>Cosnes, A. ; Anglade, M-C. ; Revuz, J. ; Radier, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5269-b4899770d9149d615da85f76bef49f6c8691bf3ba9691acff9ad873307ea497a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>13-MHz ultrasound probe</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>localized scleroderma</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>morphoea</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Scleroderma, Localized - diagnostic imaging</topic><topic>Scleroderma, Localized - pathology</topic><topic>Sensitivity and Specificity</topic><topic>Skin - blood supply</topic><topic>Skin - diagnostic imaging</topic><topic>Skin - pathology</topic><topic>Subcutaneous Tissue - diagnostic imaging</topic><topic>Subcutaneous Tissue - pathology</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Ultrasonography, Doppler, Duplex</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cosnes, A.</creatorcontrib><creatorcontrib>Anglade, M-C.</creatorcontrib><creatorcontrib>Revuz, J.</creatorcontrib><creatorcontrib>Radier, C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cosnes, A.</au><au>Anglade, M-C.</au><au>Revuz, J.</au><au>Radier, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thirteen-megahertz ultrasound probe: its role in diagnosing localized scleroderma</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2003-04</date><risdate>2003</risdate><volume>148</volume><issue>4</issue><spage>724</spage><epage>729</epage><pages>724-729</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Summary Background Ultrasound imaging has been shown to be useful for the evaluation of systemic and localized scleroderma (LS). However, its specificity and sensitivity have not been studied.
Objectives To define morphological ultrasound diagnostic criteria in LS and to test their sensitivity and specificity with a 13‐MHz ultrasound probe.
Methods Forty plaques in 26 consecutive patients with LS were examined and compared blindly with 17 control plaques in 16 patients with skin diseases where LS was in the differential diagnosis. Data were also compared with a normal control group. Five patients were re‐evaluated 12–18 months after the first examination.
Results Ultrasound examination disclosed a characteristic dense image resembling a flattened ‘yo‐yo’. Undulations of the dermis, disorganization, loss of thickness and thickened hyperechoic bands in the hypodermis, and the ‘yo‐yo’ image had a high sensitivity and a high specificity for LS. A 92% sensitivity and a 100% specificity for LS were found when at least four of these five signs were present.
Conclusions Thirteen‐megahertz ultrasound is a valuable tool for diagnosing LS. Morphological ultrasound diagnostic criteria had a high specificity and a high sensitivity.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12752130</pmid><doi>10.1046/j.1365-2133.2003.05289.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Wiley Online Library All Journals |
| subjects | 13-MHz ultrasound probe Adolescent Adult Aged Biological and medical sciences Child Female Follow-Up Studies Humans localized scleroderma Male Medical sciences Middle Aged morphoea Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Scleroderma, Localized - diagnostic imaging Scleroderma, Localized - pathology Sensitivity and Specificity Skin - blood supply Skin - diagnostic imaging Skin - pathology Subcutaneous Tissue - diagnostic imaging Subcutaneous Tissue - pathology Ultrasonography, Doppler, Color Ultrasonography, Doppler, Duplex |
| title | Thirteen-megahertz ultrasound probe: its role in diagnosing localized scleroderma |
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