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285047

Role of Ultrasound Elastography and Diffusion Weighted Magnetic Resonance Imaging in Evaluation of Soft Tissue Masses

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Last updated: 24 Dec 2024

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Abstract

Background: Ultrasound is the main evaluation modality for superficial soft tissue masses to evaluate their size, position, and relationship between the masses and the surrounding structures. Objectives: This study's major goals were to reliably predict if a soft tissue mass was benign or malignant, to describe the mass's nature utilizing MR DWI and ultrasound elastography, and to minimize needless biopsies. Patients and methods: South Valley University's Qena University Hospital served as the site of this cross-sectional investigation. This research comprised 30 patients who were eligible for MRI testing and ultrasound elastography between January 2021 and January 2022 and who had identified superficial soft tissue masses or clinical suspicion of having them. Results: The majority of findings on MRI were non-enhancing masses (40%). As regard DWI findings among the studied patient, 56.7% of them were non-restricted diffusion and 43.3% were restricted diffusion.  17 benign and 13 malignant lesions recognized by DWI were correctly identified with histopathology. The DWI sensitivity was 94.4%, specificity was 100%, with accuracy of 96.7% for evaluating soft tissue masses. Strain ratio yield sensitivity of 87.1% and specificity of 89.7% with cut off level of 2.5 and AUC 0.813. Conclusion: In terms of identifying soft tissue masses, DWI has greater sensitivity, specificity, and accuracy than US elastography.  

DOI

10.21608/ejhm.2023.285047

Keywords

Non-enhancing mass, Soft tissue mass, Ultrasound Elastography

Authors

First Name

Ahmed Okasha

Last Name

Mohamed

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First Name

Mahmoud A.

Last Name

Hifny

MiddleName

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Orcid

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First Name

Saeda Mohamed

Last Name

Abdelwahab

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Affiliation

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Orcid

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First Name

Mera Asaad

Last Name

Adeeb

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Affiliation

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Email

mera.assad22@gmail.com

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-11

Publish Date

2023-01-01

Page Start

2,137

Page End

2,144

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_285047.html

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https://ejhm.journals.ekb.eg/service?article_code=285047

Order

22

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Ultrasound Elastography and Diffusion Weighted Magnetic Resonance Imaging in Evaluation of Soft Tissue Masses

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Article

Created At

24 Dec 2024