Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist

Abstract

The purpose of this study is to evaluate the preoperative features and predict the preoperative diagnosis of hand and wrist soft tissue masses by ultrasonography and magnetic resonance imaging and compare the results with the postoperative pathological results. 14 patients with the complaint of mass or pain in their hand and wrist were included. Before the operation we practised ultrasonography and magnetic resonance imaging to the patients. The preoperative diagnosis were compared with postoperative pathological diagnosis. 14 patients (female/male: 10/4) were included. The pathological results were glomus tumor in 2, giant cell tumor of tendon sheath in 4, ganglion cyst in 4, schwannoma in 2, lipoma in 1 and fibroma in 1. According to these pathological results ultrasonography was 64 % (9/14) successful and magnetic resonance imaging was 50% (7/14) successful to predict all of the masses. High resolution ultrasonography is well suited for screening soft tissue masses because of its safety, low cost and real-time dynamic imaging. Sonography enables a reliable diagnosis of the cystic or solid nature of soft tissue lesions, accurate estimation of the volume and even presume the pathologic diagnosis according to the lesions. Ultrasonography may usually be adequate solely for the evaluation of soft tissues masses of hand and wrist.

Keywords

• Soft tissue mass, ultrasonography, MRI

Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist

Abstract

Çalışmanın amacıel ve el bileğindeki yumuşak doku kitlelerinin ultrason ve manyetik rezonans görüntüleme ile preoperatif özellikleri ile preoperatif tanı tahminlerini değerlendirmek ve postoperatif patoloji sonuçları ile kıyaslamaktır. El ve el bileğinde kitle yakınmasıyla başvuran 14 hasta dahil edildi. Yapılan ultrasonografi ve manyetik rezonans görüntüleme tetkikleri sonuçları operasyon sonrası patoloji sonuçları ile karşılaştırıldı. Toplam 14 olgu çalışmaya dahil edildi (kadın/erkek: 10/4). 14 olgunun patoloji sonuçları glomus tümörü 2 olgu, tendon kılıfının dev hücreli tümörü 4 olgu, gangliyon kisti 4 olgu, schwannom 2 olgu, lipom 1 olgu ve fibrom 1 olgu olarak değerlendirildi. Buna göret üm kitlelerin operasyon öncesi doğru saptanabilme oranları ultrasonografide 14 olgunun 9’u ile %64, manyetik rezonans görüntülemede ise 14 olgunun 7’si ile %50 olarak bulunmuştur. Yüksek çözünürlüklü ultrasonografi, güvenilir, düşük maliyetli ve reel zamanlı dinamik görüntüleme imkanı tanıyan bir yöntem olması nedenleriyle yumuşak doku kitlelerinin değerlendirilmesinde uygundur. Ultrasonografi yumuşak doku kitlelerinin kistik, solid yapısını ortaya koyma imkanı tanır, hacim tahmini sağlar ve hatta patolojik tanıyı tahmin edebilir. Ultrasonografi el ve el bileği kitlelerinin değerlendirilmesinde çoğunlukla yeterli olabilir

Keywords

• Yumuşak doku kitlesi, ultrasonografi, MRI

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