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

Year 2015, Volume: 12 Issue: 1, 38 - 43, 27.04.2015
https://doi.org/10.15197/sabad.1.12.07

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.

References

  • Stefano Bianchi DDS, Thierry Glauser, Jean-Yves Beaulieu, Jan van Aaken. Sonography of Masses of the Wrist and Hand. Am J Radiol 2008 191:1767-75.
  • Tagliafico A, Rubino M, Autuori A, Bianchi S, Martinoli C. Wrist and Hand Ultrasound. Semin Musculoskelet Radiol 2007;11(02):95,104.
  • Jacob D, Cohen M, Bianchi S. Ultrasound imaging of non- traumatic lesions of wrist and hand tendons. Eur Radiol 2007;17(9):2237-47.
  • Klauser A, Tagliafico A, Allen G, et al. Clinical indications for musculoskeletal ultrasound: A Delphi-based consensus paper of the European society of musculoskeletal radiol- ogy. Eur Radiol 2012;22(5):1140-8.
  • Sookur P, Saifuddin A. Indeterminate soft-tissue tumors of the hand and wrist: a review based on a clinical series of 39 cases. Skeletal Radiol 2011;40(8):977-89.
  • Teefey SA, Middleton WD, Boyer MI. Sonography of the hand and wrist. Seminars in Ultrasound, CT, and MRI. Semin Ultrasound CT MR 2000;21(3):192-204.
  • Teefey SA, Dahiya N, Middleton WD, Gelberman RH, Boyer MI. Ganglia of the Hand and Wrist: A Sonographic Analysis. Am J Roentgenol 2008;191(3):716-20.
  • Middleton WD, Teefey SA, Boyer MI. Hand and Wrist Sonography. Ultrasound Quarterly 2001;17(1):21-36.
  • Wong D C M WGKL, Tsou I Y Y. Ultrasonography of the hand and wrist. Singapore Med J 2009;50(2):219-26.
  • Teefey SA, Middleton WD, Patel V, Hildebolt CF, Boyer MI. The accuracy of high-resolution ultrasound for evalu- ating focal lesions of the hand and wrist. J Hand Surg 2004;29(3):393-9.
  • Middleton WD, Patel V, Teefey SA, Boyer MI. Giant Cell Tumors of the Tendon Sheath: Analysis of Sonographic Findings. Am J Roentgenol 2004;183(2):337-9.
  • Hamdi M, Touati B, Zakhama A. Giant cell tumour of the flexor tendon sheath of the hand: analysis of 27 cases. Musculoskelet Surg 2012;96(1):29-33.
  • Bianchi S, Martinoli C, Abdelwahab IF. High-frequency ultrasound examination of the wrist and hand. Skeletal Radiol 1999;28(3):121-9.
  • Drapé J-L, Idy-Peretti I, Goettmann S, Guérin-Surville H, Bittoun J. Standard and high resolution magnetic reso- nance imaging of glomus tumors of toes and fingertips. J Am Acad Dermatol 1996;35(4):550-5.
  • Ozdemir O OM, Kurt C, Coskunol E, Calli I. Schwannomas of the hand and wrist: long-term results and review of the literature. J Orthop Surg (Hong Kong) 2005 13(3):267- 72.
  • Obayashi T, Itoh K, Nakano A. Ultrasonic diagnosis of schwannoma. Neurology 1987;37(11):1817.
  • TEH J, Whiteley G. MRI of soft tissue masses of the hand and wrist. British J Radiol 2007;80(949):47-63.
  • Tarkan Ergun HL, Alihan Derincek, Nefise Cagla Tarhan, Ahmet Ozturk. Magnetic resonance imaging in the visual- ization of benign tumors and tumor-like lesions of hand and wrist. Curr Probl Diagn Radiol 2010;39(1):1-16.
  • Larry A. Binkovitz THB, Richard A. McLeod. Masses of the Hand and Wrist: Detection and Characterization with MR Imaging. Am J Radiol 1990(154):323-6.
  • Beuckeleer LD, Schepper AD, Belder FD, Goethem JV, Marques MCB, Broeckx J, et al. Magnetic resonance imag- ing of localized giant cell tumour of the tendon sheath (MRI of localized GCTTS). Eur Radiol 1997;7(2):198-201.
  • Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT. From the Archives of the AFIP. Radiographics. 1999;19(5):1253-80.

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

Year 2015, Volume: 12 Issue: 1, 38 - 43, 27.04.2015
https://doi.org/10.15197/sabad.1.12.07

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

References

  • Stefano Bianchi DDS, Thierry Glauser, Jean-Yves Beaulieu, Jan van Aaken. Sonography of Masses of the Wrist and Hand. Am J Radiol 2008 191:1767-75.
  • Tagliafico A, Rubino M, Autuori A, Bianchi S, Martinoli C. Wrist and Hand Ultrasound. Semin Musculoskelet Radiol 2007;11(02):95,104.
  • Jacob D, Cohen M, Bianchi S. Ultrasound imaging of non- traumatic lesions of wrist and hand tendons. Eur Radiol 2007;17(9):2237-47.
  • Klauser A, Tagliafico A, Allen G, et al. Clinical indications for musculoskeletal ultrasound: A Delphi-based consensus paper of the European society of musculoskeletal radiol- ogy. Eur Radiol 2012;22(5):1140-8.
  • Sookur P, Saifuddin A. Indeterminate soft-tissue tumors of the hand and wrist: a review based on a clinical series of 39 cases. Skeletal Radiol 2011;40(8):977-89.
  • Teefey SA, Middleton WD, Boyer MI. Sonography of the hand and wrist. Seminars in Ultrasound, CT, and MRI. Semin Ultrasound CT MR 2000;21(3):192-204.
  • Teefey SA, Dahiya N, Middleton WD, Gelberman RH, Boyer MI. Ganglia of the Hand and Wrist: A Sonographic Analysis. Am J Roentgenol 2008;191(3):716-20.
  • Middleton WD, Teefey SA, Boyer MI. Hand and Wrist Sonography. Ultrasound Quarterly 2001;17(1):21-36.
  • Wong D C M WGKL, Tsou I Y Y. Ultrasonography of the hand and wrist. Singapore Med J 2009;50(2):219-26.
  • Teefey SA, Middleton WD, Patel V, Hildebolt CF, Boyer MI. The accuracy of high-resolution ultrasound for evalu- ating focal lesions of the hand and wrist. J Hand Surg 2004;29(3):393-9.
  • Middleton WD, Patel V, Teefey SA, Boyer MI. Giant Cell Tumors of the Tendon Sheath: Analysis of Sonographic Findings. Am J Roentgenol 2004;183(2):337-9.
  • Hamdi M, Touati B, Zakhama A. Giant cell tumour of the flexor tendon sheath of the hand: analysis of 27 cases. Musculoskelet Surg 2012;96(1):29-33.
  • Bianchi S, Martinoli C, Abdelwahab IF. High-frequency ultrasound examination of the wrist and hand. Skeletal Radiol 1999;28(3):121-9.
  • Drapé J-L, Idy-Peretti I, Goettmann S, Guérin-Surville H, Bittoun J. Standard and high resolution magnetic reso- nance imaging of glomus tumors of toes and fingertips. J Am Acad Dermatol 1996;35(4):550-5.
  • Ozdemir O OM, Kurt C, Coskunol E, Calli I. Schwannomas of the hand and wrist: long-term results and review of the literature. J Orthop Surg (Hong Kong) 2005 13(3):267- 72.
  • Obayashi T, Itoh K, Nakano A. Ultrasonic diagnosis of schwannoma. Neurology 1987;37(11):1817.
  • TEH J, Whiteley G. MRI of soft tissue masses of the hand and wrist. British J Radiol 2007;80(949):47-63.
  • Tarkan Ergun HL, Alihan Derincek, Nefise Cagla Tarhan, Ahmet Ozturk. Magnetic resonance imaging in the visual- ization of benign tumors and tumor-like lesions of hand and wrist. Curr Probl Diagn Radiol 2010;39(1):1-16.
  • Larry A. Binkovitz THB, Richard A. McLeod. Masses of the Hand and Wrist: Detection and Characterization with MR Imaging. Am J Radiol 1990(154):323-6.
  • Beuckeleer LD, Schepper AD, Belder FD, Goethem JV, Marques MCB, Broeckx J, et al. Magnetic resonance imag- ing of localized giant cell tumour of the tendon sheath (MRI of localized GCTTS). Eur Radiol 1997;7(2):198-201.
  • Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT. From the Archives of the AFIP. Radiographics. 1999;19(5):1253-80.
There are 21 citations in total.

Details

Primary Language English
Journal Section Original Articles
Authors

Gunes Orman This is me

Guray Yesiladali This is me

Ercan Olcay This is me

Mahmut Duymus This is me

Publication Date April 27, 2015
Published in Issue Year 2015 Volume: 12 Issue: 1

Cite

APA Orman, G., Yesiladali, G., Olcay, E., Duymus, M. (2015). Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist. European Journal of General Medicine, 12(1), 38-43. https://doi.org/10.15197/sabad.1.12.07
AMA Orman G, Yesiladali G, Olcay E, Duymus M. Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist. European Journal of General Medicine. March 2015;12(1):38-43. doi:10.15197/sabad.1.12.07
Chicago Orman, Gunes, Guray Yesiladali, Ercan Olcay, and Mahmut Duymus. “Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist”. European Journal of General Medicine 12, no. 1 (March 2015): 38-43. https://doi.org/10.15197/sabad.1.12.07.
EndNote Orman G, Yesiladali G, Olcay E, Duymus M (March 1, 2015) Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist. European Journal of General Medicine 12 1 38–43.
IEEE G. Orman, G. Yesiladali, E. Olcay, and M. Duymus, “Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist”, European Journal of General Medicine, vol. 12, no. 1, pp. 38–43, 2015, doi: 10.15197/sabad.1.12.07.
ISNAD Orman, Gunes et al. “Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist”. European Journal of General Medicine 12/1 (March 2015), 38-43. https://doi.org/10.15197/sabad.1.12.07.
JAMA Orman G, Yesiladali G, Olcay E, Duymus M. Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist. European Journal of General Medicine. 2015;12:38–43.
MLA Orman, Gunes et al. “Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist”. European Journal of General Medicine, vol. 12, no. 1, 2015, pp. 38-43, doi:10.15197/sabad.1.12.07.
Vancouver Orman G, Yesiladali G, Olcay E, Duymus M. Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist. European Journal of General Medicine. 2015;12(1):38-43.