Yumuşak Doku Tümörlerinin Karakterizasyonunda Spektral Doppler Ultrasonografi

Yıl 2009, Cilt: 6 Sayı: 1, 18 - 21, 01.04.2009

Afra Yıldırım Hasan Cece Mustafa Öztürk İbrahim Sacit Tuna

Öz

Amaç: Malign yumuşak doku kitlelerinin benignlerden ayırımında spektral Doppler ultrasonografiden elde edilen rezistif indeksleri RI ve pulsatilite indeksleri PI ’nin katlılarını değerlendirmek. Materyal-Metod: Yirmiiki yumuşak doku kitlesine prospektif olarak Doppler USG yapıldı. Tüm yumuşak doku kitleleri power ve spektral Doppler USG ile incelendi. Spektal Doppler akımlarından RI ve PI değerleri hesaplandı. Tüm yumuşak doku kitleleri biyopsi veya eksizyon ile histolojik olarak tanı aldı. Malign ve benign yumuşak doku kitlelerinin RI ve PI değerlerinin karşılaştırılmasında Mann-Whitney testi kullanıldı. P0.05 . Sonuç: Malign ve benign yumuşak doku kitlelerinin ayırımında RI ve PI değerleri tek başına faydalı değildir

Anahtar Kelimeler

Spektral Doppler ultrasonografi, rezistif indeks, pulsatilite indeksi, benign, malign, yumuşak doku kitlesi

Spectral Doppler Ultrasonography In The Characterızatıon Of Soft Tıssue Tumors

Öz

Purpose: To assess whether resistive and pulstatilitiy indices obtained from spectral Doppler wavefroms can be used to distinguish malignant soft tissue masses from benign ones. . Materials And Methods: A prospective study of Doppler sonogram was performed on 22 soft tissue masses. All soft tissue masses were examined with power and spectral Doppler ultrasonography. Spectral Doppler ultrasonography yielded wavefroms from which resistive and pulstatilitiy indices were calculated. The diagnoses of soft tissue masses were carried out histologically after biopsy or excision. The Mann-Whitney test was used to compare the average resistive and pulstatilitiy indices between benign and malignant groups, P0.05 . Conclusions: Resistive and pulstatilitiy indices cannot be used to distinguish malignant soft tissue lesions frombenign ones

Anahtar Kelimeler

Spectral Doppler ultrasonography, resistive index, pulstatilitiy index, benign, malignant, soft tissue mass

Kaynakça

• Van der Woude HJ, Vanderschueren G. Ultrasound in musculoskeletal tumors with emphasis on its role in tumor follow-up. Radiol Clin North Am. 1999; 37: 753-766.
• Belli P, Costantini M, Mirk P, Maresca G, Priolo F, Marano P. Role of color Doppler sonography in the assessment of musculoskeletal soft tissue masses. J Ultrasound Med. 2000 ; 19: 823-830.
• Alexander AA, Nazarian LN, Feld RI. Superficial soft-tissue masses suggestive of recurrent malignancy: sonographic localization and biopsy. Am. J. Roentgenol ; 169: 1449 - 1451.
• Lawrence Yao, Scott D. Nelson, Leanne L. Seeger, Jeffrey J. Eckardt, and Frederick R. Eilber Primary Musculoskeletal Neoplasms: Effectiveness of Core-Needle Biopsy. Radiology 1999; 212: 682-686.
• Bodner G, Schocke MF, Rachbauer F, Seppi K, Peer S, Fierlinger A, Sununu T, Jaschke WR. Differentiation of malignant and benign musculoskeletal tumors: combined color and power Doppler US and spectral wave analysis. Radiology. 2002; 223: 410
• Dubois J, Garel L, David M, Powell J. Vascular soft-tissue tumors in infancy: distinguishing features on Doppler sonography. Am J Roentgenol. ;178:1541-1545.
• Kaushik S, Miller TT, Nazarian LN, Foster WC. Spectral Doppler sonography of musculoskeletal soft tissue masses. J Ultrasound Med. 2003 ; 22:1333-1336.
• Kransdorf MJ.Malignant soft-tissue tumors in a large referral population: distribution of diagnoses by age, sex, and location. Am. J. Roentgenol 1995; 164: 129 - 134.
• Kransdorf MJ. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. Am. J. Roentgenol 1995; 164: 395 - 402.
• Adler RS, Bell DS, Bamber JC, Moskovic E, Thomas JM. Evaluation of soft-tissue masses using segmented color Doppler velocity images: preliminary observations. Am J Roentgenol. 1999; 172: 781-788.
• Griffith JF, Chan DP, Kumta SM, Chow LT, Ahuja AT. Does Doppler analysis of musculoskeletal soft-tissue tumours help predict tumour malignancy? Clin Radiol 2004; : 369-375.