Can strain elastography predict malignancy of soft tissue tumors in a tertiary sarcoma center?
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Can strain elastography predict malignancy of soft tissue tumors in a tertiary sarcoma center? / Cohen, Jonathan; Riishede, Iben; Carlsen, Jonathan Frederik; Lambine, Trine Lise; Dam, Mikkel Seidelin; Petersen, Michael Mørk; Nielsen, Michael Bachmann; Ewertsen, Caroline.
In: Diagnostics, Vol. 10, No. 3, 148, 2020.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Can strain elastography predict malignancy of soft tissue tumors in a tertiary sarcoma center?
AU - Cohen, Jonathan
AU - Riishede, Iben
AU - Carlsen, Jonathan Frederik
AU - Lambine, Trine Lise
AU - Dam, Mikkel Seidelin
AU - Petersen, Michael Mørk
AU - Nielsen, Michael Bachmann
AU - Ewertsen, Caroline
PY - 2020
Y1 - 2020
N2 - This study aims to investigate the ability of ultrasound strain elastography as an adjunct to predict malignancy in soft tissue tumors suspect of sarcoma or metastasis in a tertiary reference center for sarcoma. A total of 137 patients were included prospectively. Patients were referred on the basis of clinical or radiological suspicion of malignant soft tissue tumor. All patients had previously undergone diagnostic imaging (MRI, CT or PET-CT). After recording strain elastography cine loops, ultrasound guided biopsy was performed. Three investigators, who were blinded to final diagnosis, reviewed all elastograms retrospectively. For each elastogram, a qualitative, visual 5-point score was decided in consensus and a strain ratio was calculated. Final pathology obtained from biopsy or tumor resection served as gold standard. Eighty-one tumors were benign, and 56 were malignant. t-tests showed a significant difference in mean visual score between benign and malignant tumors. There was no significant difference in mean strain ratio between the two groups. Strain elastography may be a valuable adjunct to conventional B-mode ultrasound, perhaps primarily in primary care, when considering whether to refer to a sarcoma center or to biopsy, although biopsies cannot reliably be ruled out based on the current data.
AB - This study aims to investigate the ability of ultrasound strain elastography as an adjunct to predict malignancy in soft tissue tumors suspect of sarcoma or metastasis in a tertiary reference center for sarcoma. A total of 137 patients were included prospectively. Patients were referred on the basis of clinical or radiological suspicion of malignant soft tissue tumor. All patients had previously undergone diagnostic imaging (MRI, CT or PET-CT). After recording strain elastography cine loops, ultrasound guided biopsy was performed. Three investigators, who were blinded to final diagnosis, reviewed all elastograms retrospectively. For each elastogram, a qualitative, visual 5-point score was decided in consensus and a strain ratio was calculated. Final pathology obtained from biopsy or tumor resection served as gold standard. Eighty-one tumors were benign, and 56 were malignant. t-tests showed a significant difference in mean visual score between benign and malignant tumors. There was no significant difference in mean strain ratio between the two groups. Strain elastography may be a valuable adjunct to conventional B-mode ultrasound, perhaps primarily in primary care, when considering whether to refer to a sarcoma center or to biopsy, although biopsies cannot reliably be ruled out based on the current data.
KW - Diagnostic ultrasound
KW - Elastography
KW - Sarcoma
KW - Soft tissue tumors
KW - Strain ratio
KW - Tsukuba elasticity score
U2 - 10.3390/diagnostics10030148
DO - 10.3390/diagnostics10030148
M3 - Journal article
C2 - 32156078
AN - SCOPUS:85081292299
VL - 10
JO - Diagnostics
JF - Diagnostics
SN - 2075-4418
IS - 3
M1 - 148
ER -
ID: 256216683