Usefulness of colour Doppler flow imaging in the management of lacrimal gland lesions View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-06-07

AUTHORS

A. Lecler, M. Boucenna, F. Lafitte, P. Koskas, E. Nau, P. V. Jacomet, O. Galatoire, S. Morax, M. Putterman, F. Mann, F. Héran, J. C. Sadik, H. Picard, O. Bergès

ABSTRACT

ObjectiveTo assess the role of colour Doppler flow imaging (CDFI) in the diagnosis and management of lacrimal fossa lesions.MethodsInstitutional ethical committee approval was obtained. Fifty-one patients with 62 lacrimal fossa lesions were retrospectively included from 2003–2015. All patients underwent conventional ultrasonography and CDFI, with a qualitative and quantitative analysis of the vascularization. All patients had lacrimal gland surgery. Definitive diagnosis was based on pathological examination.ResultsThe study included 47 non-epithelial lesions (NEL) and 15 epithelial lesions (EL), with 24 (39 %) malignant lesions and 38 (61 %) benign lesions. NEL were significantly more likely to present with septa (p < 0.001), hypoechogenicity (p < 0.001), high vascular intensity (p < 0.001), both central and peripheral vascularization (p < 0.001), tree-shape vascularization (p < 0.05) and a low resistance index (RI) (p < 0.0001). EL were significantly more likely to present with the presence of cysts (p < 0.001), and a higher RI. Receiver operating characteristic curves identified a RI value of 0.72 as the best cut-off to differentiate NEL from EL, with a sensitivity and specificity of 100 %.ConclusionCDFI is a valuable tool in the differential diagnosis of lacrimal fossa lesions. Resistance index measurement enables substantial distinction between EL and NEL, thus providing crucial data for surgical management.Key Points• CDFI is a valuable tool in lacrimal fossa lesions.• Resistance Index measurement enables substantial distinction between epithelial and non-epithelial lesions.• Management of patients becomes more appropriate. More... »

PAGES

779-789

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-016-4438-8

DOI

http://dx.doi.org/10.1007/s00330-016-4438-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1035233805

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27271920


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32 schema:description ObjectiveTo assess the role of colour Doppler flow imaging (CDFI) in the diagnosis and management of lacrimal fossa lesions.MethodsInstitutional ethical committee approval was obtained. Fifty-one patients with 62 lacrimal fossa lesions were retrospectively included from 2003–2015. All patients underwent conventional ultrasonography and CDFI, with a qualitative and quantitative analysis of the vascularization. All patients had lacrimal gland surgery. Definitive diagnosis was based on pathological examination.ResultsThe study included 47 non-epithelial lesions (NEL) and 15 epithelial lesions (EL), with 24 (39 %) malignant lesions and 38 (61 %) benign lesions. NEL were significantly more likely to present with septa (p < 0.001), hypoechogenicity (p < 0.001), high vascular intensity (p < 0.001), both central and peripheral vascularization (p < 0.001), tree-shape vascularization (p < 0.05) and a low resistance index (RI) (p < 0.0001). EL were significantly more likely to present with the presence of cysts (p < 0.001), and a higher RI. Receiver operating characteristic curves identified a RI value of 0.72 as the best cut-off to differentiate NEL from EL, with a sensitivity and specificity of 100 %.ConclusionCDFI is a valuable tool in the differential diagnosis of lacrimal fossa lesions. Resistance index measurement enables substantial distinction between EL and NEL, thus providing crucial data for surgical management.Key Points• CDFI is a valuable tool in lacrimal fossa lesions.• Resistance Index measurement enables substantial distinction between epithelial and non-epithelial lesions.• Management of patients becomes more appropriate.
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39 schema:keywords ConclusionCDFI
40 Doppler flow
41 Doppler flow imaging
42 MethodsInstitutional ethical committee approval
43 ObjectiveTo
44 RI values
45 ResultsThe study
46 analysis
47 approval
48 benign lesions
49 characteristic curve
50 color Doppler flow
51 color Doppler flow imaging
52 committee approval
53 conventional ultrasonography
54 crucial data
55 curves
56 cysts
57 data
58 definitive diagnosis
59 diagnosis
60 differential diagnosis
61 distinction
62 epithelial lesions
63 ethical committee approval
64 examination
65 flow
66 flow imaging
67 fossa lesions
68 gland lesions
69 gland surgery
70 high vascular intensity
71 higher resistance index
72 hypoechogenicity
73 imaging
74 index
75 index measurements
76 intensity
77 lacrimal fossa lesions
78 lacrimal gland lesions
79 lacrimal gland surgery
80 lesions
81 low resistance index
82 malignant lesions
83 management
84 management of patients
85 measurements
86 non-epithelial lesions
87 pathological examination
88 patients
89 peripheral vascularization
90 presence
91 presence of cysts
92 quantitative analysis
93 receiver
94 resistance index
95 resistance index measurements
96 role
97 sensitivity
98 septum
99 specificity
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102 surgery
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104 tool
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106 ultrasonography
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