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  • Journal Of Ultrasonography


Original Paper | 24-February-2017

Inability of shear-wave elastography to distinguish malignant from benign prostate tissue – a comparison of biopsy, whole-mount sectioning and shear-wave elastography

Aim: This study was designed to assess the possible usefulness of shear-wave elastography in differentiating between benign and malignant tissue in prostate neoplasia. Patients and methods: A total of 120 prostate tissue samples were obtained from 10 patients treated by radical prostatectomy and investigated pre-operatively by ultrasound elastography followed by directed biopsy. After resection, whole-mount sectioning and histological examination was performed. The predictions based on shear

Markus Porsch, Claudia Görner, Johann Jakob Wendler, Uwe-Bernd Liehr, Anke Lux, Sandra Siedentopf, Martin Schostak, Maciej Pech

Journal of Ultrasonography, Volume 16 , ISSUE 67, 348–358

Review | 29-June-2016

Introduction to ultrasound elastography

. In the 90's, ultrasonography was extended by the option of examining the stiffness of tissue by estimating the difference in backscattering of ultrasound in compressed and non-compressed tissue. This modality is referred to as the static, compression elastography and is based on tracking the deformation of tissue subjected to the slowly varying compression through the recording of the backscattered echoes. The displacement is estimated using the methods of cross-correlation between consecutive

Andrzej Nowicki, Katarzyna Dobruch-Sobczak

Journal of Ultrasonography, Volume 16 , ISSUE 65, 113–124

Original Paper | 13-September-2016

New aspects in shear-wave elastography of prostate cancer

Aim: This study was designed to evaluate the performance of shear-wave elastography as a diagnostic tool for prostate cancer in a larger cohort of patients than previouslyreported. Patients and methods: Seventy-three patients with suspected prostate carcinoma were investigated by ultrasound elastography followed by directed biopsy. The elastographic and histological results for all biopsies were compared. Results: After exclusion of invalid and non-assessable results, 794 samples were obtained

Markus Porsch, Johann Jakob Wendler, Uwe-Bernd Liehr, Anke Lux, Martin Schostak, Maciej Pech

Journal of Ultrasonography, Volume 15 , ISSUE 60, 5–14

research-article | 09-September-2021

Shear wave elastography in optic neuritis: diagnostic accuracy of the optic nerve and adjacent fat tissue values

diseases). There is a need of a practical study for the diagnosis and follow-up of ON patients(7). Elastography is a non-invasive ultrasonographic (US) technique for evaluating the elastic properties of tissues, and shear wave elastography (SWE) uses waves that are generated by transducers and interact with the tissue(8). In the present study, we attempt to determine the optic nerve findings and diagnostic performance of SWE as an alternative to MRI in patients with ON. Material and methods The

Mustafa Devran Aybar, Onder Turna

Journal of Ultrasonography, Volume 21 , ISSUE 86, 194–199

research-article | 28-September-2020

Evaluation of benign parotid gland tumors with superb microvascular imaging and shear wave elastography

lesions, differentiates solid tumors from cystic lesions with avoiding ionizing radiation with lower costs. Although grayscale, color and power Doppler US show sonographic features of some specific diagnosis, it is challenging in many cases to differentiate between benign and malignant tumors. Also, it is difficult to make a distinction between pleomorphic adenomas and Warthin tumors, which are the most common parotid gland tumors(2,3). Shear wave elastography (SWE) is an imaging technique for

Hakan Cebeci, Mehmet Öztürk, Mehmet Sedat Durmaz, Abidin Kılınçer, Ömer Erdur, Bahar Çolpan

Journal of Ultrasonography, Volume 20 , ISSUE 82, 185–190

Review | 28-June-2019

High resolution ultrasound for imaging complications of muscle injury: Is there an additional role for elastography?

appreciate subtle changes(4–8). In the subacute and chronic stages, ultrasound can be of value to follow up injured muscle during the healing process and identify complications that may require special treatment(4–8). In addition to morphological features, ultrasound imaging combined with strain and shear wave elastography can also provide information on the mechanical properties of intact and diseased muscle tissue, thus allowing assessment of muscle biomechanics in the clinical setting(9–16). Strain

Eleni E. Drakonaki, Iwona Sudoł-Szopińska, Christos Sinopidis, Panagiotis Givissis

Journal of Ultrasonography, Volume 19 , ISSUE 77, 137–144

research-paper | 18-June-2021

Ultrasound shear wave elastography of the anterior talofibular and calcaneofibular ligaments in healthy subjects

in up to 70% of cases, which is associated with decreased physical activity levels and quality of life(10). Post-traumatic ankle osteoarthritis can also occur and lead to profound physical limitation(10). Shear wave elastography Shear wave elastography (SWE) is an increasingly explored ultrasound (US) technique that measures elastic tissue properties. This technique can add information to the conventional gray-scale and Doppler US techniques, providing a quantitative assessment of tissue

Lana H. Gimber, L Daniel Latt, Chelsea Caruso, Andres A. Nuncio Zuniga, Elizabeth A. Krupinski, Andrea S. Klauser, Mihra S. Taljanovic

Journal of Ultrasonography, Volume 21 , ISSUE 85, e86–e94

research-article | 08-March-2021

Shear wave elastography detects novel imaging biomarkers of aromatase inhibitor–induced joint pain: a pilot study

no biomarkers to identify those at risk of developing AIA. Identifying women at risk for developing AIA is critical in order to study interventions to prevent AIA, improve AI adherence, and prevent breast cancer recurrence and death. Shear wave elastography (SWE) is a novel US technique for characterizing tissue structures with shear acoustic waves of a focused ultrasonic beam(19) to acquire a measure of tendon stiffness. We conducted a pilot study to evaluate tendon features of the hands and

Jessica A. Martinez, Mihra S. Taljanovic, Russell S. Witte, Andres A. Nuncio Zuniga, Betsy C. Wertheim, C. Kent Kwoh, Brian A. Goldstein, Denise J. Roe, Pavani Chalasani

Journal of Ultrasonography, Volume 21 , ISSUE 84, 1–6

Review Article | 30-March-2018

Clinical applications of spleen ultrasound elastography – a review

In the last few years, notable technical progress has taken place in ultrasound elastography. Qualitative methods have been replaced by quantitative ones, such as: transient elastography, acoustic radiation force impulse and shear wave elastography. Owing to the fact that the spleen is superficially located, it is possible to obtain reliable measuring accuracy of its hardness using sonoelastography. Lately, many researchers have been investigating how spleen elasticity changes in patients

Rafał Mazur, Milena Celmer, Jurand Silicki, Daniel Hołownia, Patryk Pozowski, Krzysztof Międzybrodzki

Journal of Ultrasonography, Volume 18 , ISSUE 72, 37–41

Review | 07-September-2016

Shear wave elastography with a new reliability indicator

Non-invasive methods for liver stiffness assessment have been introduced over recent years. Of these, two main methods for estimating liver fibrosis using ultrasound elastography have become established in clinical practice: shear wave elastography and quasi-static or strain elastography. Shear waves are waves with a motion perpendicular (lateral) to the direction of the generating force. Shear waves travel relatively slowly (between 1 and 10 m/s). The stiffness of the liver tissue can be

Christoph F. Dietrich, Yi Dong

Journal of Ultrasonography, Volume 16 , ISSUE 66, 281–287

research-article | 09-September-2021

Comparison between shear wave elastography and serological findings for the evaluation of fibrosis in chronic liver disease

evaluating the stages of liver fibrosis. Noninvasive liver tests (NILTs) can generally be divided into three categories: simple or indirect serum markers, direct serum markers, and imaging modalities(8). The most widely used imaging modality is transient elastography (TE) or FibroScan (Echosens, Paris)(4). Later in the mid-1990s, elastography was introduced for the evaluation of stiffness and elasticity of soft tissues by giving external pressure(9). It is an alternative technique to biopsy, as it is

Mahjabeen Liaqat, Kashif Siddique, Imran Yousaf, Raham Bacha, S. Muhammad Yousaf Farooq, Syed Amir Gilani

Journal of Ultrasonography, Volume 21 , ISSUE 86, 186–193

Review | 13-September-2016

Ultrasound imaging of the liver and bile ducts – expectations of a clinician

elastography. The assessment of fatty liver and bile duct dilatation using ultrasound reaches satisfactory levels of sensitivity and specifi city. The usage of contrast agents enables unambiguous differentiation between benign and malignant focal lesions, frequently allowing them to be identifi ed accurately without the assistance of other imaging modalities. Elastography has enabled reliable assessment of liver fi brosis. Its results are comparable to those of the standard method

Krzysztof Skoczylas, Andrzej Pawełas

Journal of Ultrasonography, Volume 15 , ISSUE 62, 292–306

Original Paper | 13-September-2016

Shear wave elastography in medullary thyroid carcinoma diagnostics

Katarzyna Dobruch-Sobczak, Anna Gumińska, Elwira Bakuła-Zalewska, Krzysztof Mlosek, Rafał Z. Słapa, Paweł Wareluk, Agnieszka Krauze, Agnieszka Ziemiecka, Bartosz Migda, Wiesław Jakubowski, Marek Dedecjus

Journal of Ultrasonography, Volume 15 , ISSUE 63, 358–367

research-article | 28-September-2020

Shear wave elastography reveals a high prevalence of liver fibrosis in overweight or obese Hispanic youth

of liver biopsy for surveillance and natural history studies. For that reason, many adolescents with liver fibrosis remain undiagnosed and are at increased risk for liver failure(2). The newer and non-invasive imaging techniques of transient elastography (TE) and shear-wave elastography (SWE) provide the opportunity to detect hepatic fibrosis and are a safe and reliable alternative to liver biopsy(18). Furthermore, TE and SWE are reproducible and quantifiable measures of liver stiffness. Using an

Sanjeet Sandhu, Carisse Orsi, Gary L. Francis, Zhu Wang, Roman Fernandez, Naim Alkhouri

Journal of Ultrasonography, Volume 20 , ISSUE 82, 162–168

Original Paper | 30-January-2019

Sonoelastographic evaluation for benign neck lymph nodes and parathyroid lesions

Abstract Aim: The aim of the study was to evaluate the performance of real-time strain sonoelastography for comparison of perithyroidal lymph nodes of Hashimoto thyroiditis patients, jugular lymph nodes of healthy individuals and parathyroid lesions. Material and methods: Fifty parathyroid lesions (Group 1), 52 lymph nodes in Hashimoto thyroiditis patients (Group 2) and 51 reactive jugular lymph nodes (Group 3) were examined by ultrasound, and elastography was performed for a total of 95

Namik Kemal Altinbas, Cemil Yagci

Journal of Ultrasonography, Volume 18 , ISSUE 75, 284–289

review-article | 30-September-2019

Diagnostic imaging of gastrointestinal neuroendocrine neoplasms with a focus on ultrasound

functional. Morphological imaging (transabdominal ultrasound, contrast-enhanced ultrasound, [CEUS]; elastography; endoscopic ultrasound [EUS]; computed tomography [CT]; magnetic resonance imaging [MRI]; endoscopy, including video capsule endoscopy [VCE]) is usually used to detect a tumour and assess the stage of the disease. Functional imaging techniques (scintigraphy with 99mTc-labelled somatostatin analogues [99mTc-SPECT]; positron emission tomography with 68Ga-labelled peptides [68Ga-PET/CT] and with

Joanna Walczyk, Anna Sowa-Staszczak

Journal of Ultrasonography, Volume 19 , ISSUE 78, 228–235

research-article | 30-November-2020

Diagnostic value of shear wave velocity in polycystic ovarian syndrome

Introduction Elastography is a useful tool providing information on tissues by converting stiffness values into an anatomically significant map. Sonoelastography is an ultrasound (US) imaging technique. When the tissue is harder, the sound waves move faster, and their speed provides information about tissue hardness(1). Both qualitative and quantitative types of elastography are available. Acoustic radiation force impulse imaging (ARFI) is a recently developed noninvasive dynamic tissue imaging

Turkan Gursu, Halime Cevik, Güldeniz Aksan Desteli, Birnur Yilmaz, Tevfik Berk Bildaci, Alper Eraslan

Journal of Ultrasonography, Volume 21 , ISSUE 87, 277–281

research-article | 30-September-2019

Prospective analysis of inter-observer and intra-observer variability in multi ultrasound descriptor assessment of thyroid nodules

technique(12,13). Currently, two main types of elastography are available: shear wave elastography (SWE) and strain elastography (SE). Some authors have suggested that SWE is superior to SE in thyroid nodule stratification because of its operator independency, but recent meta-analyses have surprisingly shown that SE has better diagnostic accuracy than SWE(14,15) In addition, Dighe et al. described SWE artifacts and their impact on final results(16). In this paper, the authors suggested that almost 70

Katarzyna Dobruch-Sobczak, Bartosz Migda, Agnieszka Krauze, Krzysztof Mlosek, Rafał Z. Słapa, Paweł Wareluk, Elwira Bakuła-Zalewska, Zbigniew Adamczewski, Andrzej Lewiński, Wiesław Jakubowski, Marek Dedecjus

Journal of Ultrasonography, Volume 19 , ISSUE 78, 198–206

research-article | 18-December-2020

Elasticity of the coracohumeral ligament in patients with frozen shoulder following rotator interval injection: a case series

a significant recovery of shoulder range of movement(5,11,12). Recent studies have also shown that the stiffness of the CHL can be assessed using shear wave elastography(13–15). Shear wave elastography is a relatively new technique to non-invasively provide quantitative information regarding tissue elasticity in real time based on their viscoelastic properties. The ultrasound system propagates shear waves into tissues and assesses their elastic modulus. This has been used in a variety of

David McKean, Siok Li Chung, Rebecca te Water Naudé, Bernard McElroy, Jonathan Baxter, Aniruddha Pendse, Joseph Papanikitas, James Teh, Richard Hughes

Journal of Ultrasonography, Volume 20 , ISSUE 83, 300–306

Original Paper | 31-August-2018

Ultrasound image of malignant bone tumors in children. An analysis of nine patients diagnosed in 2011–2016

Tomasz Madej, Joanna Flak-Nurzyńska, Ewa Dutkiewicz, Anna Ciechomska, Jerzy Kowalczyk, Andrzej Paweł Wieczorek

Journal of Ultrasonography, Volume 18 , ISSUE 73, 103–111

Letter | 08-March-2021

Cutting-edge application of ultrasound elastography and superb microvascular imaging in radiofrequency ablation of uterine fibroids

viable cells or fibrous tissue, which might trigger an inflammatory response, increasing local pressure and stiffness. These histological changes occur simultaneously, altering the elasticity and vascularization of the fibroid tissue. These changes can provide qualitative and quantitative information for diagnostic and treatment purposes (Fig. 1). To this end, shear wave elastography US (SWE) can be used to evaluate the tissueś mechanical properties by measuring its response to acoustic energy, thus

Cristiana Coutinho, Heron Werner, Flávia Paiva Lopes, Michel Zelaquett, Edson Marchiori, Edward Araujo

Journal of Ultrasonography, Volume 21 , ISSUE 84, 80–81

Original Paper | 13-September-2016

Modified sonoelastographic scale score for lymph node assessment in lymphoma – a preliminary report 

Elastography is a new method of assessment of lymph node consistency. The majority of papers focus on metastases detection of head and neck or breast tumors. The typical desmoplastic reaction in connective tissue stroma in cancer, which is responsible for tissue’s hardening, is seen in lymphoma less frequently. Material and methods: Study of 15 patients with active Hodgkin and non-Hodgkin lymphomas and 16 previously treated patients with no evidence of recurrence. A total of 60 patients

Mateusz Łasecki, Cyprian Olchowy, Dąbrówka Sokołowska-Dąbek, Anna Biel, Radosław Chaber, Urszula Zaleska-Dorobisz

Journal of Ultrasonography, Volume 15 , ISSUE 60, 45–55

Review | 13-September-2016

Standards of ultrasound imaging of the adrenal glands

. Ultrasound imaging is also used to monitor adrenal incidentaloma that is not eligible for a surgery. The paper presents recommendations concerning the performance and assessment of ultrasound examinations of the adrenal glands and their pathological lesions. The article includes new ultrasound techniques, such as tissue harmonic imaging, spatial compound imaging, three-dimensional ultrasound, elastography, contrast-enhanced ultrasound and parametric imaging. The guidelines presented above are consistent

Rafał Z. Słapa, Wiesław S. Jakubowski, Katarzyna Dobruch-Sobczak, Anna A. Kasperlik-Załuska

Journal of Ultrasonography, Volume 15 , ISSUE 63, 377–387

research-article | 15-June-2020

Ultrasonography of vulnerable atherosclerotic plaque in the carotid arteries: B-mode imaging

(in various configurations), including directional power Doppler, superb microvascular imaging; non-Doppler flow evaluation methods (B-Flow); spatial (volumetric) ultrasound; contrast-enhanced ultrasound (CEUS); shear wave elastography (SWE). The three last techniques (i.e. volumetric ultrasound, CEUS and elastography) will be discussed in the next parts of this publication series. Types of atherosclerotic plaque The echogenicity of atherosclerotic plaque mainly depends on lipids in its core

Andrzej Fedak, Katarzyna Ciuk, Andrzej Urbanik

Journal of Ultrasonography, Volume 20 , ISSUE 81, e135–e145

Review | 13-September-2016

The role of ultrasound and nuclear medicine methods in the preoperative diagnostics of primary hyperparathyroidism

these techniques by implementing new study protocols or innovative technologies. Publications have emerged in the recent years in the fi eld of ultrasonography, whose authors pointed out the usefulness of elastography and contrast media. Nuclear medicine studies, on the other hand, focus mainly on the assessment of new radiotracers used in the positron emission tomography (PET). The aim of this article is to present, based on literature data, the possibilities of ultrasound and scintigraphy in the

Michał Nieciecki, Marek Cacko, Leszek Królicki

Journal of Ultrasonography, Volume 15 , ISSUE 63, 398–409

Review | 24-February-2017

The value of ultrasonography in the diagnosis of varicocele

typical parameters analyzed during ultrasound assessment. However, diagnostic ultrasound is still a controversial method due to numerous and often divergent classification systems for varicocele assessment as well as its poor correlation with clinical manifestations. As a result of introduction of clear ultrasound criteria as well as the development of elastography and nuclear magnetic resonance, diagnostic imaging can play an important role in assessing the risk of damage to the testicular parenchyma

Tomasz Lorenc, Leszek Krupniewski, Piotr Palczewski, Marek Gołębiowski

Journal of Ultrasonography, Volume 16 , ISSUE 67, 359–370

research-article | 28-September-2020

Comparison of sonographic hepatorenal ratio and the degree of hepatic steatosis in magnetic resonance imaging-proton density fat fraction

software provided by the manufacturer (IDEAL-IQ; GE Healthcare) which created water, fat, R2* maps and PDFF parametric map representing fat mapping of the entire liver. ROI was placed in hepatic segment VI MR elastography (MRE) was also performed in all individuals with 60-Hz vibrations applied to the abdominal wall using a pneumatic actuator (MR-Touch; GE Healthcare), with two-dimensional gradient-echo MR elastography sequence and the direct inversion algorithm, previously described elsewhere(26

Natthaporn Tanpowpong, Sineenart Panichyawat

Journal of Ultrasonography, Volume 20 , ISSUE 82, 169–175

Review | 29-September-2017

Chest wall – underappreciated structure in sonography. Part I: Examination methodology and ultrasound anatomy

differences in the anatomy of the ribs, ster­num, scapula and sternoclavicular joints have been discussed. The rich vascular network which is only fragmentarily accessible for ultrasound assessment has been briefly discussed. A comprehensive evaluation of the chest wall should include the axillary, supraclavicular, apical and parasternal lymph nodes. Their examination requires the use of elastography and contrast-enhanced ultrasound.

Andrzej Smereczyński, Katarzyna Kołaczyk, Elżbieta Bernatowicz

Journal of Ultrasonography, Volume 17 , ISSUE 70, 197–205

Review Article | 31-March-2017

The standards of an ultrasound examination of the prostate gland. Part 2

, its configuration, the echostructure in classical ultrasonography, the vascularization in an ultrasound examination performed with power doppler and, if possible, the differences in the gland tissue firmness (consistency) in elastography. The ultrasound examination is used for performing the mapping biopsy of the prostate gland – from routine, strictly defined locations, the targeted biopsy – from locations suspected of neoplastic proliferation and the staging biopsy – from the neurovascular

Janusz F. Tyloch, Andrzej Paweł Wieczorek

Journal of Ultrasonography, Volume 17 , ISSUE 68, 43–58

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