دورية أكاديمية

The "Halo Appearance" of Shear Wave Elastography in the Setting of Fat Necrosis: A Potentially Useful Sonographic Discriminator.

التفاصيل البيبلوغرافية
العنوان: The "Halo Appearance" of Shear Wave Elastography in the Setting of Fat Necrosis: A Potentially Useful Sonographic Discriminator.
المؤلفون: Zech JR; New York University Langone Medical Center, New York, New York, USA., Burke CJ; New York University Langone Medical Center, New York, New York, USA., Hoda ST; New York University Langone Medical Center, New York, New York, USA., Adler RS; New York University Langone Medical Center, New York, New York, USA.
المصدر: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine [J Ultrasound Med] 2024 Jul 09. Date of Electronic Publication: 2024 Jul 09.
Publication Model: Ahead of Print
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley and Sons Country of Publication: England NLM ID: 8211547 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-9613 (Electronic) Linking ISSN: 02784297 NLM ISO Abbreviation: J Ultrasound Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Oxford, UK : John Wiley and Sons
Original Publication: [Philadelphia, Pa.] : W.B. Saunders, c1982-
مستخلص: Objective: To describe the morphologic sonographic appearances and frequency of the "halo sign" in the setting of fat necrosis on shear wave elastography (SWE).
Methods: Patients with clinically suspected fat necrosis were prospectively scanned using SWE in addition to standard gray-scale and Doppler images. Cases were qualitatively grouped into one of three sonographic appearances: focal hypoechoic lesion with increased internal tissue stiffness ("focal stiffness"), focal hypoechoic lesion with isoechoic or hyperechoic periphery demonstrating increased tissue stiffness relative to the central hypoechoic lesion ("halo stiffness"), heterogeneously echogenic lesion with diffusely increased stiffness ("heterogeneous stiffness").
Results: Exactly 19 patients met inclusion criteria (female n = 14; male n = 5). Shear wave velocities were recorded and retrospectively evaluated. The mean clinical follow-up was 11.4 months (range 3.0-25.5). Lesions demonstrated higher average tissue stiffness than background tissue (overall mass shear wave velocity 3.26 m/s, background 1.42 m/s, P < .001; lesion Young's modulus 40.85 kPa vs background 7.22 kPa, P < .001). The halo sign was identified in 10/19 (55%) patients.
Conclusion: The halo sign is a potentially useful sign in the setting of fat necrosis seen in the majority of clinically suspected cases.
(© 2024 American Institute of Ultrasound in Medicine.)
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فهرسة مساهمة: Keywords: fat necrosis; shear wave elastography
تواريخ الأحداث: Date Created: 20240709 Latest Revision: 20240709
رمز التحديث: 20240709
DOI: 10.1002/jum.16522
PMID: 38980145
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-9613
DOI:10.1002/jum.16522