STRAIN ELASTOGRAPHY AS DIAGNOSTIC TOOL FOR EVALUATION OF RECTAL NEOPLASMS

Autor:	E. G. Rybakov, L. P. Orlova, E. M. Abashina, S. V. Chernyshov, T. V. Samsonova, O. A. Majnovskaja, Y. A. Shelygin, P. G. Evgrafov
Rok vydání:	2017
Předmět:	03 medical and health sciences medicine.medical_specialty Strain elastography 0302 clinical medicine Oncology business.industry Gastroenterology medicine 030211 gastroenterology & hepatology Surgery Radiology business 030218 nuclear medicine & medical imaging
Zdroj:	Koloproktologia. :60-66
ISSN:	2686-7303 2073-7556
DOI:	10.33878/2073-7556-2017-0-4-60-66
Popis:	AIM. To establish cut-off point of strain ratio for rectal adenocarciomas. PATIENTS AND METHODS. Forty-five patients (29 female) at mean age ± SD of 61 ± 9.5 (range, 38-80) years with histologically confirmed rectal neoplasia were included into study. Endorectal Ultrasonography accomplished by strain elastography was performed by Hitachi Hi Vision Preirus (Japan). All patients were treated by Transanal Endoscopic Microsurgery. RESULTS. Pathologic examination of operative specimen revealed 31 adenomas (5 intraepithelial carcinomas) and 14 invasive carcinomas. Cut-off point of Strain Ratio was 5,7 with sensitivity of 0.94 (95 °%CI 0,68-0,99), specificity of 0.92 (95 %oCI 0,74-0,98), positive predictive value of 0,90 (95 % CI 0,84-0,96) and negative predictive value of 0,96 (95 %CI 0,85-0,99). CONCLUSION. Obtained results testified high diagnostic value of strain elastography and made one perspective method for detection of occult malignancy in large rectal adenomas.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b39b6f340425977fcdb0350601e5e775 https://doi.org/10.33878/2073-7556-2017-0-4-60-66 Zobrazit plný text záznamu