The Diagnostic Role of Compression Elastography in Endosonography in the Patients with Bile Duct Diseases Examining Algorithm
https://doi.org/10.37174/2587-7593-2019-2-4-67-74
Abstract
Purpose: To determine the diagnostic role of compression elastography in endosonography in the algorithm for patients with bile duct diseases examining.
Material and methods: 80 patients were examined, among them 27 (33.7 %) men and 53 (66.3 %) women: 64 (80 %) patients with benign pathology and 16 (20 %) with malignant pathology. We used ultrasound examination of the abdominal organs with color Doppler mapping of v. portae and v. lienalis, multislice computed tomography, magnetic resonance imaging of the hepatopancreatoduodenal zone organs, compression elastography in endosonography and magnetic resonance cholangiopancreatography (MRCP).
Results: Compression elastography in endosonography and MRCP for bile duct diseases have very high diagnostic and prognostic significance in assessing the prevalence of the pathological process (AUROC = 0.889, CI 0.887–0.903 and AUROC = 0.941, CI 0.95–0.997, respectively), in comparison with endosonography; the diagnostic significance of compression elastography during endosonography increases when you select the zone of interest for conducting a fine needle aspiration biopsy (AUROC = 0.925, CI 0.904–0.931). The integrated use of radiation diagnostic methods promotes an individual approach and the interchangeability of methods.
About the Authors
T. G. Morozova
Smolensk State Medical University
Russian Federation
Smolensk
Russian Federation
Smolensk
A. V. Borsukov
Smolensk State Medical University
Russian Federation
Smolensk
Russian Federation
Smolensk
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Review
For citations:
Morozova T.G., Borsukov A.V. The Diagnostic Role of Compression Elastography in Endosonography in the Patients with Bile Duct Diseases Examining Algorithm. Journal of oncology: diagnostic radiology and radiotherapy. 2019;2(4):67-74. (In Russ.) https://doi.org/10.37174/2587-7593-2019-2-4-67-74
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