Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Strain elastography of tongue carcinoma using intraoral ultrasonography: A preliminary study to characterize normal tissues and lesions

  • Ogura, Ichiro (Radiology, The Nippon Dental University Niigata Hospital) ;
  • Sasaki, Yoshihiko (Radiology, The Nippon Dental University Niigata Hospital) ;
  • Sue, Mikiko (Radiology, The Nippon Dental University Niigata Hospital) ;
  • Oda, Takaaki (Radiology, The Nippon Dental University Niigata Hospital)
  • Received : 2017.11.14
  • Accepted : 2018.01.31
  • Published : 2018.03.31
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Abstract

Purpose: The aim of this study was to evaluate the quantitative strain elastography of tongue carcinoma using intraoral ultrasonography. Materials and Methods: Two patients with squamous cell carcinoma (SCC) who underwent quantitative strain elastography for the diagnosis of tongue lesions using intraoral ultrasonography were included in this prospective study. Strain elastography was performed using a linear 14 MHz transducer (Aplio 300; Canon Medical Systems, Otawara, Japan). Manual light compression and decompression of the tongue by the transducer was performed to achieve optimal and consistent color coding. The variation in tissue strain over time caused by the compression exerted using the probe was displayed as a strain graph. The integrated strain elastography software allowed the operator to place circular regions of interest (ROIs) of various diameters within the elastography window, and automatically displayed quantitative strain (%) for each ROI. Quantitative indices of the strain (%) were measured for normal tissues and lesions in the tongue. Results: The average strain of normal tissue and tongue SCC in a 50-year-old man was 1.468% and 0.000%, respectively. The average strain of normal tissue and tongue SCC in a 59-year-old man was 1.007% and 0.000%, respectively. Conclusion: We investigated the quantitative strain elastography of tongue carcinoma using intraoral ultrasonography. Strain elastography using intraoral ultrasonography is a promising technique for characterizing and differentiating normal tissues and SCC in the tongue.

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References

  1. Ogura I, Kaneda T, Sasaki Y, Sekiya K, Tokunaga S. Characteristic power Doppler sonographic images of tumorous and non-tumorous buccal space lesions. Dentomaxillofac Radiol 2013; 42: 20120460. https://doi.org/10.1259/dmfr.20120460
  2. Shiina T, Nightingale KR, Palmeri ML, Hall TJ, Bamber JC, Barr RG, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: part 1: basic principles and terminology. Ultrasound Med Biol 2015; 41: 1126-47. https://doi.org/10.1016/j.ultrasmedbio.2015.03.009
  3. Acu L, Oktar SO, Acu R, Yucel C, Cebeci S. Value of ultrasound elastography in the differential diagnosis of cervical lymph nodes: a comparative study with B-mode and color Doppler sonography. J Ultrasound Med 2016; 35: 2491-9. https://doi.org/10.7863/ultra.15.09019
  4. Turgut E, Celenk C, Tanrivermis Sayit A, Bekci T, Gunbey HP, Aslan K. Efficiency of B-mode ultrasound and strain elastography in differentiating between benign and malignant cervical lymph nodes. Ultrasound Q 2017; 33: 201-7. https://doi.org/10.1097/RUQ.0000000000000302
  5. Tranquart F, Bleuzen A, Pierre-Renoult P, Chabrolle C, Sam Giao M, Lecomte P. Elastosonography of thyroid lesions. J Radiol 2008; 89: 35-9. https://doi.org/10.1016/S0221-0363(08)70367-6
  6. Schaefer FK, Heer I, Schaefer PJ, Mundhenke C, Osterholz S, Order BM, et al. Breast ultrasound elastography-results of 193 breast lesions in a prospective study with histopathologic correlation. Eur J Radiol 2011: 77: 450-6. https://doi.org/10.1016/j.ejrad.2009.08.026
  7. Iglesias-Garcia J, Larino-Noia J, Abdulkader I, Forteza J, Dominguez-Munoz JE. Quantitative endoscopic ultrasound elastography: an accurate method for the differentiation of solid pancreatic masses. Gastroenterology 2010; 139: 1172-80. https://doi.org/10.1053/j.gastro.2010.06.059
  8. Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M, et al. Elastic moduli of thyroid tissues under compression. Ultrason Imaging 2005; 27: 101-10. https://doi.org/10.1177/016173460502700204
  9. Wakasugi-Sato N, Kodama M, Matsuo K, Yamamoto N, Oda M, Ishikawa A, et al. Advanced clinical usefulness of ultrasonography for diseases in oral and maxillofacial regions. Int J Dent 2010; 2010: 639382.
  10. Sugawara C, Takahashi A, Kawano F, Kudo Y, Ishimaru N, Miyamoto Y. Intraoral ultrasonography of tongue mass lesions. Dentomaxillofac Radiol 2016; 45: 20150362. https://doi.org/10.1259/dmfr.20150362
  11. Shingaki M, Nikkuni Y, Katsura K, Ikeda N, Maruyama S, Takagi R, et al. Clinical significance of intraoral strain elastography for diagnosing early stage tongue carcinoma: a preliminary study. Oral Radiol 2017; 33: 204-11. https://doi.org/10.1007/s11282-016-0269-1
  12. Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M, et al. Cervical lymph node metastases: diagnosis at sonoelastography-initial experience. Radiology 2007; 243: 258-67. https://doi.org/10.1148/radiol.2431052032
  13. Alam F, Naito K, Horiguchi J, Fukuda H, Tachikake T, Ito K. Accuracy of sonographic elastography in the differential diagnosis of enlarged cervical lymph nodes: comparison with conventional B-mode sonography. AJR Am J Roentgenol 2008; 191: 604-10. https://doi.org/10.2214/AJR.07.3401
  14. Teng DK, Wang H, Lin YQ, Sui GQ, Guo F, Sun LN. Value of ultrasound elastography in assessment of enlarged cervical lymph nodes. Asian Pac J Cancer Prev 2012; 13: 2081-5. https://doi.org/10.7314/APJCP.2012.13.5.2081
  15. Lo WC, Cheng PW, Wang CT, Liao LJ. Real-time ultrasound elastography: an assessment of enlarged cervical lymph nodes. Eur Radiol 2013; 23: 2351-7. https://doi.org/10.1007/s00330-013-2861-7
  16. Ogura I, Amagasa T, Fujii E, Yoshimasu H. Quantitative evaluation of consistency of normal mucosa, leukoplakia and squamous cell carcinoma of the tongue. J Craniomaxillofac Surg 1998; 26: 107-11. https://doi.org/10.1016/S1010-5182(98)80049-8
  17. Ogura I, Amagasa T, Miyakura T. Correlation between tumor consistency and cervical metastasis in tongue carcinoma. Head Neck 2000; 22:229-33. https://doi.org/10.1002/(SICI)1097-0347(200005)22:3<229::AID-HED4>3.0.CO;2-T

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