Preoperative Multiparametric Ultrasound and Fine Needle Aspiration Cytology evaluation of parotid gland tumors : which is the best technique?

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dc.contributor.authorGuiban, Olga
dc.contributor.authorRubini, Antonello
dc.contributor.authorFresilli, Daniele
dc.contributor.authorLucarelli, Giuseppe Tiziano
dc.contributor.authorRalli, Massimo
dc.contributor.authorCassoni, Andrea
dc.contributor.authorBezzi, Mario
dc.contributor.authorRadzina, Maija
dc.contributor.authorGreco, Antonio
dc.contributor.authorDe Vincentiis, Marco
dc.contributor.authorDe Vito, Corado
dc.contributor.authorDe Cristofaro, Flaminia
dc.contributor.authorCatalano, Carlo
dc.contributor.authorCantisani, Vito
dc.contributor.institutionDepartment of Radiology
dc.date.accessioned2021-12-01T09:45:01Z
dc.date.available2021-12-01T09:45:01Z
dc.date.issued2021-11-25
dc.descriptionPublisher Copyright: © 2021 Societatea Romana de Ultrasonografie in Medicina si Biologie. All rights reserved.
dc.description.abstractAIMS: To evaluate the pre-surgical diagnostic value of Multiparametric Ultrasound (MPUS) and Fine Needle Aspiration Cytology (FNAC) in differentiating parotid gland tumors, comparing the results with histology. MATERIALS AND METHODS: The study enrolled 84 patients with parotid gland lesions surgically treated in a single tertiary center and evaluated by MPUS. Each patient underwent FNAC. Histological examination was considered the gold standard. RESULTS: Histology identified 62 benign tumors and 22 malignancies. In the differential diagnosis between malignant and benign lesions, B-mode Ultrasound (US), Color-Doppler US, Contrast-Enhanced US (CEUS), Elastography (USE) and FNAC showed the following values of sensitivity: 82%, 81%, 86%, 77%, 73% respectively; specificity: 97%, 61%, 95%, 71%, 97% respectively; PPV: 90%, 43%, 86%, 50%, 89% respectively; NPV: 93%, 90%, 95%, 88%, 91% respectively; and accuracy: 89%, 71%, 90%, 78%, 84% re-spectively. CONCLUSIONS: CEUS proved to be a valid and accurate method for identifying malignant tumors of parotid gland; the combination of B-mode US with CEUS showed similar diagnostic accuracy, but better sensitivity than CEUS taken alone. USE did not improve the diagnostic performance of the B-mode US, alone or in association with CEUS; however, it revealed the highest diagnostic accuracy in the differentiation between benign lesions. FNAC demonstrated lower values in comparison with CEUS and with USE. Therefore, according to our study, MPUS could be proposed as a valid alternative to FNAC.en
dc.description.statusPeer reviewed
dc.format.extent8
dc.format.extent521786
dc.identifier.citationGuiban, O, Rubini, A, Fresilli, D, Lucarelli, G T, Ralli, M, Cassoni, A, Bezzi, M, Radzina, M, Greco, A, De Vincentiis, M, De Vito, C, De Cristofaro, F, Catalano, C & Cantisani, V 2021, 'Preoperative Multiparametric Ultrasound and Fine Needle Aspiration Cytology evaluation of parotid gland tumors : which is the best technique?', Medical Ultrasonography, vol. 23, no. 4, pp. 402-409. https://doi.org/10.11152/mu-3068
dc.identifier.doi10.11152/mu-3068
dc.identifier.issn1844-4172
dc.identifier.otherunpaywall: 10.11152/mu-3068
dc.identifier.otherMendeley: 6b820d9e-f9c3-3789-b052-a5c5b705a5bd
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/6941
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85120890809&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofMedical Ultrasonography
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMultiparametric Ultrasound (MPUS)
dc.subjectparotid gland tumors
dc.subjectFine Needle Aspiration Cytology (FNAC)
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.titlePreoperative Multiparametric Ultrasound and Fine Needle Aspiration Cytology evaluation of parotid gland tumors : which is the best technique?en
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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