Clinical imaging and high-resolution ultrasonography in melanocytoma management

Daniel Gologorsky1, Amy C Schefler2, Fiona J Ehlies2, Paul A Raskauskas3, Yolanda Pina2, Basil K Williams Jr4, Timothy G Murray21Dartmouth Medical School, Hanover, New Hampshire; 2Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida;...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Daniel Gologorsky, Amy C Schefler, Fiona J Ehlies, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ddc70a966aaa422881b9ebb2af597323
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ddc70a966aaa422881b9ebb2af597323
record_format	dspace
spelling	oai:doaj.org-article:ddc70a966aaa422881b9ebb2af5973232021-12-02T04:23:19ZClinical imaging and high-resolution ultrasonography in melanocytoma management1177-54671177-5483https://doaj.org/article/ddc70a966aaa422881b9ebb2af5973232010-07-01T00:00:00Zhttp://www.dovepress.com/clinical-imaging-and-high-resolution-ultrasonography-in-melanocytoma-m-a4933https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Daniel Gologorsky1, Amy C Schefler2, Fiona J Ehlies2, Paul A Raskauskas3, Yolanda Pina2, Basil K Williams Jr4, Timothy G Murray21Dartmouth Medical School, Hanover, New Hampshire; 2Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida; 3Retina Consultants of Southwest Florida, Fort Myers, Florida; 4Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USAPurpose: To demonstrate the utility of high resolution 20 MHz ophthalmic ultrasound in serial follow-up of optic nerve head melanocytoma patients.Methods: This study is a retrospective review of 30 patients with melanocytoma of the optic nerve head studied with echography. All patients were evaluated with standard ophthalmic A-scan and B-scan ultrasonography and 10 (33%) underwent high-resolution ultrasound.Results: Sixty-two percent (62%) of patients had dome-shaped lesions on ultrasound, &shy;twenty-eight percent (28%) presented with mild elevations. The maximum elevation of any lesion was 2.6 mm. The vast majority (89%) of lesions had medium or high internal &shy;reflectivity and 89% demonstrated avascularity. Mean follow-up for all patients was nearly 7 years. High-resolution ultrasound enabled enhanced accuracy for detection of lesion dimensions and documentation of growth and possible malignant transformation.Conclusions: In this study, we demonstrate a new and important role for the use of ultrasound in this disease as a complementary tool in identifying and following patients with high-risk growth characteristics. These tumor characteristics can be accurately detected with 10 MHz ultrasound in conjunction with standardized A-scan and better differentiated with the 20 MHz technology. Use of these modalities can aid in distinguishing the melanocytomas that grow from choroidal melanomas and can prevent unnecessary treatments.Keywords: imaging, high-resolution, ultrasonography, melanocytoma Daniel GologorskyAmy C ScheflerFiona J Ehlieset alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 855-859 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Daniel Gologorsky Amy C Schefler Fiona J Ehlies et al Clinical imaging and high-resolution ultrasonography in melanocytoma management
description	Daniel Gologorsky1, Amy C Schefler2, Fiona J Ehlies2, Paul A Raskauskas3, Yolanda Pina2, Basil K Williams Jr4, Timothy G Murray21Dartmouth Medical School, Hanover, New Hampshire; 2Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida; 3Retina Consultants of Southwest Florida, Fort Myers, Florida; 4Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USAPurpose: To demonstrate the utility of high resolution 20 MHz ophthalmic ultrasound in serial follow-up of optic nerve head melanocytoma patients.Methods: This study is a retrospective review of 30 patients with melanocytoma of the optic nerve head studied with echography. All patients were evaluated with standard ophthalmic A-scan and B-scan ultrasonography and 10 (33%) underwent high-resolution ultrasound.Results: Sixty-two percent (62%) of patients had dome-shaped lesions on ultrasound, &shy;twenty-eight percent (28%) presented with mild elevations. The maximum elevation of any lesion was 2.6 mm. The vast majority (89%) of lesions had medium or high internal &shy;reflectivity and 89% demonstrated avascularity. Mean follow-up for all patients was nearly 7 years. High-resolution ultrasound enabled enhanced accuracy for detection of lesion dimensions and documentation of growth and possible malignant transformation.Conclusions: In this study, we demonstrate a new and important role for the use of ultrasound in this disease as a complementary tool in identifying and following patients with high-risk growth characteristics. These tumor characteristics can be accurately detected with 10 MHz ultrasound in conjunction with standardized A-scan and better differentiated with the 20 MHz technology. Use of these modalities can aid in distinguishing the melanocytomas that grow from choroidal melanomas and can prevent unnecessary treatments.Keywords: imaging, high-resolution, ultrasonography, melanocytoma
format	article
author	Daniel Gologorsky Amy C Schefler Fiona J Ehlies et al
author_facet	Daniel Gologorsky Amy C Schefler Fiona J Ehlies et al
author_sort	Daniel Gologorsky
title	Clinical imaging and high-resolution ultrasonography in melanocytoma management
title_short	Clinical imaging and high-resolution ultrasonography in melanocytoma management
title_full	Clinical imaging and high-resolution ultrasonography in melanocytoma management
title_fullStr	Clinical imaging and high-resolution ultrasonography in melanocytoma management
title_full_unstemmed	Clinical imaging and high-resolution ultrasonography in melanocytoma management
title_sort	clinical imaging and high-resolution ultrasonography in melanocytoma management
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/ddc70a966aaa422881b9ebb2af597323
work_keys_str_mv	AT danielgologorsky clinicalimagingandhighresolutionultrasonographyinmelanocytomamanagement AT amycschefler clinicalimagingandhighresolutionultrasonographyinmelanocytomamanagement AT fionajehlies clinicalimagingandhighresolutionultrasonographyinmelanocytomamanagement AT etal clinicalimagingandhighresolutionultrasonographyinmelanocytomamanagement
_version_	1718401278803968000

Clinical imaging and high-resolution ultrasonography in melanocytoma management

Ejemplares similares