Tissue harmonic imaging in comparison with conventional sonography: effect on image quality of the nuchal translucency measurement
Abstract
Abstract
Aim. In this study, tissue harmonic imaging (THI) was compared with conventional gray scale ultrasonography (CUS) by scoring system in measurement of nuchal translucency (NT) and in examination of fetal posterior neck region. Additionally, it was also investigated that whether body habitus of patient provide effect on this condition or not. Methods. Fetal neck region and nuchal translucency were evaluated by using scoring system (1: not seen, 2: seen uncertainly, 3: seen acceptably, 4: well seen, and 5: very well seen). The tissue harmonic imaging was compared with B-mode. Results. In normal patients, overall average score (11+0 to 13+6 weeks) for CUS was 3.27 and it was 3.69 for THI. However, in obese patients, overall average score for CUS was 2.96 and it was 3.48 for THI. For the group with normal BMI; examination with tissue harmonic imaging was on average more clearly visible in 44.6% of the cases, the same as in the conventional B-mode in 53%, and worse in only 2.4%. However, in obese group; examination with tissue harmonic imaging was on average more clearly visible in 51.2% of the cases, the same as in the conventional B-mode in 46.4%, and worse in only 2.4%. Conclusion. When normal group and obese groups are completely considered, it was found that THI provides similar or better image quality almost in all of the patients than that of CUS.
Keywords: Harmonic imaging, scoring system, ultrasonography, body mass index
Özet
Amaç. Bu çalışmada, fetus boyun posterior bölgesinin değerlendirilmesinde ense kalınlığı ölçümü doku harmonik görüntüleme (DHG) ve konvansiyonel gri skala ultrasonografide (KUS) skorlama sistemi ile karşılaştırılmıştır. Ayrıca hastaların vücut habitusunun ölçümlere etkisinin olup olmadığı araştırılmıştır. Yöntem. Fetal boyun bölgesi ve ense kalınlığı skorlama sistemi kullanılarak değerlendirildi (1: görülemeyen, 2: belirsiz görülen, 3: kabul edilebilir ölçüde görülen, 4: iyi görülen, 5: çok iyi görülen). Doku harmonik görüntüleme B mod ultrasonografi ile karşılaştırıldı. Bulgular. Normal hastalarda, genel ortalama puan (11+0 ile 13+6 hafta) KUS’de 3,27 ve DHG ile 3,69 idi. Ancak, obez hastalarda genel ortalama puan KUS’ de 2,96 ve DHG ile 3,48 idi. Normal vücut kitle indeksi olan grupta; DHG ile değerlendirmede ortalama olarak çok net görülebilen grup hastaların %44,6’sı, KUS ile hastaların %53’üdür. Sadece %2,4 görüntü kötü sınıfında idi. Ancak obez grupta; DHG ile ortalama olarak çok net görülebilen grup hastaların % 51,2’ si, KUS ile hastaların %46,4’ ü dür. Sadece %2,4 görüntü kötü sınıfında idi. Sonuç. Normal grup ve obez grup tümüyle ele alındığında; tüm hastalarda DHG, KUS ile benzer yada daha iyi görüntü kalitesi sağlamaktadır.
Anahtar sözcükler: Harmonik görüntüleme, skorlama sistemi, ultrasonografi, vücut kitle indeksiReferences
- Benacerraf BR, Neuberg D, Bromley B, Frigoletto FD Jr. Sonographic scoring index for prenatal detection of chromosomal abnormalities. J Ultrasound Med 1992; 11: 449-58.
- Nicolaides KH, Azar G, Byrne D, Mansur C, Marks K. Fetal nuchal translucency: Ultrasound screening for chromosomal defects in first trimester of pregnancy. BMJ 1992; 304: 867-9.
- Hyett J, Perdu M, Sharland G, Snijders R, Nicolaides KH. Using fetal nuchal translucency to screen for major congenital cardiac defects at 10-14 weeks of gestation: population based cohort study. BMJ 1999; 318; 81-5.
- Chitty LS, Kagan KO, Molina FS, Waters JJ, Nicolaides KH. Fetal nuchal translucency scan and early abnormalities by rapid aneuploidy screening: prenatal diagnosis of chromosomal observational study. BMJ 2006; 332; 452-5.
- Kim MH, Park SH, Cho HY, Choi JS, Kim JO, Ahn HK. Threshold of Nuchal Translucency for the Detection of Chromosomal Aberration: Comparison of Different Cut-offs. J Korean Med Sci 2006; 21: 11-4.
- Hong HS, Han JK, Kim YH, Kim JS, Kim TK, Cha JH. Ultrasonographic Evaluation of the Gallbladder Comparison of Fundamental, Tissue Harmonic and Pulse Inversion Harmonic Imaging. J Ultrasound Med 2001; 20: 35-41.
- Szopinski KT, Wysocki M, Pajk AM, Slapa RZ, Jakubowski W, Szopinska M. Tissue Harmonic Imaging of Thyroid Nodules Initial Experience. J Ultrasound Med 2003; 22: 5-12.
- Hann LE, Bach AM, Cramer LO, Siegel D, Yoo HH, Garcia R. Hepatic Sonography: Comparison of Tissue Harmonic and Standard Sonography Techniques. AJR1999; 173: 201-6.
- Desser TS, Jeffrey RB Jr, Lane MJ, Ralls PW. Tissue harmonic imaging: utility in abdominal and pelvic sonography. J Clin Ultrasound 1999; 27: 135-41.
- Treadwell MC, Seubert DE, Zador I, Goyert GL, Wolfe HM. Benefits associated with harmonic tissue imaging in the obstetric patient. Am J Obstet Gynecol. 2000; 182: 1620-2.
- Allan LD. The mystery of nuchal translucency. Cardiol Young 2006; 16: 11-7. Malone FD, Canick JA, Ball RH, et al: First-trimester or second-trimester screening, or both, for Down’s syndrome. N Engl J Med 2005; 353: 2001-11. D’Alton ME, Malone FD, Messerlian G. Maintaining quality review for NT sonography in a prospective multicenter study: results from the FASTER trial. Am J Obstet Gynecol 2003; 189: 78.
- Abuhamad A. Technical Aspects of Nuchal Translucency Measurement. Semin Perinatol 2005; 29: 376-9.
- Shapiro RS, Wagreich J, Parsons RB, Pasik AS, Yeh HC, Lao R. Tissue Harmonic Imaging Sonography: Evaluationof Image Quality Compared with Conventional Sonograph. AJR 1998; 111: 1203-6.
- Rosen EL, Soo MS. Tissue harmonic imaging sonography of breast lesions: improved margin analysis, conspicuity, and image quality compared to conventional ultrasound. Clin Imaging 2001; 25: 379-84.
- Seo BK, Oh YW, Kim HR. Sonographic evaluation of breast nodules: comparison of conventional, real-time compound, and pulse-inversion harmonic images. Korean J Radiol 2002; 3: 38-44.
- Dulia Ortega D, Burns PN, Simpson DH, Wilson SR. Tissue Harmonic Imaging: Is It a Benefit for Bile Duct Sonography? AJR 2001; 176: 653-9.
- Rosenthal SJ, Jones PH, Wetzel LH. Phase Inversion Tissue Harmonic Sonographic Imaging: A Clinical Utility Study. AJR 2001; 176: 1393-8.
- Tranquart F, Grenier N, Eder V, Pourcelot L. Clinical use of ultrasound tissue harmonic imaging. Ultrasound Med Biol 1999; 25: 889-94.
- Whittingham TA. Tissue harmonic imaging. Eur Radiol 1999; 9: 323-6.
- Berger A. What is fetal nuchal translucency? BMJ 1999; 318: 81.
- Souka AP, Von Kaisenberg CS, Hyett JA, Sonek JD, Nicolaides KH. Increased nuchal translucency with normal karyotype. Am J Obstet Gynecol 2005; 192: 1005D’Alton ME, Goldman JC. Education and Quality Review for Nuchal Translucency Ultrasound. Semin Perinatol 2005; 29: 380-5.
- Von Kaisenberg CS, Von Kaisenberg HK, Fritzer E, Schemm S, Heerlein IM, Jonat W. Fetal transabdominal anatomy scanning using standard views at 11 to 14 weeks' gestation.Am J Obstet Gynecol 2005; 192: 535-42.
- Pasquini L, Tondi F, Rizzello F, Pontello V, Paoletti E and Fontanarosa M. Impact of tissue harmonic imaging on measurement of nuchal translucency thickness. Ultrasound Obstet Gynecol 2010; 36: 423-6.
Abstract
Amaç. Bu çalışmada, fetus boyun posterior bölgesinin değerlendirilmesinde ense kalınlığı ölçümü doku harmonik görüntüleme (DHG) ve konvansiyonel gri skala ultrasonografide (KUS) skorlama sistemi ile karşılaştırılmıştır. Ayrıca hastaların vücut habitusunun ölçümlere etkisinin olup olmadığı araştırılmıştır. Yöntem. Fetal boyun bölgesi ve ense kalınlığı skorlama sistemi kullanılarak değerlendirildi (1: görülemeyen, 2: belirsiz görülen, 3: kabul edilebilir ölçüde görülen, 4: iyi görülen, 5: çok iyi görülen). Doku harmonik görüntüleme B mod ultrasonografi ile karşılaştırıldı. Bulgular. Normal hastalarda, genel ortalama puan (11+0 ile 13+6 hafta) KUS’de 3,27 ve DHG ile 3,69 idi. Ancak, obez hastalarda genel ortalama puan KUS’ de 2,96 ve DHG ile 3,48 idi. Normal vücut kitle indeksi olan grupta; DHG ile değerlendirmede ortalama olarak çok net görülebilen grup hastaların %44,6’sı, KUS ile hastaların %53’üdür. Sadece %2,4 görüntü kötü sınıfında idi. Ancak obez grupta; DHG ile ortalama olarak çok net görülebilen grup hastaların % 51,2’ si, KUS ile hastaların %46,4’ ü dür. Sadece %2,4 görüntü kötü sınıfında idi. Sonuç. Normal grup ve obez grup tümüyle ele alındığında; tüm hastalarda DHG, KUS ile benzer yada daha iyi görüntü kalitesi sağlamaktadır.
References
- Benacerraf BR, Neuberg D, Bromley B, Frigoletto FD Jr. Sonographic scoring index for prenatal detection of chromosomal abnormalities. J Ultrasound Med 1992; 11: 449-58.
- Nicolaides KH, Azar G, Byrne D, Mansur C, Marks K. Fetal nuchal translucency: Ultrasound screening for chromosomal defects in first trimester of pregnancy. BMJ 1992; 304: 867-9.
- Hyett J, Perdu M, Sharland G, Snijders R, Nicolaides KH. Using fetal nuchal translucency to screen for major congenital cardiac defects at 10-14 weeks of gestation: population based cohort study. BMJ 1999; 318; 81-5.
- Chitty LS, Kagan KO, Molina FS, Waters JJ, Nicolaides KH. Fetal nuchal translucency scan and early abnormalities by rapid aneuploidy screening: prenatal diagnosis of chromosomal observational study. BMJ 2006; 332; 452-5.
- Kim MH, Park SH, Cho HY, Choi JS, Kim JO, Ahn HK. Threshold of Nuchal Translucency for the Detection of Chromosomal Aberration: Comparison of Different Cut-offs. J Korean Med Sci 2006; 21: 11-4.
- Hong HS, Han JK, Kim YH, Kim JS, Kim TK, Cha JH. Ultrasonographic Evaluation of the Gallbladder Comparison of Fundamental, Tissue Harmonic and Pulse Inversion Harmonic Imaging. J Ultrasound Med 2001; 20: 35-41.
- Szopinski KT, Wysocki M, Pajk AM, Slapa RZ, Jakubowski W, Szopinska M. Tissue Harmonic Imaging of Thyroid Nodules Initial Experience. J Ultrasound Med 2003; 22: 5-12.
- Hann LE, Bach AM, Cramer LO, Siegel D, Yoo HH, Garcia R. Hepatic Sonography: Comparison of Tissue Harmonic and Standard Sonography Techniques. AJR1999; 173: 201-6.
- Desser TS, Jeffrey RB Jr, Lane MJ, Ralls PW. Tissue harmonic imaging: utility in abdominal and pelvic sonography. J Clin Ultrasound 1999; 27: 135-41.
- Treadwell MC, Seubert DE, Zador I, Goyert GL, Wolfe HM. Benefits associated with harmonic tissue imaging in the obstetric patient. Am J Obstet Gynecol. 2000; 182: 1620-2.
- Allan LD. The mystery of nuchal translucency. Cardiol Young 2006; 16: 11-7. Malone FD, Canick JA, Ball RH, et al: First-trimester or second-trimester screening, or both, for Down’s syndrome. N Engl J Med 2005; 353: 2001-11. D’Alton ME, Malone FD, Messerlian G. Maintaining quality review for NT sonography in a prospective multicenter study: results from the FASTER trial. Am J Obstet Gynecol 2003; 189: 78.
- Abuhamad A. Technical Aspects of Nuchal Translucency Measurement. Semin Perinatol 2005; 29: 376-9.
- Shapiro RS, Wagreich J, Parsons RB, Pasik AS, Yeh HC, Lao R. Tissue Harmonic Imaging Sonography: Evaluationof Image Quality Compared with Conventional Sonograph. AJR 1998; 111: 1203-6.
- Rosen EL, Soo MS. Tissue harmonic imaging sonography of breast lesions: improved margin analysis, conspicuity, and image quality compared to conventional ultrasound. Clin Imaging 2001; 25: 379-84.
- Seo BK, Oh YW, Kim HR. Sonographic evaluation of breast nodules: comparison of conventional, real-time compound, and pulse-inversion harmonic images. Korean J Radiol 2002; 3: 38-44.
- Dulia Ortega D, Burns PN, Simpson DH, Wilson SR. Tissue Harmonic Imaging: Is It a Benefit for Bile Duct Sonography? AJR 2001; 176: 653-9.
- Rosenthal SJ, Jones PH, Wetzel LH. Phase Inversion Tissue Harmonic Sonographic Imaging: A Clinical Utility Study. AJR 2001; 176: 1393-8.
- Tranquart F, Grenier N, Eder V, Pourcelot L. Clinical use of ultrasound tissue harmonic imaging. Ultrasound Med Biol 1999; 25: 889-94.
- Whittingham TA. Tissue harmonic imaging. Eur Radiol 1999; 9: 323-6.
- Berger A. What is fetal nuchal translucency? BMJ 1999; 318: 81.
- Souka AP, Von Kaisenberg CS, Hyett JA, Sonek JD, Nicolaides KH. Increased nuchal translucency with normal karyotype. Am J Obstet Gynecol 2005; 192: 1005D’Alton ME, Goldman JC. Education and Quality Review for Nuchal Translucency Ultrasound. Semin Perinatol 2005; 29: 380-5.
- Von Kaisenberg CS, Von Kaisenberg HK, Fritzer E, Schemm S, Heerlein IM, Jonat W. Fetal transabdominal anatomy scanning using standard views at 11 to 14 weeks' gestation.Am J Obstet Gynecol 2005; 192: 535-42.
- Pasquini L, Tondi F, Rizzello F, Pontello V, Paoletti E and Fontanarosa M. Impact of tissue harmonic imaging on measurement of nuchal translucency thickness. Ultrasound Obstet Gynecol 2010; 36: 423-6.
Details
| Primary Language | English |
|---|---|
| Journal Section | Medical Science Research Articles |
| Authors | |
| Publication Date | March 28, 2014 |
| Published in Issue | Year 2014Volume: 36 Issue: 1 |