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Diagnostic performance of 2-D shear wave elastography for differentiation of hepatoblastoma and hepatic hemangioma in children under 3 years of age

Ultrasound in Medicine and Biology Apr 17, 2019

Wang Y, et al. - Among children under 3 years of age, researchers assessed the clinical effectiveness of 2-D shear wave elastography (2-D-SWE) for differentiating hepatoblastoma and hepatic hemangioma. For this prospective study, they performed 2-D-SWE by pathological analysis or contrast-enhanced computed tomography plus follow-up observation in 109 consecutive patients with confirmed hepatic neoplasms in which 71 patients were defined as the test group and the remaining 38 patients as the validation group. For each lesion, an elasticity value was obtained. Data reported that the mean elasticity values for hepatoblastoma were 58.4 ± 19.5 kPa and for hemangioma was 19.0 ± 16.0 kPa. According to findings, no significant correlation has been found for either hemangioma or hepatoblastoma between the elasticity value and age. In patients with hemangioma, but not in patients with hepatoblastoma, the elasticity value was positively associated with lesion size. Results of this study suggested that 2-D-SWE can help to differentiate hepatoblastoma and hemangioma as a complementary method.
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