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Program including abstracts as pdf available here

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OP 96<br />

Title<br />

INTRODuCTION TO uLTRASOuND ELASTOGRAPHy FOR HEAD AND NECK LuMPS<br />

AND buMPS<br />

Authors<br />

R. NGu 1<br />

Affiliations<br />

1 King‘s College Dental Institute, King‘s College London, London, UNITED KINGDOM<br />

Body<br />

Ultr<strong>as</strong>ound el<strong>as</strong>tography is b<strong>as</strong>ed on the principle that malignant tissue is stiffer than nonmalignant<br />

tissue. A conventional ultr<strong>as</strong>ound can be used with some additional software to<br />

form the el<strong>as</strong>togram. This is the first time that ultr<strong>as</strong>ound el<strong>as</strong>tography is introduce to the<br />

EADMFR audience. Ultr<strong>as</strong>ound el<strong>as</strong>tography h<strong>as</strong> been found to be useful in evaluating bre<strong>as</strong>t<br />

lesions and have been used to help to distinguish between malignant and benign lesions<br />

which have reduced the number of biopsies performed in the bre<strong>as</strong>t clinic.<br />

We are applying the same el<strong>as</strong>tography principles in analysing the different lumps and bumps<br />

in the head and neck. A small study h<strong>as</strong> been devised to look at a group of patients who<br />

presented to the dental radiology department with a lump in the head and neck region. Three<br />

different ultr<strong>as</strong>ound machines using different form of el<strong>as</strong>tography softwares will be used to<br />

analyse the stiffness of the lumps. When the „stress“ form h<strong>as</strong> been applied to these lumps,<br />

an el<strong>as</strong>togram can be obtained which displayed a visually colour-scale stiffness. These ranges<br />

of stiffness are recorded. The lumps will then undergo a fine needle <strong>as</strong>piration cytology for<br />

diagnosis.<br />

The results of the el<strong>as</strong>togram study will be compared to the cytology results of the lumps and<br />

bumps. This study is important to establish if ultr<strong>as</strong>ound el<strong>as</strong>tography is a reliable diagnostic<br />

tool to differentiate malignant lesion from benign lesion. As part of this el<strong>as</strong>tography presentation,<br />

a separate presentation on ultr<strong>as</strong>ound el<strong>as</strong>tography on thyroid will also be presented<br />

by my colleague Dr Hajatdoost.<br />

The data gathering for study is currently being finalised at the time of abstract submission.<br />

Results, discussion and conclusion of this study will be presented at the meeting in June<br />

2012.<br />

Keywords<br />

ultr<strong>as</strong>ound, el<strong>as</strong>tography, head and neck<br />

86

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