DOI QR코드

DOI QR Code

Determination of Optimal Imaging Mode for Ultrasonographic Detection of Subdermal Contraceptive Rods: Comparison of Spatial Compound, Conventional, and Tissue Harmonic Imaging Methods

  • Kim, Sungjun (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Seo, Kyung (Department of Obstetrics and Gynecology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Ho-Taek (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Suh, Jin-Suck (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Yoon, Choon-Sik (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Ryu, Jeong Ah (Department of Radiology, Guri Hospital, Hanyang University College of Medicine) ;
  • Park, Jeong Seon (Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine) ;
  • Kim, Ah Hyun (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Ah Young (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Yaena (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 발행 : 2012.10.01

초록

Objective: To determine which mode of ultrasonography (US), among the conventional, spatial compound, and tissue-harmonic methods, exhibits the best performance for the detection of Implanon$^{(R)}$ with respect to generation of posterior acoustic shadowing (PAS). Materials and Methods: A total of 21 patients, referred for localization of impalpable Implanon$^{(R)}$, underwent US, using the three modes with default settings (i.e., wide focal zone). Representative transverse images of the rods, according to each mode for all patients, were obtained. The resulting 63 images were reviewed by four observers. The observers provided a confidence score for the presence of PAS, using a five-point scale ranging from 1 (definitely absent) to 5 (definitely present), with scores of 4 or 5 for PAS being considered as detection. The average scores of PAS, obtained from the three different modes for each observer, were compared using one-way repeated measure ANOVA. The detection rates were compared using a weighted least square method. Results: Statistically, the tissue harmonic mode was significantly superior to the other two modes, when comparing the average scores of PAS for all observers (p < 0.00-1). The detection rate was also highest for the tissue harmonic mode (p < 0.001). Conclusion: Tissue harmonic mode in uS appears to be the most suitable in detecting subdermal contraceptive implant rods.

키워드

참고문헌

  1. Shulman LP, Gabriel H. Management and localization strategies for the nonpalpable Implanon rod. Contraception 2006;73:325-330 https://doi.org/10.1016/j.contraception.2005.10.009
  2. Mascarenhas L. Insertion and removal of Implanon. Contraception 1998;58(6 Suppl):79S-83S https://doi.org/10.1016/S0010-7824(98)00121-8
  3. James P, Trenery J. Ultrasound localisation and removal of non-palpable Implanon implants. Aust N Z J Obstet Gynaecol 2006;46:225-228 https://doi.org/10.1111/j.1479-828X.2006.00576.x
  4. Persaud T, Walling M, Geoghegan T, Buckley O, Stunell H, Torreggiani WC. Ultrasound-guided removal of Implanon devices. Eur Radiol 2008;18:2582-2585 https://doi.org/10.1007/s00330-008-1055-1
  5. McNeill G, Ward E, Halpenny D, Snow A, Torreggiani W. Ultrasound appearances of Implanon implanted contraceptive devices. JBR-BTR 2009;92:259-260
  6. Horton LK, Jacobson JA, Powell A, Fessell DP, Hayes CW. Sonography and radiography of soft-tissue foreign bodies. AJR Am J Roentgenol 2001;176:1155-1159 https://doi.org/10.2214/ajr.176.5.1761155
  7. Young AS, Shiels WE 2nd, Murakami JW, Coley BD, Hogan MJ. Self-embedding behavior: radiologic management of selfinserted soft-tissue foreign bodies. Radiology 2010;257:233- 239 https://doi.org/10.1148/radiol.10091566
  8. Gabriel H, Shulman L, Marko J, Nikolaidis P, Chirita V. Compound versus fundamental imaging in the detection of subdermal contraceptive implants. J Ultrasound Med 2007;26:355-359 https://doi.org/10.7863/jum.2007.26.3.355
  9. Westerway SC, Picker R, Christie J. Implanon implant detection with ultrasound and magnetic resonance imaging. Aust N Z J Obstet Gynaecol 2003;43:346-350 https://doi.org/10.1046/j.0004-8666.2003.00103.x
  10. Gonen M, Panageas KS, Larson SM. Statistical issues in analysis of diagnostic imaging experiments with multiple observations per patient. Radiology 2001;221:763-767 https://doi.org/10.1148/radiol.2212010280
  11. Agresti A. Categorical data analysis. Hoboken: John Wiley & Sons, 2002:481-629
  12. Stokes ME, Davis CS, Koch GG. Categorical Data Analysis Using the SAS System, 2nd ed. Cary: SAS Institute Inc., 2000:430- 437
  13. Hangiandreou NJ. AAPM/RSNA physics tutorial for residents. Topics in US: B-mode US: basic concepts and new technology. Radiographics 2003;23:1019-1033. https://doi.org/10.1148/rg.234035034
  14. Comstock C. Ultrasound Equipment. In: Bassett LW, Mahoney MC, Apple SK, D'Orsi CJ, eds. Breast Imaging, 1st ed. Philadelphia: Elsevier, 2011:146-152
  15. Piessens SG, Palmer DC, Sampson AJ. Ultrasound localisation of non-palpable Implanon. Aust N Z J Obstet Gynaecol 2005;45:112-116 https://doi.org/10.1111/j.1479-828X.2005.00364.x
  16. Lieu D. Ultrasound physics and instrumentation for pathologists. Arch Pathol Lab Med 2010;134:1541-1556
  17. Desser TS, Jeffrey RB. Tissue harmonic imaging techniques: physical principles and clinical applications. Semin Ultrasound CT MR 2001;22:1-10 https://doi.org/10.1016/S0887-2171(01)90014-9

피인용 문헌

  1. Experiences of localization and removal of non-palpable subdermal contraceptive implants with ultrasound vol.62, pp.3, 2012, https://doi.org/10.5468/ogs.2019.62.3.166