US is considered the modality of choice for neck soft-tissue examination,
image guided neck interventional procedure and in particular FNA or core biopsies.
Even if standard B-mode US examinations can be integrated with advanced imaging techniques such as color-Doppler,
contrast-enhanced ultrasound and elastosonography,
tissue characterization by US still relies mainly on morphological characteristics.
On the other hand,
PETCT and MRI can provide valuable specific functional...
Methods and materials
For the present study a MyLabTwice ultrasound scanner equipped with anelectromagnetic (EM)tracking system,
2D navigation with BodyMap and 3D Virtual Navigator hardware and software,
was used (ESAOTE,
Italy). BodyMap is an EMtracked technology for 2D Navigation,
that combines US with pre-acquired 2D DICOM images,
used to show the real-time position of the US probe with respect to any secondaryimages,
While the probe is moving,
showing the real-time ultrasound frames,
All co-registrations were successfully carried out (Fig 5).
operators reported that using 2D navigation with BM or 3D VN resulted in an increased confidence in localization of pathologic findings in 76% of the procedures with an inter-observer agreement of 97%.
If only target lesions with a maximum US diameter not more than 20 mm were considered ( 11 cases in total) the increased confidence and inter-observer agreement were respectively 94% and 100% (Fig 6-7). The average time...
3D VN and 2D Navigation with BMusing an EM tracking system are reliable techniques.
When compared with the cognitive approach,
they resulted in an increased operator confidence in US localization of abnormal or pathologic functional findings on scintiscan and PETCT.
Operators’ confidence further increased in the cases with challenging small lesions.
Inter-observer agreement resulted to be substantial for all cases,
or nearly perfect for cases with small target lesion,
making the techniques...
1) Nachiappan AC,
The thyroid: review of imaging features and biopsy techniques with radiologic-pathologic correlation.
2014 Mar-Apr;34(2):276-93 2) Kabala JE.
Computed tomography and magnetic resonance imaging in diseases of the thyroid and parathyroid.
Eur J Radiol 2008;66(3):480–492. 3) Middleton WD,
Neck and chest.
In: Thrall JH,
Ultrasound: the requisites.