Release date: 2017-03-13
Ms. Wang, 23, is a patient with giant cell tumor of the left thigh bone. She underwent surgery at the Henan Cancer Hospital last year. After the Spring Festival, Ms. Wang came to the Department of Bone and Soft Tissues of Henan Cancer Hospital for reexamination. The competent doctors prescribed routine CT and MRI (nuclear magnetic resonance) examinations, and the lesions could not be clearly indicated.
Later, the doctor learned that the Department of Ultrasound of the hospital recently launched a "muscle bone ultrasound" for bone and soft tissue tumors, and Ms. Wang arranged the examination. The results showed that the lower part of the left femur saw the steel plate and steel nails, and the low echo clusters were visible around the steel plate. The blood flow signal was abundant inside and the recurrence was considered. According to the diagnosis, the doctor performed a targeted follow-up treatment, and finally the clinical confirmed bone recurrence of giant cell tumor.
What is "muscle bone ultrasound"?
In the past, the diagnosis of muscle and bone related diseases was generally diagnosed by CT and MRI (nuclear magnetic resonance) examination.
However, after the appearance of "muscle bone ultrasound", it opened a "new world" for more accurate diagnosis of muscle and bone related diseases. The so-called "muscle bone ultrasound", conventional ultrasound diagnostic equipment, through the special high-frequency ultrasound probe (12-5 MHz, 18-5 MHz) for the diagnosis of human muscles, soft tissue and bone lesions and other diseases of the ultrasound examination method.
What are the advantages of musculoskeletal ultrasound?
"Muscle bone ultrasound" is an ultrasonic diagnostic technology that has emerged in China in recent years. Since the end of 2016, the Department of Ultrasound, Henan Cancer Hospital has carried out this diagnostic technique, and has performed accurate diagnosis for hundreds of patients with subcutaneous soft tissue mass, para-articular mass and bone tumor surgery.
Compared with traditional examination methods, such as X-ray, CT, MRI (nuclear magnetic resonance), etc., "muscle bone ultrasound" has the advantages of non-invasive, no radiation, no contraindications, and low cost, but also has the ability to muscles and tendons. The unique advantages of real-time dynamic observation, especially the application of high-frequency ultrasound probes, the significant improvement of fine resolution, can clearly show the muscle, tendon, ligament, nerve and other tissue lesions, can be comparable with CT, MRI and complement, even It can provide important diagnostic information that is not available in other imaging studies.
What diseases can musculoskeletal ultrasound diagnose?
According to Wang Yan, director of the Department of Ultrasound, Henan Cancer Hospital, “muscle bone ultrasound†is mainly used for clinical diagnosis of the following diseases.
1. Injury and disease caused by trauma, exercise, muscles, tendons and ligaments around the joints. Such as: muscle, tendon tear (complete, partial), tennis elbow, golf elbow, tendonitis, tenosynovitis, complications after muscle injury (ossifying myositis, hematoma) and evaluation of muscle atrophy.
2, immune rheumatic diseases: such as: rheumatoid arthritis, gout and other joint lesions. Identify bursal lesions, joint effusion, synovial hyperplasia and inflammatory response, erosion and destruction of joints and bone surfaces, joints and cartilage tumors.
3, limb soft tissue neoplastic lesions: such as: glomus tumor, subcutaneous and intermuscular hemangioma, lipoma, neurogenic tumor, giant cell tumor of tendon sheath, ganglion cyst, calcified epithelioma, palmar decidual inflammation, plantar warts Soft tissue mass such as decidua.
4, part of the bone tumor lesions: such as: simple bone cysts, aneurysmal bone cysts, malignant bone tumors after cortical bone damage and soft tissue around the tumor, tumors and adjacent blood vessels, nerves.
5, bone tumor postoperative evaluation of the surgical area: no contraindications, not affected by metal artifacts, to observe whether there is fluid accumulation in the surgical area, surrounding soft tissue with or without tumor recurrence.
6, neuropathy: a major advantage of ultrasound, can clearly show the main peripheral nerve, resolution is better than magnetic resonance examination, nerve compression and traumatic diseases, such as: carpal tunnel syndrome, elbow syndrome, arm Plexus injury, nerve compression and neurogenic tumor-like lesions in the surgical field caused by plate and scar after surgery.
According to Director Wang Yan, the Department of Ultrasound of Henan Cancer Hospital should take the lead in carrying out the “muscle bone ultrasound†examination for bone and soft tissue tumors in the province, and continue to be at the forefront of the province's counterparts in the field of tumor ultrasound diagnosis.
Source: Science Network
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