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European Radiology
Published in: European Radiology 2/2017

01-02-2017 | Neuro

Usefulness of colour Doppler flow imaging in the management of lacrimal gland lesions

Authors: A. Lecler, M. Boucenna, F. Lafitte, P. Koskas, E. Nau, P. V. Jacomet, O. Galatoire, S. Morax, M. Putterman, F. Mann, F. Héran, J. C. Sadik, H. Picard, O. Bergès

Published in: European Radiology | Issue 2/2017

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Abstract

Objective

To assess the role of colour Doppler flow imaging (CDFI) in the diagnosis and management of lacrimal fossa lesions.

Methods

Institutional ethical committee approval was obtained. Fifty-one patients with 62 lacrimal fossa lesions were retrospectively included from 2003–2015. All patients underwent conventional ultrasonography and CDFI, with a qualitative and quantitative analysis of the vascularization. All patients had lacrimal gland surgery. Definitive diagnosis was based on pathological examination.

Results

The study included 47 non-epithelial lesions (NEL) and 15 epithelial lesions (EL), with 24 (39 %) malignant lesions and 38 (61 %) benign lesions. NEL were significantly more likely to present with septa (p < 0.001), hypoechogenicity (p < 0.001), high vascular intensity (p < 0.001), both central and peripheral vascularization (p < 0.001), tree-shape vascularization (p < 0.05) and a low resistance index (RI) (p < 0.0001). EL were significantly more likely to present with the presence of cysts (p < 0.001), and a higher RI. Receiver operating characteristic curves identified a RI value of 0.72 as the best cut-off to differentiate NEL from EL, with a sensitivity and specificity of 100 %.

Conclusion

CDFI is a valuable tool in the differential diagnosis of lacrimal fossa lesions. Resistance index measurement enables substantial distinction between EL and NEL, thus providing crucial data for surgical management.

Key Points

• CDFI is a valuable tool in lacrimal fossa lesions.
• Resistance Index measurement enables substantial distinction between epithelial and non-epithelial lesions.
• Management of patients becomes more appropriate.
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Metadata
Title
Usefulness of colour Doppler flow imaging in the management of lacrimal gland lesions
Authors
A. Lecler
M. Boucenna
F. Lafitte
P. Koskas
E. Nau
P. V. Jacomet
O. Galatoire
S. Morax
M. Putterman
F. Mann
F. Héran
J. C. Sadik
H. Picard
O. Bergès
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 2/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-016-4438-8

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