dr. masciotra swe in a selection of primitive and secondary lymphnodes malignancies

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Antonio Pio Masciotra Campobasso – Molise – Italy Email [email protected] Website www.masciotra.net YouTube Channel https://www.youtube.com/channel/UCgCj21nKGAhR997Ia3- QegQ Shear Wave Elastography and more in a collection of lymphnodes primitive and secondary malignancies

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Page 1: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Antonio Pio MasciotraCampobasso – Molise – Italy

[email protected]

Website www.masciotra.net

YouTube Channelhttps://www.youtube.com/channel/UCgCj21nKGAhR997Ia3-QegQ

Shear Wave Elastography and more in a collection of lymphnodes primitive and secondary malignancies

Page 2: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Breast carcinoma – Axilla US

Bidimensional 3D

Page 3: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Breast carcinoma – Axilla SWE

Bidimensional 3D

Page 4: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Lymphnodes in different sites in the same patient

Bidimensional USB cell Lymphoma inguinal B cell Lymphoma ext. iliac

Page 5: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Lymphnodes in different sites in the same patient

SWEB cell Lymphoma inguinal B cell Lymphoma ext. iliac

Page 6: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Lymphnodes 2D US

B cell Lymphoma Breast cancer metastasis

Page 7: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Lymphnodes 3D US

B cell Lymphoma Breast cancer metastasis

Page 8: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Lymphnodes 2D SWE

B cell Lymphoma Breast cancer metastasis

Page 9: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Lymphnodes SWE Different stiffness depending on

histology• B cell Lymphoma - 21 kPa • Breast cancer metastasis – 16 kPa

• NET metastasis -209 kPa

Page 10: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Neck lymphnodes metastases in 65 years male with multiple myeloma

Page 11: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Neck lymphnodes metastases in 65 years male with multiple myeloma

Page 12: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Neck lymphnodes metastases in 65 years male with multiple myeloma

Page 13: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Neck lymphnodes metastases in 65 years male with multiple myeloma

Page 14: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

High variability in stiffness (5 kPa to 173 kPa) and Standard deviation (3,3 kPa to 14,2 kPa)

Page 15: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

High variability in stiffness (30 kPa to 231 kPa) and Standard deviation (8,2 kPa to 37,7 kPa)

Page 16: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Hyperechoic areas are far stiffer than hypoechoic areas

Same grade of hypoechogenicity have very different stiffness

(11 to 88 kPa)

Page 17: Dr. masciotra   swe in a selection of primitive and secondary lymphnodes malignancies

Shear Wave Elastography and more in a collection of lymphnodes primitive and secondary malignancies