giovedì 20 febbraio 2014

COMISO

Un altro corso è terminato e come altre volte è bello vedere che ci sono colleghi sensibili a metodiche "emergenti".
Un grazie a Biagio (alla mia sx) e a Giuseppe (alla mia dx) ed ovviamente a Luca

ed a quanti hanno partecipato

lunedì 17 febbraio 2014

Precisione di mdc ecografico nella rilevazione del cancro della vescica

Pur non essendo di competenza infermieristica, mi pare utile postarlo come un possibile futuro operativo.

2011 Dec;84(1008):1091-9. doi: 10.1259/bjr/43400531. Epub 2010 Dec 1.

Accuracy of contrast-enhanced ultrasound in the detection of bladder cancer.

Nicolau C, Bunesch L, Peri L, Salvador R, Corral JM, Mallofre C, Sebastia C.

Abstract

OBJECTIVE:

To assess the accuracy contrast-enhanced ultrasound (CEUS) in bladder cancer detection using transurethral biopsy in conventional cystoscopy as the reference standard and to determine whether CEUS improves the bladder cancer detection rate of baseline ultrasound.

METHODS:

43 patients with suspected bladder cancer underwent conventional cystoscopy with transurethral biopsy of the suspicious lesions. 64bladder cancers were confirmed in 33 out of 43 patients. Baseline ultrasound and CEUS were performed the day before surgery and the accuracy of both techniques for bladder cancer detection and number of detected tumours were analysed and compared with the final diagnosis.

RESULTS:

CEUS was significantly more accurate than ultrasound in determining presence or absence of bladder cancer: 88.37% vs 72.09%. Seven of eight uncertain baseline ultrasound results were correctly diagnosed using CEUS. CEUS sensitivity was also better than that of baseline ultrasoundper number of tumours: 65.62% vs 60.93%. CEUS sensitivity for bladder cancer detection was very high for tumours larger than 5 mm (94.7%) but very low for tumours <5 mm (20%) and also had a very low negative predictive value (28.57%) in tumours <5 mm.

CONCLUSION:

CEUS provided higher accuracy than baseline ultrasound for bladder cancer detection, being especially useful in non-conclusive baseline ultrasound studies.