The Role of Elastography in Diagnosis and Staging of Breast Cancer-Related Lymphedema

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dc.authoridOzmen, Vahit/0000-0003-2973-8247|Celebi, Filiz/0000-0003-4020-4019
dc.authorwosidErdogan Iyigun, zeynep/KIK-2972-2024
dc.authorwosidIlgun, Serkan/GNW-4901-2022
dc.authorwosidOzturk, Alper/U-4718-2017
dc.authorwosidOzmen, Vahit/AAE-3904-2020
dc.authorwosidAktepe, Fatma/AAF-2184-2019
dc.authorwosidCelebi, Filiz/AAR-3071-2020
dc.contributor.authorIyigun, Zeynep Erdogan
dc.contributor.authorAgacayak, Filiz
dc.contributor.authorIlgun, Ahmet Serkan
dc.contributor.authorCelebi, Filiz Elbuken
dc.contributor.authorOrdu, Cetin
dc.contributor.authorAlco, Gul
dc.contributor.authorOzturk, Alper
dc.date.accessioned2024-07-18T20:45:35Z
dc.date.available2024-07-18T20:45:35Z
dc.date.issued2019
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractBackground: Early detection of lymphedema gives an opportunity for effective and successful treatment of lymphedema. However, the current diagnosis methods, except the bioimpedance analysis, perometry, and indocyanine green lymphography, have limitations in detecting early stage lymphedema. Sonoelastography is a diagnostic ultrasound technique that provides an opportunity to estimate soft tissue stiffness. Shear wave elastography (SWE) is a brand new elastography technique. Unlike strain elastography, this method is conducted automatically, that is, independently of user's manual tissue compression. The aim of this study is to establish the role of sonoelastography in diagnosis and staging of lymphedema by using the SWE technique in lymphedema patients. Methods and Results: A total of 36 female lymphedema patients were included in the study. There was no significant difference between patients with stages 1 (n = 17) and 2 (n = 19) lymphedema in terms of age, duration after surgery, and body mass index (p > 0.05). But, differences in terms of circumference measurements for forearm and arm, L-DEX values, and duration of lymphedema were found to be statistically significant (p = 0.002-0.000-0.000-0.001). Elastography measurements between normal forearm and forearm with lymphedema showed a statistically significant difference (p = 0.012). Correlation was found between circumference measurements and elastography values of forearms (p = 0.004, r = 0.471) and L-DEX scores and elastography measurements (p = 0.041, r = 0.352). When circumferential measurements of the forearms with lymphedema were compared with those with normal forearms, stage 1 patients showed no significant difference (p = 0.850), whereas a significant difference was detected in stage 2 patients (p = 0.003). Conclusion: SWE should be a useful tool in diagnosis and distinguishing early and late stages of lymphedema.en_US
dc.identifier.doi10.1089/lrb.2018.0012
dc.identifier.endpage339en_US
dc.identifier.issn1539-6851
dc.identifier.issn1557-8585
dc.identifier.issue3en_US
dc.identifier.pmid30212266en_US
dc.identifier.scopus2-s2.0-85067282327en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage334en_US
dc.identifier.urihttps://doi.org/10.1089/lrb.2018.0012
dc.identifier.urihttps://hdl.handle.net/11411/7621
dc.identifier.volume17en_US
dc.identifier.wosWOS:000444392800001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofLymphatic Research and Biologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLymphedemaen_US
dc.subjectLymphedema Stageen_US
dc.subjectShear Wave Elastographyen_US
dc.subjectUltrasonographyen_US
dc.subjectDissectionen_US
dc.subjectUltrasounden_US
dc.subjectImagesen_US
dc.subjectEdemaen_US
dc.titleThe Role of Elastography in Diagnosis and Staging of Breast Cancer-Related Lymphedemaen_US
dc.typeArticleen_US

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