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      Diagnostic accuracy of high-frequency ultrasound for cutaneous neoplasms: a narrative review of the literature

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          Abstract

          High-frequency ultrasound has been used to visualize depth and vascularization of cutaneous neoplasms, but little has been synthesized as a review for a robust level of evidence about the diagnostic accuracy of high-frequency ultrasound in dermatology. A narrative review of the PubMed database was performed to establish the correlation between ultrasound findings and histopathologic/dermoscopic findings for cutaneous neoplasms. Articles were divided into the following four categories: melanocytic, keratinocytic/epidermal, appendageal, and soft tissue/neural neoplasms. Review of the literature revealed that ultrasound findings and histopathology findings were strongly correlated regarding the depth of a cutaneous neoplasm. Morphological characteristics were correlated primarily in soft tissue/neural neoplasms. Overall, there is a paucity of literature on the correlation between high-frequency ultrasound and histopathology of cutaneous neoplasms. Further studies are needed to investigate this correlation in various dermatologic conditions.

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          Clinical usefulness of variable-frequency ultrasound in localized lesions of the skin.

          Ximena Wortsman, Jacobo Wortsman (2010)
          High variable-frequency ultrasound is a recently available technique capable of clearly defining skin layers and deeper structures that also provides local perfusion patterns obtained in real time. The aim of the study was to assess the performance of variable-frequency ultrasound in the evaluation of skin lesions. We performed a retrospective study of 4338 skin ultrasound examinations in predominantly localized skin lesions, and in a group of 130 healthy controls. We determined ultrasound sensitivity, specificity, and statistical level of certainty, and compared ultrasound diagnoses with clinical diagnoses. Referring diagnosis was correct in 73% of the lesions, and addition of ultrasound increased correctness to 97% (P < .001 for the difference). Ultrasound overall sensitivity was 99%, specificity was 100%, and statistical diagnostic certainty was 99% Ultrasound in its current version cannot detect lesions that are epidermal only or that measure less than 0.1 mm in depth. Ultrasound is a reliable adjuvant for the accurate and precise diagnosis of skin lesions. Copyright (c) 2009 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.
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            Common applications of dermatologic sonography.

            Ximena Wortsman (2012)
            In recent years, there has been growing use of sonography in the dermatologic field. Thus, this review analyzes the most common dermatologic applications of sonography with some technical considerations for performing this type of examination. Moreover, the sonographic findings in common benign and malignant skin tumors, inflammatory dermatologic diseases, and ungual and cosmetic conditions, among others, are considered. Thus, this noninvasive technique may be a potent adjunctive tool in the diagnosis and management of dermatologic conditions in daily practice, delivering critical information otherwise unavailable to the clinical naked eye.
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              Principles of high-frequency ultrasonography for investigation of skin pathology.

              D Jasaitiene, G Linkeviciute, R Raisutis … (2011)
              Ultrasonography is a valuable diagnostic tool widely used in medicine. During the last three decades, this non-invasive skin imaging method has been extended to dermatology. High-frequency ultrasonography with higher than 20MHz scanners is well-established for measuring tumour thickness and skin thickness when treating inflammatory skin diseases such as scleroderma or psoriasis. High-frequency ultrasonography has become extremely helpful for the preoperative assessment of skin melanoma. The correlation between ultrasonic and histological measurements of melanomas thickness is significantly similarly good using transducers of 20, 75 or 100MHz frequency (r range from 0.895 to 0.99) and better compared with transducers of 7.5MHz frequency (r=0.76). The preoperative sonographically estimated thickness of skin melanoma is sometimes overestimated, because of an underlying inflammatory infiltrate and other reasons. Assessment of skin melanoma thickness using transducers of 100MHz frequency has better agreement with histology, compared with ultrasonography with 20MHz transducers. However, the ultrasonic penetration depth is limited to 1.5mm in case of 100MHz. The newer ultrasonic techniques such as high-frequency ultrasonography and colour Doppler sonography could be used for assessment of the tumour vascularization and its metastatic potential. The wide variety of diagnostic information provided by high-frequency ultrasonography undoubtedly improves the management of oncological and inflammatory skin conditions and underlines its essential position in dermatological practice. © 2010 The Authors. Journal of the European Academy of Dermatology and Venereology © 2010 European Academy of Dermatology and Venereology.
              Article 0 comments Cited 46 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Benjamin H. Kaffenberger: Benjamin.Kaffenberger@osumc.edu
                Journal
                Journal ID (nlm-ta): Arch Dermatol Res
                Journal ID (iso-abbrev): Arch Dermatol Res
                Title: Archives of Dermatological Research
                Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )
                ISSN (Print): 0340-3696
                ISSN (Electronic): 1432-069X
                Publication date (Electronic): 21 June 2024
                Publication date PMC-release: 21 June 2024
                Publication date (Print): 2024
                Volume: 316
                Issue: 7
                Electronic Location Identifier: 419
                Affiliations
                [1 ]GRID grid.261331.4, ISNI 0000 0001 2285 7943, The Ohio State University College of Medicine, ; Columbus, OH USA
                [2 ]Department of Dermatology, The Ohio State University, ( https://ror.org/00rs6vg23) 540 Officecenter Place, Suite 240, Columbus, OH 43230 USA
                Article
                Publisher ID: 3179
                DOI: 10.1007/s00403-024-03179-7
                PMC ID: 11192820
                PubMed ID: 38904763
                SO-VID: 1b6cd096-5977-4f22-8dfe-1202cdf348fa
                Copyright © © The Author(s) 2024
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                Date received : 4 March 2024
                Date revision received : 7 June 2024
                Date accepted : 8 June 2024
                Categories
                Subject: Review
                Custom metadata
                issue-copyright-statement © Springer-Verlag GmbH Germany, part of Springer Nature 2024

                ScienceOpen disciplines: Dermatology
                Keywords: cutaneous neoplasm,general dermatology,medical dermatology,oncology,pathology,ultrasound
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: cutaneous neoplasm, general dermatology, medical dermatology, oncology, pathology, ultrasound

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