Categorization of Vascular Lesions and Selection of Treatment Modalities Using Color Doppler Ultrasound / 대한피부과학회지
Korean Journal of Dermatology
;
: 1488-1496, 2005.
Article
in Korean
| WPRIM
| ID: wpr-165573
ABSTRACT
BACKGROUND:
Vascular lesions can be diagnosed by biopsy, simple x-ray, ultrasound, CT, MRI, venography and MR angiography. These diagnostic tools can identify the detailed structure and abnormalities in the peri-lesional area of vascular lesions. Color Doppler ultrasound (CDU) can demonstrate the hemodynamic features, distribution of veins and arteries, shunts and structures of vascular lesions. Authors have tried to categorize vascular lesions with CDU and also applied this to the selection of treatment methods. MATERIALS ANDMETHODS:
Forty-seven vascular lesions were evaluated by means of CDU. All patients underwent a complete clinical evaluation as well as peak systolic velocity (PSV), peak diastolic velocity (PDV), resistive index (RI) of feeding arteries. In particular, we evaluated the hemodynamic features and structures of vascular lesions. We categorized the vascular lesions and then treated them with systemic steroid, compression, SPTL1 Dye laser, steroid intralesional injection and sclerotherapy. We evaluated the clinical improvement and objective effects of treatments by CDU.RESULTS:
There were 37 hemangiomas and 10 vascular malformations. Vascular lesions were classified by the hemodynamic features and structures category Ia (infantile hemangioma, regressed infantile hemangioma), Ib (RICH), Ic (deep hemangioma, mixed hemangioma), II (arteriovenous malformation), III (venous malformation, verrucous hemangioma). The clinical improvement after treatment was associated with the decrease of PSV and RI values. The clinical improvement above 50% resolution of the lesion showed 70.9% in category Ia, 50% in Ib, 66.6% in Ic, 83.3% in II and 50% in III.CONCLUSIONS:
The analysis of hemodynamic feature and structures by CDU can be helpful in the study of vascular lesions. These processes suggest CDU be a useful modality in differential diagnosis of vascular lesions and a more advantageous tool in the decision of treatment policy than the conventional modalities. And it is also useful for the evaluation of treatment effects.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Veins
/
Biopsy
/
Magnetic Resonance Imaging
/
Angiography
/
Phlebography
/
Injections, Intralesional
/
Sclerotherapy
/
Ultrasonography
/
Diagnosis, Differential
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Dermatology
Year:
2005
Type:
Article
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