Role of Gray Scale and Color Doppler Ultrasound in Diagnosis of Pediatric Neck Masses

Role of Gray Scale and Color Doppler Ultrasound in Diagnosis of Pediatric Neck Masses

Sponsors

Lead Sponsor: Assiut University

Source Assiut University
Brief Summary

Our aim is to assess the role of the gray scale and color Doppler ultrasound in diagnosis of the different pediatric neck masses .

Detailed Description

Neck masses are a common occurrence in the pediatric population and often represent a diagnostic challenge for the clinician involved . fortunately , the vast majority of these lesions are ultimately proven to be benign in nature (1). Even though clinical examination and patient's history are the first and indispensable steps in the initial diagnosis, the role of imaging is crucial, not only to determine whether a mass represents a true tumour or not , but also to achieve a more correct diagnosis and determine the extension of the lesion and its relation with the nearby anatomic structures (2). Ultrasound (US) should serve as the primary initial imaging modality in children for palpable masses and assessment of superficial glandular structures. Because of the smaller neck size and less subcutaneous fat, sonographic penetration and resolution is generally improved as compared with adults (3 ). Doppler imaging can also elucidate how flow is distributed within a mass may have diagnostic significance and help us in determining the nature of the lesion as well as it is of great importance in assessment of vascular lesions (4) Though ultrasound is most common method used for evaluation of pediatric neck masses , and CT as well as MRI are used as an additional tool when necessary ( 3 ) , few studies have looked at the sensitivity and specificity of the different imaging modalities of the pediatric neck masses and most studies have investigated the epidemiology of the pediatric neck masses (5) which make histopathological diagnosis still the gold standard in distinguishing the etiology of pediatric neck masses and ruling out malignant disease (6)

Overall Status Not yet recruiting
Start Date 2021-04-01
Completion Date 2023-05-01
Primary Completion Date 2023-04-01
Study Type Observational
Primary Outcome
Measure Time Frame
Using gray scale ultrasound to determine the consistency of neck masses in children. baseline
determination of the extension of neck masses in children. baseline
determination of the definition of neck masses in children, baseline
using color doppler ultrasound in assessment neck masses in children. baseline
Enrollment 96
Condition
Eligibility

Sampling Method:

Non-Probability Sample

Criteria:

Inclusion Criteria: - Clinical cases who are suspected for and provisionally diagnosed for "neck swelling" in children (below age of 18 years). Exclusion Criteria: 1. Patients with conditions that may hinder ultrasound examination like subcutaneous emphysema and thick skin scarring. 2. Patients who are unwilling/uncooperative or have not given consent for participation.

Gender:

All

Minimum Age:

N/A

Maximum Age:

18 Years

Healthy Volunteers:

No

Overall Official
Overall Contact

Last Name: Monica Sobhy

Phone: +2001278489110

Email: [email protected]

Verification Date

2021-04-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Assiut University

Investigator Full Name: Monica Sobhy Khalaf Boles

Investigator Title: Principal investigator

Has Expanded Access No
Condition Browse
Study Design Info

Observational Model: Other

Time Perspective: Prospective

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