Professional Documents
Culture Documents
Elastography Quick Guide-Breast and Thyroid
Elastography Quick Guide-Breast and Thyroid
Elastography Quick Guide-Breast and Thyroid
NTE Natural
Touch
Elastography
Breast
STE Sound
Elastography Touch
Elastography
STQ Sound
Touch
Quantification
Mindray Tools
Generate a real time HQE (High quality of shear wave ROI depth, ROI size, E
quantitative map of Elastography): Elasto bar: Elasticity mean/max/min
tissue stiffness Improvement in the analysis in multiple Overall statistics:
penetration of shear frames to improve the Median, IQR,
wave, Diagnosis for hard, accuracy and reliability IQR/Median, Average,
deep and large tumors STD, STD/Average
Shell quantification
toolbox
Report
Keep the probe lightly touching the skin and still, try not to apply pressure or give
“minimal vibration”
The ROI should partly include subcutaneous tissue and the pectoralis muscle
If necessary, adjust “Opacity” and “E scale” on the touch screen using knob button to
change the color transparency and elasticity
NTE Imaging needs to continue until the color of the entire target is completely stable
Press “Measure” button, choose strain ratio to classify lesions and save the result
(A: Lesion, B:Reference-Fat)
You can also classify lesions using visual scoring system which is a five-point scale that
visually grades the stiffness of a lesion (Tsukuba score=Elasticity score)
Go to the report
Keep the probe lightly touching the skin and still, try not to apply pressure
Touch the “Elasto” and choose “STE” on the Touch the “Elasto” and choose “STQ” on the
touch screen touch screen
The ROI should partly include subcutaneous Put the fixed ROI at the location of the
tissue and the pectoralis muscle desired measurement
Ask the patient to hold the breath Ask the patient to hold the breath
Freeze image and select an optimal image, Freeze the image when the elasto bar looks
RLB index>80% and M-STB stars show constant & stable and M-STB stars show
green green
Press “measure” button, choose “Mass” to Select a single or multiple frames using ”E
quantify maximum stiffness of the lesion Avg” knob button and save it
You can use “Shell thick” function to 5 to 10 measurements are needed to obtain
evaluate the infiltration of the lesion a median value
(2mm is recommended)
Go to the report
Cautions
SE should not be used if the lesion is larger than the FOV box.
Accuracy of the SE differs between shallow sites and deep sites due to problems associated
with propagation of vibration energy.
Elastography (SE or SWE) should not be used when a lesion is very superficial (<3 mm) from
the skin surface.
Reference: WFUMB GUIDELINES AND RECOMMENDATIONS FOR CLINICAL USE OF ULTRASOUND ELASTOGRAPHY: PART 2:
BREAST
Analysis
Interpretation 1) Elasticity score (Tsukuba score ) Interpretation) Stiffness and Shear wave speed
• A five-point scale that visually grades the
stiffness of a mass. • kPa (unit of stiffness), m/s (unit of SWS)
• If a lesion is classified between 1 and 3, it is :Quantitative values calculated for the Shear
considered benign; if classified 4 or 5, it is wave speed determined by stiffness in Shear
considered to be malignant. Wave Elastography system.
Score 1 Deformability of the entire lesion • The best performing SWE features are the
quantified maximum stiffness of the lesions
Score 2 Deformability of most of the lesion
with some small stiff areas
(inside or on the periphery)
Mindray Building, Keji 12th Road South, High-tech Industrial Park, Nanshan, Shenzhen 518057, P.R. China
Tel: +86 755 8188 8998 Fax: +86 755 26582680 E-mail: intl-uis@mindray.com www.mindray.com
© 2018 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Contents are subject to changes without prior notice.
Quick Guide
NTE Natural
Touch
Elastography
Thyroid
STE Sound
Elastography Touch
Elastography
STQ Sound
Touch
Quantification
Mindray Tools
More diagnostic HFE (High frame rate M-STB: Indicator for E-Avg: Statistics of
information Elastography): Shear the stability of tissue multiple
Immediate results in wave imaging obtains motion measurements
a real-time with good high frame rate for RLB Map/Index: resulted from serial
reproducibility real-time Indicator of the frames
Generate a real time HQE (High quality reliability of shear Measurement results:
Keep the probe lightly touching the skin and still, try not to apply pressure or give
“minimal vibration”
Set the ROI as large as possible, covering the nodule together with adjacent
normal thyroid tissue
If necessary, adjust “Opacity” and “E scale” on the touch screen using knob
button to change the color transparency and elasticity
NTE Imaging needs to continue until the color of the entire target is completely
stable
Press “Measure” button, choose strain ratio to classify lesions and save the result
(A: Lesion, B:Reference-Normal parenchyma/muscle)
You can also classify lesions using visual scoring system such as Elasticity Tsukuba
score which is a five-point scale that visually grades the stiffness of a lesion
Go to the report
Use an STE/STQ enabled transducer and system, select Thyroid exam mode
Keep the probe lightly touching the skin and still, try not to apply pressure
Touch the “Elasto” and choose “STE” on the Touch the “Elasto” and choose “STQ” on the
touch screen touch screen
Set the ROI, covering the nodule together Put the fixed ROI at the location of the
with adjacent normal thyroid tissue desired measurement
Reference: WFUMB GUIDELINES AND RECOMMENDATIONS FOR CLINICAL USE OF ULTRASOUND ELASTOGRAPHY: PART 4:
THYROID
Analysis
Interpretation 1) Elasticity score (Tsukuba score ) Interpretation) Stiffness and Shear wave speed
• A five-point scale that visually grades the stiffness
of a mass.
• kPa (unit of stiffness), m/s (unit of SWS)
Score 1 The nodule is entirely soft (green)
: Quantitative values calculated for the Shear
Score 2 The nodule is mostly soft (green, with wave speed determined by stiffness in Shear
some blue areas)
Wave Elastography system.
Score 3 The nodule is only soft at the
periphery (blue core, green periphery) • A quantitative stiffness value of the maximum
or mean stiffness value of the nodule for
Score 4 The nodule is entirely rigid (blue)
characterization is usually used.
Score 5 The nodule and the surrounding
tissue is rigid (blue)
Mindray Building, Keji 12th Road South, High-tech Industrial Park, Nanshan, Shenzhen 518057, P.R. China
Tel: +86 755 8188 8998 Fax: +86 755 26582680 E-mail: intl-uis@mindray.com www.mindray.com
© 2018 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Contents are subject to changes without prior notice.