THE ROLE OF IMAGING IN THE DIAGNOSIS OF SOFT TISSUE SWELLINGS OF HAND
Dr. Aditi Agrawal
Dr. Mahesh Prakash, Dr. S.S. Tripathy, Dr. Ramesh Sen , Dr. S. Radhika, Dr. Nandita Kakkar.
|Aims & Objective:|
To evaluate the accuracy of combined imaging (USG and MRI) for diagnosis of soft tissue swellings of the hand and to correlate radiological findings with cytology/histopathology.
|Materials & Methods:|
A total of 20 patients with soft tissue hand swellings were included in the study group. USG and MRI were performed in all the patients. A combined clinically radiological diagnosis was reached. FNAC/HPE was used as a gold standard to calculate the accuracy of radiological diagnosis.
There were 11 female and 9 male patients with age range of 3-61 years. Mean duration of symptoms was 3.52years. Out of 20 patients correct diagnosis could be provided radiologically in 16 cases.
USG and MRI are important tools for diagnosis of soft tissue swellings of the hand. Ultrasound can be diagnostic in certain entities like vascular malformations and ganglions. MRI can provide conclusive imaging findings in many pathological lesions (vascular lesions, lipomas, GCTTS etc.) and is important for providing accurate anatomical extent.