Hemangioma diagnostic study of choice: Difference between revisions

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__NOTOC__
__NOTOC__
{{Hemangioma}}
{{Hemangioma}}
{{CMG}}; {{AE}}
{{CMG}}; {{AE}}{{ADS}}
== Overview ==
== Overview ==
Hemangioma is primarily diagnosed based on the clinical presentation. Investigations such as [[Ultrasound]], CT scan or MRI are needed when hemagioma in organs is suspected. The gold standard for diagnosing lumbosacral hemangioma is MRI.


== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==
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===== Diagnostic results =====
===== Diagnostic results =====
The following finding(s) on performing ultrasound or MRI (are) confirmatory for hemagioma seen in organs e.g. hepatic hemangioma.<ref name="pmid8090920">{{cite journal |vauthors=McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ |title=Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging |journal=Radiology |volume=193 |issue=1 |pages=43–7 |date=October 1994 |pmid=8090920 |doi=10.1148/radiology.193.1.8090920 |url=}}</ref><ref name="pmid20828712">{{cite journal |vauthors=Drolet BA, Chamlin SL, Garzon MC, Adams D, Baselga E, Haggstrom AN, Holland KE, Horii KA, Juern A, Lucky AW, Mancini AJ, McCuaig C, Metry DW, Morel KD, Newell BD, Nopper AJ, Powell J, Frieden IJ |title=Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin |journal=J. Pediatr. |volume=157 |issue=5 |pages=789–94 |date=November 2010 |pmid=20828712 |doi=10.1016/j.jpeds.2010.07.054 |url=}}</ref>
The following finding(s) on performing ultrasound or MRI (are) confirmatory for hemagioma seen in organs e.g. hepatic hemangioma.<ref name="pmid8090920">{{cite journal |vauthors=McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ |title=Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging |journal=Radiology |volume=193 |issue=1 |pages=43–7 |date=October 1994 |pmid=8090920 |doi=10.1148/radiology.193.1.8090920 |url=}}</ref><ref name="pmid20828712">{{cite journal |vauthors=Drolet BA, Chamlin SL, Garzon MC, Adams D, Baselga E, Haggstrom AN, Holland KE, Horii KA, Juern A, Lucky AW, Mancini AJ, McCuaig C, Metry DW, Morel KD, Newell BD, Nopper AJ, Powell J, Frieden IJ |title=Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin |journal=J. Pediatr. |volume=157 |issue=5 |pages=789–94 |date=November 2010 |pmid=20828712 |doi=10.1016/j.jpeds.2010.07.054 |url=}}</ref>
* [Finding 1]
* Presence of peripheral enhancement of nodules on contrast ultrasound.
* [Finding 2]
* Presence of smooth, well demarcated mass which has low signal on T1 and high intensity on T2 weighted images.


===== Sequence of Diagnostic Studies =====
===== Sequence of Diagnostic Studies =====
The [name of investigation] must be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.
OR
The various investigations must be performed in the following order:
The various investigations must be performed in the following order:
* [Initial investigation]
* [[Ultrasound]]
* [2nd investigation]
* [[CT-scans]]/ [[MRI]]


=== Name of Diagnostic Criteria ===
=== Name of Diagnostic Criteria ===

Revision as of 02:06, 29 October 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

Hemangioma is primarily diagnosed based on the clinical presentation. Investigations such as Ultrasound, CT scan or MRI are needed when hemagioma in organs is suspected. The gold standard for diagnosing lumbosacral hemangioma is MRI.

Diagnostic Study of Choice

Study of choice

Hemangioma is primarily diagnosed based on the clinical presentation.

Diagnostic results

The following finding(s) on performing ultrasound or MRI (are) confirmatory for hemagioma seen in organs e.g. hepatic hemangioma.[1][2]

  • Presence of peripheral enhancement of nodules on contrast ultrasound.
  • Presence of smooth, well demarcated mass which has low signal on T1 and high intensity on T2 weighted images.
Sequence of Diagnostic Studies

The various investigations must be performed in the following order:

Name of Diagnostic Criteria

  • There are no established criteria for the diagnosis of hemangioma.

References

  1. McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ (October 1994). "Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging". Radiology. 193 (1): 43–7. doi:10.1148/radiology.193.1.8090920. PMID 8090920.
  2. Drolet BA, Chamlin SL, Garzon MC, Adams D, Baselga E, Haggstrom AN, Holland KE, Horii KA, Juern A, Lucky AW, Mancini AJ, McCuaig C, Metry DW, Morel KD, Newell BD, Nopper AJ, Powell J, Frieden IJ (November 2010). "Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin". J. Pediatr. 157 (5): 789–94. doi:10.1016/j.jpeds.2010.07.054. PMID 20828712.

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