American Journal of Roentgenology, Vol 171, 1203-1206, Copyright © 1998 by American Roentgen Ray Society

ARTICLES

Tissue harmonic imaging sonography: evaluation of image quality compared with conventional sonography

RS Shapiro, J Wagreich, RB Parsons, A Stancato-Pasik, HC Yeh and R Lao
Department of Radiology, Mount Sinai Medical Center, New York, NY 10029- 6574, USA.

OBJECTIVE: The purpose of this study was to determine if tissue harmonic imaging (THI) sonography produced higher quality images than did conventional sonography. SUBJECTS AND METHODS: A prospective study was performed on 89 patients to compare the image quality of THI sonography with that of conventional sonography. Each examination was performed using THI sonography (transmitted frequency, 2.0 MHz; received frequency, 4.0 MHz) and conventional sonography at 2.5 and 4.0 MHz. The pancreatic area was studied in 60 patients, and other anatomic areas were studied in 68 patients. The images were then graded for penetration, detail, and total image quality. Graders were unaware of the sonographic technique. RESULTS: Of the 60 pancreatic examinations, THI sonography was the best technique for penetration in 45, detail in 54, and total image quality in 50. For the pancreas, THI sonography was significantly better than 2.5-MHz conventional sonography for penetration (p = .0002), detail (p < .0001), and total image quality (p < .0001). THI sonography was significantly better than 4.0-MHz conventional sonography for penetration (p < .0001), detail (p < .0001), and total image quality (p < .0001). Of the 68 examinations of other anatomic areas, THI sonography was the best technique for penetration in 42, detail in 57, and total image quality in 58. For other anatomic areas, THI sonography was significantly better than 2.5- MHz conventional sonography for penetration (p = .05), detail (p < .0001), and total image quality (p < .0001). THI sonography was significantly better than 4.0-MHz conventional sonography for penetration (p < .0001), detail (p < .0001), and total image quality (p < .0001). CONCLUSION: The THI technique improved sonographic image quality.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				G. Francica, S. A. Bellini, F. Scarano, A. Miragliuolo, F. A. De Marino, and M. Maniscalco Correlation of Transabdominal Sonographic and Cystoscopic Findings in the Diagnosis of Focal Abnormalities of the Urinary Bladder Wall: A Prospective Study J. Ultrasound Med., June 1, 2008; 27(6): 887 - 894. [Abstract] [Full Text] [PDF]

				S.-Y. Chiou, F. Forsberg, T. B. Fox, and L. Needleman Comparing Differential Tissue Harmonic Imaging With Tissue Harmonic and Fundamental Gray Scale Imaging of the Liver J. Ultrasound Med., November 1, 2007; 26(11): 1557 - 1563. [Abstract] [Full Text] [PDF]

				C. Schueller-Weidekamm, C. Krestan, G. Schueller, T. Kapral, D. Aletaha, and F. Kainberger Power Doppler Sonography and Pulse-Inversion Harmonic Imaging in Evaluation of Rheumatoid Arthritis Synovitis Am. J. Roentgenol., February 1, 2007; 188(2): 504 - 508. [Abstract] [Full Text] [PDF]

				K. Yabunaka, T. Katsuda, S. Sanada, and T. Fukutomi Sonographic Appearance of the Normal Appendix in Adults J. Ultrasound Med., January 1, 2007; 26(1): 37 - 43. [Abstract] [Full Text] [PDF]

				J. H. Cha, W. K. Moon, N. Cho, S. M. Kim, S. H. Park, B.-K. Han, Y. H. Choe, J. M. Park, and J.-G. Im Characterization of Benign and Malignant Solid Breast Masses: Comparison of Conventional US and Tissue Harmonic Imaging Radiology, December 1, 2006; 242(1): 63 - 69. [Abstract] [Full Text] [PDF]

				J. C. Lee and J. C. Healy Normal Sonographic Anatomy of the Wrist and Hand RadioGraphics, November 1, 2005; 25(6): 1577 - 1590. [Abstract] [Full Text] [PDF]

				H Maruyama, S Matsutani, H Saisho, Y Mine, N Kamiyama, T Hirata, and M Sasamata Real-time blood-pool images of contrast enhanced ultrasound with Definity in the detection of tumour nodules in the liver Br. J. Radiol., June 1, 2005; 78(930): 512 - 518. [Abstract] [Full Text] [PDF]

				J. Y. Kwak, E.-K. Kim, J. K. You, and K. K. Oh Variable Breast Conditions: Comparison of Conventional and Real-time Compound Ultrasonography J. Ultrasound Med., January 1, 2004; 23(1): 85 - 96. [Abstract] [Full Text] [PDF]

				K. Strobel, M. Zanetti, L. Nagy, and J. Hodler Suspected Rotator Cuff Lesions: Tissue Harmonic Imaging versus Conventional US of the Shoulder Radiology, January 1, 2004; 230(1): 243 - 249. [Abstract] [Full Text] [PDF]

				S. O. Oktar, C. Yucel, H. Ozdemir, A. Uluturk, and S. Isik Comparison of Conventional Sonography, Real-Time Compound Sonography, Tissue Harmonic Sonography, and Tissue Harmonic Compound Sonography of Abdominal and Pelvic Lesions Am. J. Roentgenol., November 1, 2003; 181(5): 1341 - 1347. [Abstract] [Full Text] [PDF]

				J. H. Youk, J. M. Lee, and C. S. Kim Therapeutic Response Evaluation of Malignant Hepatic Masses Treated by Interventional Procedures With Contrast-Enhanced Agent Detection Imaging J. Ultrasound Med., September 1, 2003; 22(9): 911 - 920. [Abstract] [Full Text] [PDF]

				T. Schmidt, C. Hohl, P. Haage, M. Blaum, D. Honnef, C. Weiss, G. Staatz, and R. W. Gunther Diagnostic Accuracy of Phase-Inversion Tissue Harmonic Imaging Versus Fundamental B-Mode Sonography in the Evaluation of Focal Lesions of the Kidney Am. J. Roentgenol., June 1, 2003; 180(6): 1639 - 1647. [Abstract] [Full Text] [PDF]

				I. Leconte, C. Feger, C. Galant, M. Berliere, B. V. Berg, W. D'Hoore, and B. Maldague Mammography and Subsequent Whole-Breast Sonography of Nonpalpable Breast Cancers: The Importance of Radiologic Breast Density Am. J. Roentgenol., June 1, 2003; 180(6): 1675 - 1679. [Abstract] [Full Text] [PDF]

				K. T. Szopinski, A. M. Pajk, M. Wysocki, D. Amy, M. Szopinska, and W. Jakubowski Tissue Harmonic Imaging: Utility in Breast Sonography J. Ultrasound Med., May 1, 2003; 22(5): 479 - 487. [Abstract] [Full Text] [PDF]

				K. T. Szopinski, M. Wysocki, A. M. Pajk, R. Z. Slapa, W. Jakubowski, and M. Szopinska Tissue Harmonic Imaging of Thyroid Nodules: Initial Experience J. Ultrasound Med., January 1, 2003; 22(1): 5 - 12. [Abstract] [Full Text] [PDF]

				S. J. Rosenthal, P. H. Jones, and L. H. Wetzel Phase Inversion Tissue Harmonic Sonographic Imaging: A Clinical Utility Study Am. J. Roentgenol., June 1, 2001; 176(6): 1393 - 1398. [Abstract] [Full Text] [PDF]

				D. Ortega, P. N. Burns, D. Hope Simpson, and S. R. Wilson Tissue Harmonic Imaging: Is It a Benefit for Bile Duct Sonography? Am. J. Roentgenol., March 1, 2001; 176(3): 653 - 659. [Abstract] [Full Text] [PDF]

				T. K. Kim, B. I. Choi, J. K. Han, H.-S. Hong, S. H. Park, and S. G. Moon Hepatic Tumors: Contrast Agent-Enhancement Patterns with Pulse-Inversion Harmonic US Radiology, August 1, 2000; 216(2): 411 - 417. [Abstract] [Full Text]

				B. I. Choi, T. K. Kim, J. K. Han, A. Y. Kim, C. K. Seong, and S. J. Park Vascularity of Hepatocellular Carcinoma: Assessment with Contrast-enhanced SecondHarmonic versus Conventional Power Doppler US Radiology, February 1, 2000; 214(2): 381 - 386. [Abstract] [Full Text]

				J. Hawnaur Recent advances: Diagnostic radiology BMJ, July 17, 1999; 319(7203): 168 - 171. [Full Text]

				H. Ding, M. Kudo, H. Onda, Y. Suetomi, Y. Minami, H. Chung, T. Kawasaki, and K. Maekawa Evaluation of Posttreatment Response of Hepatocellular Carcinoma with Contrast-enhanced Coded Phase-Inversion Harmonic US: Comparison with Dynamic CT Radiology, December 1, 2001; 221(3): 721 - 730. [Abstract] [Full Text] [PDF]