Ultrasound elastometry of the brachial plexus after combined modality treatment of breast cancer
https://doi.org/10.21294/1814-4861-2023-22-3-83-89
Abstract
Shear wave elastometry is important for improving the quality of treatment of patients with postmastectomy edema of the upper limb. Objective: to assess the density of brachial plexus tissues measured by shear wave sonoelastometry in breast cancer patients who received combined modality treatment. Material and Methods. We examined 30 breast cancer patients with postmastectomy edema of the upper limb, who underwent shear wave elastometry of the brachial plexus in the interscalene region. The side where radiation therapy (RT) was delivered was compared with the contralateral (healthy) side in one patient. Results. The median values of tissue stiffness measured by shear wave elastometry were 30.4 (26.2-35.8) and 16.2 (15-19) kPa on the affected and unaffected side, respectively (p<0.001). There was no statistically significant difference in tissue stiffness associated with the age of the patients, right/left side and body mass index. Conclusion. Shear wave elastometry is an alternative method for examining the brachial plexus in radiotherapy for breast cancer. On the RT side, the perineural tissues of the brachial plexus were denser than those on the healthy side. In clinical practice, elastometry can be used to monitor the dynamics of radiation damage and their consequences.
About the Authors
P. A. Khudiakov
A. Tsyb Medical Radiological Research Centre - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia
Russian Federation
Russian Federation
Pavel A. Khudiakov - Researcher, Department of Anesthesiology and Intensive Care, A. Tsyb Medical Radiological Research Centre -branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia.
10, Marshal Zhukov St., 249031, Obninsk
A. L. Potapov
A. Tsyb Medical Radiological Research Centre - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia
Russian Federation
Russian Federation
Aleksandr L. Potapov - MD, Professor, Head of the Department of Anesthesiology and Resuscitation, A. Tsyb Medical Radiological Research Centre - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia.
10, Marshal Zhukov St., 249031, Obninsk
S. A. Ivanov
A. Tsyb Medical Radiological Research Centre - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia; RUDN University
Russian Federation
Russian Federation
Sergey A. Ivanov - MD, DSc, Corresponding Member of the Russian Academy of Sciences, Director, A. Tsyb Medical Radiological Research Centre - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia; Professor of Chair of Oncology and Radiology named after Kharchenko, RUDN University.
10, Marshal Zhukov St., 249031, Obninsk; 6, Miklukho-Maklaya St., Moscow, 117198
Author ID (Scopus): 16070399200
A. D. Kaprin
RUDN University; P.A. Hertsen Moscow Oncology Research Institute - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia; National Medical Research Radiological Centre of the Ministry of Health of the Russia
Russian Federation
Russian Federation
Andrej D. Kaprin - MD, Professor, Academician of the Russian Academy of Sciences, Head of Chair of Oncology and Radiology named after Kharchenko, RUDN University; Director, P.A. Hertsen Moscow Oncology Research Institute - branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russia ; Director General, National Medical Research Radiological Centre of the Ministry of Health of the Russia.
6, Miklukho-Maklaya St., Moscow, 117198; 3, 2nd Botkinsky proezd, 125284, Moscow; 4, Koroleva St., 249036, Obninsk
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Review
For citations:
Khudiakov P.A., Potapov A.L., Ivanov S.A., Kaprin A.D. Ultrasound elastometry of the brachial plexus after combined modality treatment of breast cancer. Siberian journal of oncology. 2023;22(3):83-89. (In Russ.) https://doi.org/10.21294/1814-4861-2023-22-3-83-89
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