Abstract
The use of skin ultrasound (US) in dermatology practice has been increasing in the last decades. Thanks to the development of new devices based on high (17–22 MHz) and ultra-high (70–100 MHz) frequencies that allow the visualization of epidermal architecture, dermal, and hypodermal structures reaching the external muscularis fascia. US devices based on medium frequency (5–8 MHz) rest the first choice for emergency department/internal medicine use. A series of skin conditions in which the diagnosis can be challenging from a clinical point of view show peculiar features on US examination: exemplificative cases commonly encountered in dermatological daily practice are discussed here. Using either medium frequency US (MFUS) or high frequency US (HFUS), or both, add several advantages: noninvasive differential diagnosis of these conditions is realized in a fast and not painful way; lesional area can be defined in dimension, content, vascularization, and relationship with surrounding tissues; the effect and efficacy of a specific treatment can be monitored and validated.
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Wortsman A. Ultrasound in dermatology: why, how, and when? Semin Ultrasound CT MRI. 2013;34(3):177–95.
Polańska A, et al. Current applications of high-frequency ultrasonography in dermatology. Adv Dermatol Allergol. 2017;34(6):535–42.
Ulrich J, et al. Sonographic diagnostics in dermatology. J Dtsch Dermatol Ges. 2014;12:1083–99.
Mandava A, Ravuri P, Konathan R. High-resolution ultrasound imaging of cutaneous lesions. Indian J Radiol Imaging. 2013;23(3):269.
Bhatt KD, Tambe SA, Jerajani HR, Dhurat RS. Utility of high-frequency ultrasonography in the diagnosis of benign and malignant skin tumors. Indian J Dermatol Venereol Leprol. 2017;83(2):162–82.
Wortsman X. Common applications of dermatologic sonography. J Ultrasound Med Off J Am Inst Ultrasound Med. 2012;31(1):97–111.
Crisan M, Crisan D, Sannino G, et al. Ultrasonographic staging of cutaneous malignant tumors: an ultrasonographic depth index. Arch Dermatol Res. 2013;305(4):305–13.
Bobadilla F, Wortsman X, Muñoz C, et al. Pre-surgical high resolution ultrasound of facial basal cell carcinoma: correlation with histology. Cancer Imaging. 2008;8:163–72.
Wortsman X. Sonography of the primary cutaneous melanoma: a review. Radiol Res Pract. 2012:1–6.
Lassau N, et al. Prognostic value of angiogenesis evaluated with high-frequency and colour Doppler sonography for preoperative assessment of primary cutaneous melanomas: correlation with recurrence after a 5 year follow-up period. Cancer Imaging. 2006;6:24–9.
Saba L, et al. Non-invasive vascular imaging in perforator flap surgery. Acta Radiol. 2013;54(1):89–98.
Ibrahim RM, et al. Color Doppler ultrasonography targeted reconstruction using Pedicled perforator flaps—a systematic review and meta-analysis. Eur J Plast Surg. 2018;41(5):495–504.
Stigall LE, et al. The Paramidline forehead flap: a clinical and microanatomic study. Dermatol Surg. 2016;42(6):764–71.
Karsidag S, et al. Single-stage Ala Nasi reconstruction: lateral nasal artery perforator flap. J Craniofac Surg. 2010;21(6):1887–9.
Cammarota T, Pinto F, Magliaro A, Sarno A. Current uses of diagnostic high-frequency US in dermatology. Eur J Radiol. 1998;27(2):S215–23.
Tognetti L, Cinotti E, Fiorani D, Rubegni P, Perrot JL. Non invasive diagnosis of liquefied gouty tophus: reflectance confocal microscopy as an alternative to polarizing light microscopy analysis. Skin Res Technol. 2018;25(2):240–1.
Wortsman X, Moreno C, Soto R, Arellano J, Pezo C, Wortsman J. Ultrasound in-depth characterization and staging of hidradenitis suppurativa. Dermatol Surg. 2013;39:1835–42.
Nazzaro G, Passoni E, Muratori S, et al. Comparison of clinical and sonographic scores in hidradenitis suppurativa and proposal of a novel ultrasound scoring system. G Ital Dermatol Venereol. 2018 Oct 4.
Caposiena Caro RD, Solivetti FM, Bianchi L. Power Doppler ultrasound assessment of vascularization in hidradenitis suppurativa lesions. J Eur Acad Dermatol Venereol. 2017; epub.
Raju BI, et al. Quantitative ultrasonic methods for characterization of skin lesions in vivo. Ultrasound Med Biol. 2003;29(6):825–38.
Knobler R, Moinzadeh P, Hunzelmann N, et al. European dermatology forum S1 guideline on the diagnosis and treatment of sclerosing diseases of the skin, part 1: localized scleroderma, systemic sclerosis and overlap syndromes. J Eur Acad Dermatol Venereol. 2017;31:1401–24.
Tognetti L, Cinotti E, Perrot JL, Neri G, Pianigiani E, Fimiani M, Rubegni P. Preliminary experience of the use of high-resolution skin ultrasound for the evaluation of extrathyroidal manifestations of Graves’ disease and response to UVA-1 phototherapy. Photodermatol Photoimmunol Photomed. 2019;35(2):129–31.
Tognetti L, Cinotti E, Tonini G, Habougit C, Cambazard F, Rubegni P, Perrot JL. New findings in non-invasive imaging of cutaneous endometriosis: Dermoscopy, high-frequency ultrasound and reflectance confocal microscopy. Skin Res Technol. 2018;24(2):309–12.
Tognetti L, Filippou G, Bertrando S, Picerno V, Buonocore G, Frediani B, Fimiani M, Rubegni P. Subcutaneous fat necrosis in a newborn after brief therapeutic hypothermia: ultrasonographic examination. Pediatr Dermatol. 2015;32(3):427–9.
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Tognetti, L. et al. (2020). Ultrasound. In: Fimiani, M., Rubegni, P., Cinotti, E. (eds) Technology in Practical Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-45351-0_21
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DOI: https://doi.org/10.1007/978-3-030-45351-0_21
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