Abstract
Purpose
Elastofibroma dorsi (ED) is a rare soft-tissue tumour. Diagnosis is made using imaging, mainly magnetic resonance due to its higher sensitivity and specificity in soft tissues. No agreement exists when deciding which imaging test must be used. Often multiple tests are made in the same patient, increasing time and costs. The aim of this paper is to compare the usual imaging exams and evaluate which one is the most accurate when diagnosing and measuring ED.
Methods
A retrospective review was made of those patients who were diagnosed and operated for ED since January 2006 to December 2013. Fifty-two ED were included (19 men, 25 women), and eight of them were bilaterally affected. They were divided into three different groups according to the imaging test used: ultrasound (US) computed tomography (CT) and magnetic resonance (MR). After surgery the pieces were sized and compared with the measurements made by imaging exams.
Results
Two hundred fourteen measures were analysed (40 US, 33 CT and 34 MR with their pathological equivalent). When CT group and its corresponding AP were analysed, no significant differences between them were founded (p > 0.05). Moreover, we analysed absolute differences between measures. In the US group a mean difference of 2.23 ± 1.87 cm was obtained. In the CT group, the mean difference was 1.22 ± 0.97 cm. Likewise, the difference of the MR group was 1.62 ± 1.15 cm.
Conclusions
This study demonstrates that the CT obtains a higher correlation than MR when determining the size of ED.
Similar content being viewed by others
References
Muramatsu K, Ihara K, Hashimoto T et al (2007) Elastofibroma dorsi: diagnosis and treatment. J Shoulder Elbow Surg 16:591–595
Parratt M, Donaldson J, Flanagan A et al (2010) Elastofibroma dorsi: management, outcome and review of the literature. J Bone Joint Surg Br 92:262–266
Briccoli A, Casadai R, Di Renzo M et al (2000) Elastofibroma dorsi. Surg Today 30:147–152
Jarvi O, Saxen A (1961) Elastofibroma dorsi. Acta Pathol Microbiol Scand 51:83–84
Coskun A, Yildirim M (2011) Bilateral elastofibroma dorsi. Ann Thorac Surg 92:2242–2244
Turna A, Yilmaz M, Urer N et al (2002) Bilateral elastofibroma dorsi. Ann Thorac Surg 73:630–632
Mortman KD, Hochheiser GM, Giblin EM et al (2007) Elastofibroma dorsi: clinicopathologic review of 6 cases. Ann Thorac Surg 83:1894–1897
Abat F, Trullols L, Álvarez C et al (2013) The snapping scapula as a symptom of a tumour in the scapulothoracic region. Rev Esp Cir Ortop Traumatol 57:123–128
Daigeler A, Vogt PM, Busch K et al (2007) Elastofibroma dorsi–differential diagnosis in chest wall tumours. World J Surg Oncol 5:15
Nagamine N, Nohara Y, Ito E (1982) Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer 50:1794–1805
Lococo F, Cesario A, Mattei F et al (2013) Elastofibroma dorsi: clinicopathological analysis of 71 cases. Thorac Cardiovasc Surg 61(3):215–222
Faccioli N, Foti G, Comai A et al (2009) MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience. Radiol Med 114:1283–1291
Go P, Meadows M, Deleon E, Chamberlain R (2010) Elastofibroma dorsi: a soft tissue masquerade. Int J Shoulder Surg 4:97–101
Järvi O, Länsimies P (1975) Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand 83:87–108
Solivetti F, Bacaro D, Di Luca Sidozzi A, Cecconi P (2003) Elastofibroma dorsi: ultrasound pattern in three patients. J Exp Clin Cancer Res 22:565–569
Battaglia M, Vanel D, Pollastri P et al (2009) Imaging patterns in elastofibroma dorsi. Eur J Radiol 72:16–21
Kransdorf M, Meis J, Montgomery E (1992) Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol 159:575–579
Tamimi Mariño I, Sesma Solis P, Pérez Lara A et al (2013) Sensitivity and positive predictive value of magnetic resonance imaging in the diagnosis of elastofibroma dorsi: review of fourteen cases. J Shoulder Elbow Surg 22:57–63
Malghem J, Baudrez V, Lecouvet F et al (2004) Imaging study findings in elastofibroma dorsi. Joint Bone Spine 71:536–541
Nishio J, Isayama T, Iwasaki H, Naito M (2012) Elastofibroma dorsi: diagnostic and therapeutic algorithm. J Shoulder Elbow Surg 21:77–81
Acknowledgments
The authors would like to thank Prof. Dr. Juan Carlos Díaz Alcaide and Prof. Dra. María de los Ángeles Miñarro del Moral for their continuous help and support.
Conflict of interest
All of the authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Minarro, J.C., Urbano-Luque, M.T., López-Jordan, A. et al. The comparison of measurement accuracy among three different imaging modalities in evaluating elastofibroma dorsi. An analysis of 52 cases. International Orthopaedics (SICOT) 39, 1145–1149 (2015). https://doi.org/10.1007/s00264-015-2740-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-015-2740-8