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Evaluation of 20-MHz high-frequency ultrasonography for the diagnosis of choroidal nevi

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Abstract

Purpose

Evaluate short-term intraoperator reproducibility of ultrasonographic measurements of choroidal nevi using 10- and 20-MHz probes, and the efficacy of the high-frequency probes for the diagnosis of choroidal nevi.

Methods

Diameters and thicknesses of choroidal nevi were measured using a 10-MHz probe and a high-frequency long focal length 20-MHz probe (Quantel Medical™). The first part of the study evaluated intraoperator reproducibility of measurements of choroidal nevi with 10- and 20-MHz probes and the second part of the study allowed the comparisons of the measurements of largest tumor diameter (LDT) of choroidal nevi of 40 patients between the 10- and 20-MHz probes. The two-way random average agreement intraclass correlation coefficients (ICC), Bland-Altman plot, and a paired t test were used.

Results

The intraoperator reproducibility of choroidal nevi measurements with 10- and 20-MHz probes was excellent (ICC > 0.9, n = 20). Four flat nevi, not detectable at 10 MHz, could be located with the high-frequency probe (p = 0.12). There was no significant difference in thickness or LTD measurements between the 10- and 20-MHz probes (n = 31). Both techniques showed an excellent agreement (ICC > 0.8) for thickness and LTD measurements. All the choroidal nevi that were not measurable with the 10-MHz probe (n = 7) were measured with the 20-MHz probe.

Conclusion

The high-frequency 20-MHz probe allows additional detection and measurements of flat choroidal nevi. When detectable, the ultrasonographic measurements of thickness and diameter of choroidal nevi are similar with both the 10- and the 20-MHz probes.

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Funding

This study was funded by the Association for research and teaching in ophthalmology, Grenoble, France (ARFO; # 01_2019).

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Authors and Affiliations

  1. Department of Ophthalmology, University Hospital of Grenoble-Alpes, CS10217, F-38043, Grenoble Cedex 09, France

    Magali Albrieux, Pierre Pégourié, Florent Aptel, Dominique Satger, Marc Bru, Georges Zaatar & Christophe Chiquet

  2. Grenoble Alpes University, F-38041, Grenoble, France

    Magali Albrieux, Florent Aptel & Christophe Chiquet

Authors
  1. Magali Albrieux
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  2. Pierre Pégourié
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  3. Florent Aptel
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  4. Dominique Satger
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  5. Marc Bru
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  6. Georges Zaatar
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  7. Christophe Chiquet
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Corresponding author

Correspondence to Christophe Chiquet.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study (IMAGE EYE COHORT).

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Albrieux, M., Pégourié, P., Aptel, F. et al. Evaluation of 20-MHz high-frequency ultrasonography for the diagnosis of choroidal nevi. Graefes Arch Clin Exp Ophthalmol 259, 181–189 (2021). https://doi.org/10.1007/s00417-020-04906-2

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  • DOI: https://doi.org/10.1007/s00417-020-04906-2

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