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From histology to sonography in skin and superficial tissue disorders: EURO-MUSCULUS/USPRM* approach

V. Ricci, C. Ricci, G. Cocco, D. Donati, G. Farì, K. Mezian, O. Naňka, L. Özçakar

. 2022 ; 237 (-) : 154003. [pub] 20220703

Language English Country Germany

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc22033322

BACKGROUND: In clinical practice, ultrasound assessment of the skin and superficial tissues is progressively becoming a valuable diagnostic tool to support physical examination in the outpatient setting. OBJECTIVES: The aim of this study was to define a standardized sonographic approach to (layer-by-layer) accurately evaluate multiple histological layers of the skin and superficial tissues. METHODS: Using high-frequency ultrasound probes and high-level ultrasound machines, we matched the histological microarchitecture of superficial tissues with multiple sonographic patterns in physiological and pathological conditions. Moreover, high-sensitive color/power Doppler assessments have also been performed to evaluate the microcirculation. RESULTS: Modern equipment allow for a detailed "sonographic dissection" of the skin and superficial tissues by evaluating different histological layers in various clinical scenarios. High-sensitive Doppler imaging clearly depicts the microvasculature, especially of pathologies. CONCLUSIONS: In clinical practice, using adequate technological equipment, a detailed sonographic assessment of the superficial (soft) tissues can be performed with the use of high-frequency B-mode and high-sensitive Doppler imaging.

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$a Ricci, Costantino $u Pathology Unit, Maggiore Hospital, Bologna, Italy; Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy
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$a Cocco, Giulio $u Unit of Ultrasound in Internal Medicine, Department of Medicine and Science of Aging, G. d'Annunzio University, Chieti, Italy
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$a Donati, Danilo $u Physical and Rehabilitation Medicine Unit, Department of Biomedical and Neuromotor Science, IRCCS Rizzoli Orthopedic Institute, University of Bologna, Bologna, Italy
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$a Farì, Giacomo $u Department of Basic Medical Sciences, Neurosciences and Sense Organs, Aldo Moro University, Bari, Italy; Department of Biological and Environmental Science and Technologies (Di.S.Te.B.A.), University of Salento, Lecce, Italy
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$a Mezian, Kamal $u Department of Rehabilitation Medicine, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
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$a Naňka, Ondřej $u Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic
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$a Özçakar, Levent $u Hacettepe University Medical School, Department of Physical and Rehabilitation Medicine Ankara, Turkey
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