Determination of optimal imaging mode for ultrasonographic detection of subdermal contraceptive rods

Comparison of spatial compound, conventional, and tissue harmonic imaging methods

Sungjun Kim, Kyung Seo, Ho Taek Song, Jinsuck Suh, Choon Sik Yoon, Jeong Ah Ryu, Jeong Seon Park, Ah Hyun Kim, Ah Young Park, Yaena Kim

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To determine which mode of ultrasonography (US), among the conventional, spatial compound, and tissue-harmonic methods, exhibits the best performance for the detection of Implanon® with respect to generation of posterior acoustic shadowing (PAS). Materials and Methods: A total of 21 patients, referred for localization of impalpable Implanon®, underwent US, using the three modes with default settings (i.e., wide focal zone). Representative transverse images of the rods, according to each mode for all patients, were obtained. The resulting 63 images were reviewed by four observers. The observers provided a confidence score for the presence of PAS, using a five-point scale ranging from 1 (definitely absent) to 5 (definitely present), with scores of 4 or 5 for PAS being considered as detection. The average scores of PAS, obtained from the three different modes for each observer, were compared using one-way repeated measure ANOVA. The detection rates were compared using a weighted least square method. Results: Statistically, the tissue harmonic mode was significantly superior to the other two modes, when comparing the average scores of PAS for all observers (p < 0.00-1). The detection rate was also highest for the tissue harmonic mode (p < 0.001). Conclusion: Tissue harmonic mode in uS appears to be the most suitable in detecting subdermal contraceptive implant rods.

Original languageEnglish
Pages (from-to)602-609
Number of pages8
JournalKorean journal of radiology
Volume13
Issue number5
DOIs
Publication statusPublished - 2012 Oct 1

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Contraceptive Agents
Acoustics
Ultrasonography
Least-Squares Analysis
Analysis of Variance
etonogestrel

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Kim, Sungjun ; Seo, Kyung ; Song, Ho Taek ; Suh, Jinsuck ; Yoon, Choon Sik ; Ryu, Jeong Ah ; Park, Jeong Seon ; Kim, Ah Hyun ; Park, Ah Young ; Kim, Yaena. / Determination of optimal imaging mode for ultrasonographic detection of subdermal contraceptive rods : Comparison of spatial compound, conventional, and tissue harmonic imaging methods. In: Korean journal of radiology. 2012 ; Vol. 13, No. 5. pp. 602-609.
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Determination of optimal imaging mode for ultrasonographic detection of subdermal contraceptive rods : Comparison of spatial compound, conventional, and tissue harmonic imaging methods. / Kim, Sungjun; Seo, Kyung; Song, Ho Taek; Suh, Jinsuck; Yoon, Choon Sik; Ryu, Jeong Ah; Park, Jeong Seon; Kim, Ah Hyun; Park, Ah Young; Kim, Yaena.

In: Korean journal of radiology, Vol. 13, No. 5, 01.10.2012, p. 602-609.

Research output: Contribution to journalArticle

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AU - Kim, Sungjun

AU - Seo, Kyung

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AU - Suh, Jinsuck

AU - Yoon, Choon Sik

AU - Ryu, Jeong Ah

AU - Park, Jeong Seon

AU - Kim, Ah Hyun

AU - Park, Ah Young

AU - Kim, Yaena

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N2 - Objective: To determine which mode of ultrasonography (US), among the conventional, spatial compound, and tissue-harmonic methods, exhibits the best performance for the detection of Implanon® with respect to generation of posterior acoustic shadowing (PAS). Materials and Methods: A total of 21 patients, referred for localization of impalpable Implanon®, underwent US, using the three modes with default settings (i.e., wide focal zone). Representative transverse images of the rods, according to each mode for all patients, were obtained. The resulting 63 images were reviewed by four observers. The observers provided a confidence score for the presence of PAS, using a five-point scale ranging from 1 (definitely absent) to 5 (definitely present), with scores of 4 or 5 for PAS being considered as detection. The average scores of PAS, obtained from the three different modes for each observer, were compared using one-way repeated measure ANOVA. The detection rates were compared using a weighted least square method. Results: Statistically, the tissue harmonic mode was significantly superior to the other two modes, when comparing the average scores of PAS for all observers (p < 0.00-1). The detection rate was also highest for the tissue harmonic mode (p < 0.001). Conclusion: Tissue harmonic mode in uS appears to be the most suitable in detecting subdermal contraceptive implant rods.

AB - Objective: To determine which mode of ultrasonography (US), among the conventional, spatial compound, and tissue-harmonic methods, exhibits the best performance for the detection of Implanon® with respect to generation of posterior acoustic shadowing (PAS). Materials and Methods: A total of 21 patients, referred for localization of impalpable Implanon®, underwent US, using the three modes with default settings (i.e., wide focal zone). Representative transverse images of the rods, according to each mode for all patients, were obtained. The resulting 63 images were reviewed by four observers. The observers provided a confidence score for the presence of PAS, using a five-point scale ranging from 1 (definitely absent) to 5 (definitely present), with scores of 4 or 5 for PAS being considered as detection. The average scores of PAS, obtained from the three different modes for each observer, were compared using one-way repeated measure ANOVA. The detection rates were compared using a weighted least square method. Results: Statistically, the tissue harmonic mode was significantly superior to the other two modes, when comparing the average scores of PAS for all observers (p < 0.00-1). The detection rate was also highest for the tissue harmonic mode (p < 0.001). Conclusion: Tissue harmonic mode in uS appears to be the most suitable in detecting subdermal contraceptive implant rods.

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