RSNA 2016 PPT Light Background 4:3 Ratio

[Audio] In questo articolo descriviamo la nostra esperienza preliminare nell'utilizzo dell'ecografia nella cavità orale, condotta presso il Dipartimento di Medicina di Precisione dell'Università di Campania Luigi Vanvitelli a Napoli, Italia. L'ecografia offre diversi vantaggi rispetto alla radiologia convenzionale, come una bassa assorbimento di radiazioni, immagini in tempo reale e la capacità di studiare strutture profonde. Abbiamo condotto uno studio di ricerca in cui abbiamo applicato l'ecografia alla cavità orale per determinare se avremmo ottenuto risultati accurati. Abbiamo scoperto che l'ecografia è una tecnica utile per la diagnosi di varie patologie della bocca. Inoltre, ci siamo resi conto che le immagini ecografiche sono utili per fornire informazioni aggiuntive sulla configurazione del tessuto mollica e dei vasi sanguigni..

[Audio] Ulasonography offers an accurate and fast alternative to traditional imaging modalities when diagnosing and monitoring lesions within the oral cavity. Research conducted by the Department of Precision Medicine at the University of Campania Luigi Vanvitelli has demonstrated that the detailed imaging provided by ultrasonography can be used to provide follow up services for patients after the initial diagnosis of oral lesions. Such imaging can be tracked to monitor the progress of the disease, contributing to greater levels of patient comfort and satisfaction..

SYMPTOMS. Pain and Discomfort: Lesions can cause pain and discomfort, affecting an individual's ability to speak, eat, and engage in social interactions comfortably. Self-consciousness: Visible lesions might cause self-consciousness or embarrassment, impacting social confidence and interactions. Functional Impairment: Difficulty in eating, swallowing, or speaking can limit participation in social activities and affect quality of life. Psychological Impact: Constant discomfort or worry about the lesion's appearance can lead to stress, anxiety, or depression..

[Audio] We will be discussing the preliminary experience of using ultrasonography in the oral cavity, as conducted by the Department of Precision Medicine at the University of Campania Luigi Vanvitelli in Naples, Italy. Specifically, the focus is on high frequency ultrasound, a non-invasive imaging modality that uses high-frequency soundwaves to produce images of the skin and adjacent tissues. This method enables accurate assessment of skin thickness, echogenicity, and vascularity, which is important for understanding many oral cavity-related conditions and treatments..

[Audio] Ultrasonography is being increasingly utilized in the oral cavity due to its multiple functions. The University of Campania Luigi Vanvitelli in Naples, Italy conducted a preliminary exploration of its use in the Department of Precision Medicine. This exploration established that ultrasonography is capable of measuring skin thickness, evaluating skin echogenicity, and assessing skin vascularity. Through these measurements, it is possible to gain a quantitative understanding of the skin, allowing for tracking of changes over time and assessment of treatment response. Furthermore, its use in determining echogenicity can aid in identifying areas of inflammation or fibrosis, while its use in evaluating vascularity can aid in recognizing ischemia or hyperemia..

[Audio] At the University of Campania Luigi Vanvitelli in Naples, Italy, the Department of Precision Medicine conducted an experiment to evaluate the efficacy of ultrasound in assessing oral cavity, gum, or tongue lesions. From January 2022 to April 2023, twelve patients were selected for this trial, where they underwent an intraoral UHFUS examination. Following this, an anatomopathological evaluation was done and compared with the UHFUS's findings. This study provides valuable insight into the role of UHFUS in providing diagnosis and care for oral conditions..

RESULTS. Ten patients were diagnosed with several oral pathologies including infiltrating squamous carcinoma, fibrous dysplasia, candidiasis, squamous carcinoma, and post-traumatic fibroma..

[Audio] Ultrasonography is a promising tool for early detection of infiltrating squamous carcinoma in the oral cavity. In our research, we observed hypoechoic structures with irregular stellate borders, as well as increased vascularity in the infiltrating squamous mucosal and submucosal regions. These findings can aid medical professionals in diagnosing and intervening in cases of infiltrating squamous carcinoma much earlier, improving the prognosis and treatment outcomes for patients..

RESULTS. Ultrasonographic assessment revealed hypoechoic structures with irregular, stellate borders and increased vascularity around the infiltrating squamous mucosal and submucosal regions in cases of infiltrating squamous carcinoma..

[Audio] "Ultrasonography can provide valuable information on the extension and level of local involvement of oral candidiasis, which oftentimes is not possible to diagnose using traditional oral cavity examination. For instance, in our case study, candidiasis with ulceration appeared as a hyper-echoic gap with frayed margins and heterogeneous submucosal involvement. The image on the slide shows these findings..

RESULTS. Sublingual post traumatic fibroma presented as an isoechoic esophytic lesion with well-defined margins..

[Audio] "This study found evidence that the use of Ultrasonography in the oral cavity can be useful in monitoring oral tumor progression. In particular, the results indicated a positive correlation between UHFUS measurements and histology for both tumor thickness and depth of invasion. The study showed that UHFUS slightly overestimated these measurements, but that the use of this technology can provide valuable insight into clinical assessment and management of oral lesions..

[Audio] Ultrasonography has proven itself as an imaging method which does not involve any invasive treatments in order to view and examine lesions of the oral cavity. At the University of Campania Luigi Vanvitelli in Naples, Italy, we have observed a steady corrrelation between ultrahigh frequency ultrasound pictures and the pathologic anatomy of mouth lesions. This system may be a great help in diagnosing and treating oral lesions, and our results point to its potential applicability in the evaluation of oral squamous cell carcinomas..

[Audio] The Department of Precision Medicine at the University of Campania Luigi Vanvitelli in Naples, Italy, has conducted an experiment using ultrasonography in the oral cavity that has yielded promising results for early detection of oral lesions. Nevertheless, other steps should also be taken to guarantee a healthy oral cavity, such as regular dental check-ups, a healthy lifestyle and proper oral hygiene. Thus, ultrasound appears to be a very useful tool in the oral cavity, but should be used together with other preventive measures for optimal oral health..

[Audio] Ulasonography is gaining significant traction in both the medical and dental fields for its cost-effectiveness, rapid diagnosis, and patient satisfaction. Our research demonstrated that ultrasonography is an effective and reliable strategy for diagnosing lesions in the oral cavity, enabling healthcare professionals to accurately identify and classify lesions in a timely manner..

[Audio] Ultrasonography has become a increasingly valuable resource for diagnosing, assessing and managing oral cavity lesions. The Department of Precision Medicine at the University of Campania Luigi Vanvitelli in Naples, Italy has had positive results with this technology for post-radiotherapic skin changes. In order to promote the use of ultrasonography, it is necessary to give clinicians better education, make the equipment more accessible and offer training in its use. Taking these measures would allow us to open a great range of opportunities for diagnosis and treatment..

[Audio] The Department of Precision Medicine at the University of Campania Luigi Vanvitelli has achieved preliminary success in utilizing ultrasonography in the oral cavity. Outcomes of this study have been positive, however, there are still multiple areas to investigate and additional research is required. Ultrasonography has considerable potential for applications, and the University of Campania Luigi Vanvitelli is keen to further advance its existing success..

[Audio] Preliminary results of using high frequency ultrasonography in the oral cavity to assess radiotherapy-induced skin changes were presented in this paper. The results suggested that this technique could be a valuable tool in improving the accuracy of such assessments in the future..