To explore the value of transrectal ultrasonography (TRUS) in the diagnosis of rectal carcinoid and assisted transanal endoscopic microsurgery (TEM).
Methods:
Between January 2015 and December 2016
the data of 65 patients with rectal protuberant lesions were collected. Miniprobe sonography (MPS)
colonoscopy
TRUS and pathologic examinations were performed. The TRUS images of rectal carcinoid confirmed by pathology were analyzed to find out the characteristics. The accuracies of colonoscopy
TRUS and MPS in diagnosing rectal
carcinoid were compared. TRUS was applied to localize the lesions before TEM
discover the postoperative surgical complications and follow up.
Results:
The TRUS characteristics of rectal carcinoid includes well-defined boundary
homogeneous echo
hypoechoic nodules with rich blood supply in the submucosa. TRUS had a highaccuracy rate of 96.9% in the diagnosis of rectal carcinoid
similar with MPS (95.4%)
and superior to colonoscopy (81.5%). TRUS was of great value in the preoperative localization of rectal carcinoid
the detection of postoperative complications and follow up.
Conclusion:
TRUS has a high diagnostic value for rectal carcinoid
as good as MPS
and can be used as the first-choice imaging method for TEM.
Standards and requirements for breast ultrasound examination—Shanghai expert consensus on ultrasound quality control (2025)
Value of a nomogram based on ultrasonic features in predicting cervical lymph node metastasis in Hashimoto’s thyroiditis complicated by papillary thyroid carcinoma
Application value of a multifactorial predictive model based on clinical, pathological, and ultrasound features in the preoperative assessment of lymphovascular invasion in breast cancer
Combined ultrasound-based intratumoral and peritumoral radiomics with clinical characteristics predict central lymph node metastasis in papillary thyroid carcinoma patients
Analysis and reflections on the ultrasound quality control indicators of tertiary general hospitals in Shanghai (2023-2024)