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Echogenicity (sometimes as echogenecity) or echogeneity is the ability to bounce an echo, e.g. return the signal in medical ultrasound examinations. In other words, echogenicity is higher when the surface bouncing the sound echo reflects increased sound waves.
Some authors consider that early pronounced contrast enhancement of a nodule within 1–2 cm developed on a cirrhotic liver is sufficient for HCC diagnosis. These results prove that for a correct characterization of the lesions it is necessary to extend the examination time to 5 minutes or even longer. [citation needed] Fig. 11.
Tumor characterization using the ultrasound method will be based on the following elements: consistency (solid, liquid, mixed), echogenicity, structure appearance (homogeneous or heterogeneous), delineation from adjacent liver parenchyma (capsular, imprecise), elasticity, posterior acoustic enhancement effect, the relation with neighboring ...
On ultrasound, HCC often appears as a small hypoechoic lesion with poorly defined margins and coarse, irregular internal echoes. When the tumor grows, it can sometimes appear heterogeneous with fibrosis, fatty change, and calcifications. This heterogeneity can look similar to cirrhosis and the surrounding liver parenchyma.
For example, it is recommended that people with chronic liver disease who are at risk for hepatocellular carcinoma be screened every 6 months using ultrasound imaging. [8] Because liver cancer is an umbrella term for many types of cancer, the signs and symptoms depend on what type of cancer is present. Symptoms can be vague and broad.
On ultrasound, a Sertoli cell tumour appears as a hypoechoic intratesticular lesion which is usually solitary. However, the large cell subtype might present as multiple and bilateral masses with large areas of calcification. An MRI may also be conducted, but this typically is not definitive. [2]
The ultrasound findings of tuberculous orchitis are as follow: (a) diffusely enlarged heterogeneously hypoechoic testis (b) diffusely enlarged homogeneously hypoechoic testis (c) nodular enlarged heterogeneously hypoechoic testis and (d) presence of multiple small hypoechoic nodules in an enlarged testis [Fig. 21b].
Another imaging modality, which is ultrasound elastography, is also useful in diagnosing thyroid malignancy especially for follicular thyroid cancer. However, it is limited by the presence of adequate amount of normal tissue around the lesion, calcified shell around a nodule, cystic nodules, coalescent nodules. [15]