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

2022; Elsevier BV; Volume: 237; Linguagem: Inglês

10.1016/j.prp.2022.154003

1618-0631

Vincenzo Ricci, Costantino Ricci, Giulio Cocco, Danilo Donati, Giacomo Farì, Kamál Mezian, Ondřej Naňka, Levent Özçakar,

Dermatologic Treatments and Research

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.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.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.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.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.