La diagnostica per immagini nello studio degli angiomi iperplasici cutanei

Introduction The hyperplasic hemangioma is a immature vases ball. The diagnosis asks for the study of the anatomical elements (mass, location, confinements) with the echography US and dynamic elements (vascular shanks and FAV fistula artery-venous) with the termography (TC termography to contact, TTD teletermography) and the ecography (ECD echo-color-Doppler, PD power-Doppler). Purpose they have been correlated the different techniques to individualize that in the diagnostic one of routine can define the clinical gravity and the evolution of the hemangioma. Materials and Methods have been included in the study, 52 males and 98 females, of 1-60 months with emangioma. The finds have been correlated TC, TTD, ECD and PD recorded at the beginning and at the end of therapeutic wait. Results The peduncles and the FAVs resulted were respectively present - to the beginning of the therapeutic wait to the PD in 142 and 107 cases, to the ECD in 135 and 102 cases, to the TTD in 134 and 101 cases, to the TC in 128 and 93 cases - at the end of wait to the PD in 25 and 21 cases, to the ECD and the TTD in 20 and 18 cases, to the TC in 15 and 13 cases. The correlations underline: p = 0,9929 between PD and TC, p = 0,9982 between PD eTTD, p = 0,9999 between ECD and TTD. Discussion the growth or the regression depend on the capacity of the vascular plot. The progression or the reduction of the lesion is underlined by the increase or by the diminution of the mass and of the number of the peduncles and of the FAVs. The results underline a decreasing sensibility of the investigations PD (100% of the cases), ECD (93,2203% of the cases), TTD (92,5423% of the cases) and TC (84,4067% of the cases). Conclusions The intensity of the vascular flow (number of fistulas and peduncles) allows to distinguish the natural history of the hemangioma in 5 evolutionary phases. Considering the correlations of Spearman the ECD can be the only necessary and enough investigation to the evaluation of the natural history of the cutaneous hemangioma of the infancy.