Description

Solbiati et al developed a simple index for evaluating an enlarged lymph node based on dimensions determined during ultrasonography.


 

Parameters:

(1) longitudinal length of the lymph node in mm (L)

(2) transverse diameter of the lymph node in mm (T)

 

Solbiati index = L/T ratio =

= (longitudinal length) / (transverse diameter)

 

Interpretation:

• A ratio >= 2.0 is usually associated with benign processes.

• A ratio < 2 is usually seen with malignant processes.

 

Performance:

• According to Vassallo et al, a lymph node with a diameter < 8 mm is associated with false positives.

• Micrometastases cannot be detected by any imaging system, although the level of detection is constantly improving..

 


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