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{{Hemangioma}}
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== Overview ==
== Overview ==
Hemangioma is primarily diagnosed based on the clinical presentation. Investigations such as [[Ultrasound]], CT scan or MRI are needed when hemagioma in organs is suspected. The gold standard for diagnosing lumbosacral hemangioma is MRI.


== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==


=== Study of choice ===
=== Study of choice ===
[Name of the investigation] is the gold standard test for the diagnosis of [disease name].
Hemangioma is primarily diagnosed based on the clinical presentation.
 
OR
 
The following result of [gold standard test] is confirmatory of [disease name]:
* [Result 1]
* [Result 2]
 
OR
 
[Name of the investigation] must be performed when:
* The patient presents with [symptom/sign 1], [symptom/sign 2], and [symptom/sign 3].
* A [name of test] is positive for [sign 1], [sign 2], and [sign 3] in the patient.
 
OR
 
[Name of the investigation] is the gold standard test for the diagnosis of [disease name].
 
OR
 
The diagnostic study of choice for [disease name] is [name of the investigation].
 
OR
 
There is no single diagnostic study of choice for the diagnosis of [disease name].
 
OR
 
There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
 
OR
 
[Disease name] is primarily diagnosed based on the clinical presentation.
 
OR
 
Investigations:
* Among the patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
* Among the patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
* Among the patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.
 
==== The comparison of various diagnostic studies for [disease name] ====
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! style="background: #4479BA; color: #FFFFFF; text-align: center;" | Test
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 1
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 2
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
|}
<small> [Name of test with higher sensitivity and specificity] is the preferred investigation based on the sensitivity and specificity</small>


===== Diagnostic results =====
===== Diagnostic results =====
The following finding(s) on performing [investigation name] is(are) confirmatory for [disease name]:
The following findings on performing ultrasound or MRI are confirmatory for hemagioma seen in organs for example hepatic hemangioma:<ref name="pmid8090920">{{cite journal |vauthors=McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ |title=Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging |journal=Radiology |volume=193 |issue=1 |pages=43–7 |date=October 1994 |pmid=8090920 |doi=10.1148/radiology.193.1.8090920 |url=}}</ref><ref name="pmid20828712">{{cite journal |vauthors=Drolet BA, Chamlin SL, Garzon MC, Adams D, Baselga E, Haggstrom AN, Holland KE, Horii KA, Juern A, Lucky AW, Mancini AJ, McCuaig C, Metry DW, Morel KD, Newell BD, Nopper AJ, Powell J, Frieden IJ |title=Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin |journal=J. Pediatr. |volume=157 |issue=5 |pages=789–94 |date=November 2010 |pmid=20828712 |doi=10.1016/j.jpeds.2010.07.054 |url=}}</ref>
* [Finding 1]
* Presence of peripheral enhancement of nodules on contrast ultrasound.
* [Finding 2]
* Presence of smooth, well demarcated mass which has low signal on T1 and high intensity on T2 weighted images.


===== Sequence of Diagnostic Studies =====
===== Sequence of Diagnostic Studies =====
The [name of investigation] must be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.
OR
The various investigations must be performed in the following order:
The various investigations must be performed in the following order:
* [Initial investigation]
* [[Ultrasound]]
* [2nd investigation]
* [[CT-scans]]/ [[MRI]]


=== Name of Diagnostic Criteria ===
=== Name of Diagnostic Criteria ===
 
* There are no established criteria for the diagnosis of hemangioma.
'''It is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.'''
 
[Disease name] is primarily diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
 
OR
 
There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
 
OR
 
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
 
OR
 
The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
 
OR
 
[Disease name] may be diagnosed at any time if one or more of the following criteria are met:
* Criteria 1
* Criteria 2
* Criteria 3
 
OR
 
'''IF there are clear, established diagnostic criteria'''
 
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
 
OR
 
The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
 
OR
 
The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
 
OR
 
'''IF there are no established diagnostic criteria'''
 
There are no established criteria for the diagnosis of [disease name].


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Disease]]
[[Category:Primary care]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Up-To-Date]]
 
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Vascular medicine]]
[[Category:Vascular medicine]]
[[Category:Surgery]]
[[Category:Surgery]]

Latest revision as of 22:01, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

Hemangioma is primarily diagnosed based on the clinical presentation. Investigations such as Ultrasound, CT scan or MRI are needed when hemagioma in organs is suspected. The gold standard for diagnosing lumbosacral hemangioma is MRI.

Diagnostic Study of Choice

Study of choice

Hemangioma is primarily diagnosed based on the clinical presentation.

Diagnostic results

The following findings on performing ultrasound or MRI are confirmatory for hemagioma seen in organs for example hepatic hemangioma:[1][2]

  • Presence of peripheral enhancement of nodules on contrast ultrasound.
  • Presence of smooth, well demarcated mass which has low signal on T1 and high intensity on T2 weighted images.
Sequence of Diagnostic Studies

The various investigations must be performed in the following order:

Name of Diagnostic Criteria

  • There are no established criteria for the diagnosis of hemangioma.

References

  1. ↑ McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ (October 1994). "Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging". Radiology. 193 (1): 43–7. doi:10.1148/radiology.193.1.8090920. PMID 8090920.
  2. ↑ Drolet BA, Chamlin SL, Garzon MC, Adams D, Baselga E, Haggstrom AN, Holland KE, Horii KA, Juern A, Lucky AW, Mancini AJ, McCuaig C, Metry DW, Morel KD, Newell BD, Nopper AJ, Powell J, Frieden IJ (November 2010). "Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin". J. Pediatr. 157 (5): 789–94. doi:10.1016/j.jpeds.2010.07.054. PMID 20828712.

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