CHARACTERIZATION OF SINGLE THYROID NODULES BY CONTRAST-ENHANCED 3-D ULTRASOUND

被引:75
作者
Molinari, Filippo [1 ]
Mantovani, Alice [1 ]
Deandrea, Maurilio [2 ]
Limone, Paolo [2 ]
Garberoglio, Roberto [3 ]
Suri, Jasjit S. [4 ,5 ]
机构
[1] Politecn Torino, Dept Elect, Biolab, I-10129 Turin, Italy
[2] Umberto I Hosp, Endocrinol Sect, Turin, Italy
[3] Fdn Sci Mauriziana ONLUS, Turin, Italy
[4] Biomed Technol Inc, Denver, CO USA
[5] Idaho State Univ, Pocatello, ID 83209 USA
关键词
Contrast-enhanced ultrasound; Thyroid nodule; Skeleton; Vascular assessment; Tumor; POWER DOPPLER ULTRASOUND; THINNING ALGORITHM; MALIGNANCY; DIAGNOSIS; AGENTS;
D O I
10.1016/j.ultrasmedbio.2010.07.011
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
High-resolution ultrasonography (HRUS) has potentialities in differential diagnosis between malignant and benign thyroid lesions, but interpretative pitfalls remain and accuracy is still poor. We developed an image processing technique for characterizing the intra-nodular vascularization of thyroid lesions. Twenty nodules (10 malignant) were analyzed by three-dimensional (3-D) contrast-enhanced ultrasound imaging. The 3-D volumes were preprocessed and skeletonized. Seven vascular parameters were computed on the skeletons: number of vascular trees (NT); vascular density (VD); number of branching nodes (or branching points) (NB); mean vessel radius (MR); 2-D (DM) and 3-D (SOAM) tortuosity; and inflection count metric (ICM). Results showed that the malignant nodules had higher values of NT (83.1 vs. 18.1), VD (00.4 vs. 0.01), NB (1453 vs. 552), DM (51 vs. 18), ICM (19.9 vs. 8.7) and SOAM (26 vs. 11). Quantification of nodular vascularization based on 3-D contrast-enhanced ultrasound and skeletonization could help differential diagnosis of thyroid lesions. (E-mail: filippo.molinari@polito.it) (C) 2010 World Federation for Ultrasound in Medicine & Biology.
引用
收藏
页码:1616 / 1625
页数:10
相关论文
共 25 条
[1]  
Appetecchia M, 2006, J EXP CLIN CANC RES, V25, P325
[2]  
Argalia G, 2002, Radiol Med, V103, P407
[3]   Vascular Pattern and Spectral Parameters of Power Doppler Ultrasound as Predictors of Malignancy Risk in Thyroid Nodules [J].
Bakhshaee, Mehdi ;
Davoudi, Yasamin ;
Mehrabi, Mostafa ;
Layegh, Parvin ;
Mirsadaee, Saadat ;
Rad, Masoud Pezeshki ;
Leyegh, Parvaneh .
LARYNGOSCOPE, 2008, 118 (12) :2182-2186
[4]   Qualitative and quantitative evaluation of solitary thyroid nodules with contrast-enhanced ultrasound: initial results [J].
Bartolotta, Tommaso Vincenzo ;
Midiri, Massimo ;
Galia, Massimo ;
Runza, Giuseppe ;
Attard, Marco ;
Savoia, Giovanni ;
Lagalla, Roberto ;
Cardinale, Adelfio Elio .
EUROPEAN RADIOLOGY, 2006, 16 (10) :2234-2241
[5]   Role of ultrasound in the assessment of nodular thyroid disease [J].
Bastin, S. ;
Bolland, M. J. ;
Croxson, M. S. .
JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, 2009, 53 (02) :177-187
[6]  
Bozbora A, 2002, ACTA CHIR BELG, V102, P259
[7]   Characterization of Thyroid Nodules by 3-D Contrast-Enhanced Ultrasound Imaging [J].
Carraro, Roberta ;
Molinari, Filippo ;
Deandrea, Maurilio ;
Garberoglio, Roberto ;
Suri, Jasjit S. .
2008 30TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOLS 1-8, 2008, :2229-+
[8]   Vascular tree object segmentation by deskeletonization of valley courses [J].
Chen, ZK ;
Molloi, S .
COMPUTERIZED MEDICAL IMAGING AND GRAPHICS, 2002, 26 (06) :419-428
[9]   Prospective evaluation of solitary thyroid nodule on 18F-FDG PET/CT and high-resolution ultrasonography [J].
D'Souza, Maria Mathew ;
Marwaha, Raman Kumar ;
Sharma, Rajnish ;
Jaimini, Abhinav ;
Thomas, Shaji ;
Singh, Dinesh ;
Jain, Manjula ;
Bhalla, Param Jit Singh ;
Tripathi, Madhavi ;
Tiwari, Anjani ;
Mishra, Anil ;
Mondal, Anupam ;
Tripathi, Rajendra Prashad .
ANNALS OF NUCLEAR MEDICINE, 2010, 24 (05) :345-355
[10]  
FRIEDRICHRUST M, 2009, EXP CLIN ENDOCR 1023