The value of ultrasound elastography in differentiation of malignancy in thyroid nodules

被引:13
作者
Akcay, Mehmet Arif [1 ]
Semiz-Oysu, Aslihan [2 ]
Ahiskali, Rengin [3 ]
Aribal, Erkin [4 ]
机构
[1] Sanliurfa Childrens Hosp, Dept Radiol, Sanliwfa, Turkey
[2] Umraniye Training & Res Hosp, Dept Radiol, Istanbul, Turkey
[3] Marmara Univ Hosp, Dept Pathol, Istanbul, Turkey
[4] Marmara Univ Hosp, Dept Radiol, Istanbul, Turkey
关键词
Elastography; Fine needle aspiration biopsy; Nodule; Thyroid gland; Ultrasound; FINE-NEEDLE-ASPIRATION; CAROTID-ARTERY PULSATION; REAL-TIME ELASTOGRAPHY; US-ELASTOGRAPHY; PREDICTING MALIGNANCY; BIOLOGICAL TISSUES; BREAST-LESIONS; DIAGNOSIS; BIOPSY; BENIGN;
D O I
10.1016/j.clinimag.2013.11.008
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We aimed to determine the value of ultrasound elastography (US-E) using carotid artery pulsation in differentiation of malignant and benign thyroid nodules. One hundred ten nodules were evaluated by US-E, and stiffness scores were compared to biopsy results. When cutoff for malignancy was determined as score 4, sensitivity, specificity, positive predictive value, and negative predictive value were 100%, 95%, 40%, and 100%, respectively. We suggest fine needle aspiration biopsy to be performed in all score 4 nodules, while biopsy may be unnecessary in score 1 nodules. Benign biopsy result in a score 4 nodule should suggest radiologicalpathological disagreement, and repeat biopsy should be recommended. (c) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:100 / 103
页数:4
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