The role of elastosonography, gray-scale and colour flow Doppler sonography in prediction of malignancy in thyroid nodules
Identifieur interne : 006D71 ( Ncbi/Curation ); précédent : 006D70; suivant : 006D72The role of elastosonography, gray-scale and colour flow Doppler sonography in prediction of malignancy in thyroid nodules
Auteurs : Idil Gunes Tatar [Turquie] ; Aydin Kurt [Turquie] ; Kerim Bora Yilmaz [Turquie] ; Mehmet Do An [Turquie] ; Baki Hekimoglu [Turquie] ; Sema Hucumenoglu [Turquie]Source :
- Radiology and Oncology [ 1318-2099 ] ; 2014.
Abstract
Ultrasound is as a noninvasive method commonly used in the work-up of thyroid nodules. This study aimed to evaluate the usefulness of sonographic and elastosonographic parameters in the discrimination of malignancy.
150 thyroid nodules were evaluated by gray-scale, Doppler and elastosonography. The cytological analysis revealed that 141 nodules were benign and 9 were malignant.
Orientation of the nodule was the only sonographic parameter associated with malignancy (p = 0.003). In the strain ratio analysis the best cut-off point was 1.935 to discriminate malignancy (p = 0.000), with 100% sensitivity, 76% specificity, 100% negative predictive value, 78.5% positive predictive value and 78% accuracy rate. There was a statistically significant correlation between the elasticity score and malignancy (p = 0.001). Most of the benign nodules had score 2 and 3, none of them displayed score 5. On the other hand, none of the malignant nodules had score 1 and 2, most of them displaying score 5.
A change in the diagnostic algorithm of the thyroid nodules should be considered integrating the elastosonographic analysis.
Url:
DOI: 10.2478/raon-2014-0007
PubMed: 25435847
PubMed Central: 4230554
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xml:lang="fr">Turquie</country><wicri:regionArea> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Yilmaz, Kerim Bora" sort="Yilmaz, Kerim Bora" uniqKey="Yilmaz K" first="Kerim Bora" last="Yilmaz">Kerim Bora Yilmaz</name><affiliation wicri:level="1"><nlm:aff id="af2-rado-48-04-348"> Department of General Surgery, Ankara Diskapi Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of General Surgery, Ankara Diskapi Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Do An, Mehmet" sort="Do An, Mehmet" uniqKey="Do An M" first="Mehmet" last="Do An">Mehmet Do An</name><affiliation wicri:level="1"><nlm:aff id="af3-rado-48-04-348"> Department of Pathology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of Pathology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Hekimoglu, Baki" sort="Hekimoglu, Baki" uniqKey="Hekimoglu B" first="Baki" last="Hekimoglu">Baki Hekimoglu</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-48-04-348"> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Hucumenoglu, Sema" sort="Hucumenoglu, Sema" uniqKey="Hucumenoglu S" first="Sema" last="Hucumenoglu">Sema Hucumenoglu</name><affiliation wicri:level="1"><nlm:aff id="af4-rado-48-04-348"> Ankara Research and Training Hospital, Department of Pathology, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Ankara Research and Training Hospital, Department of Pathology, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25435847</idno><idno type="pmc">4230554</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230554</idno><idno type="RBID">PMC:4230554</idno><idno type="doi">10.2478/raon-2014-0007</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">004616</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004616</idno><idno type="wicri:Area/Pmc/Curation">004615</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004615</idno><idno type="wicri:Area/Pmc/Checkpoint">001682</idno><idno type="wicri:explorRef" 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Kurt</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-48-04-348"> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Yilmaz, Kerim Bora" sort="Yilmaz, Kerim Bora" uniqKey="Yilmaz K" first="Kerim Bora" last="Yilmaz">Kerim Bora Yilmaz</name><affiliation wicri:level="1"><nlm:aff id="af2-rado-48-04-348"> Department of General Surgery, Ankara Diskapi Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of General Surgery, Ankara Diskapi Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Do An, Mehmet" sort="Do An, Mehmet" uniqKey="Do An M" first="Mehmet" last="Do An">Mehmet Do An</name><affiliation wicri:level="1"><nlm:aff id="af3-rado-48-04-348"> Department of Pathology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of Pathology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Hekimoglu, Baki" sort="Hekimoglu, Baki" uniqKey="Hekimoglu B" first="Baki" last="Hekimoglu">Baki Hekimoglu</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-48-04-348"> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Department of Radiology, Ankara Diskapı Training and Research Hospital, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Hucumenoglu, Sema" sort="Hucumenoglu, Sema" uniqKey="Hucumenoglu S" first="Sema" last="Hucumenoglu">Sema Hucumenoglu</name><affiliation wicri:level="1"><nlm:aff id="af4-rado-48-04-348"> Ankara Research and Training Hospital, Department of Pathology, Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea> Ankara Research and Training Hospital, Department of Pathology, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></analytic><series><title level="j">Radiology and Oncology</title><idno type="ISSN">1318-2099</idno><idno type="eISSN">1581-3207</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Ultrasound is as a noninvasive method commonly used in the work-up of thyroid nodules. This study aimed to evaluate the usefulness of sonographic and elastosonographic parameters in the discrimination of malignancy.</p></sec><sec><title>Patients and methods.</title><p>150 thyroid nodules were evaluated by gray-scale, Doppler and elastosonography. The cytological analysis revealed that 141 nodules were benign and 9 were malignant.</p></sec><sec><title>Results</title><p>Orientation of the nodule was the only sonographic parameter associated with malignancy (p = 0.003). In the strain ratio analysis the best cut-off point was 1.935 to discriminate malignancy (p = 0.000), with 100% sensitivity, 76% specificity, 100% negative predictive value, 78.5% positive predictive value and 78% accuracy rate. There was a statistically significant correlation between the elasticity score and malignancy (p = 0.001). Most of the benign nodules had score 2 and 3, none of them displayed score 5. On the other hand, none of the malignant nodules had score 1 and 2, most of them displaying score 5.</p></sec><sec><title>Conclusions</title><p>A change in the diagnostic algorithm of the thyroid nodules should be considered integrating the elastosonographic analysis.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Frates, Mc" uniqKey="Frates M">MC Frates</name></author><author><name sortKey="Benson, Cb" uniqKey="Benson C">CB Benson</name></author><author><name sortKey="Doubilet, Pm" uniqKey="Doubilet P">PM Doubilet</name></author><author><name sortKey="Kunreuther, E" uniqKey="Kunreuther E">E Kunreuther</name></author><author><name sortKey="Contreras, M" uniqKey="Contreras M">M Contreras</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Castro, Mr" uniqKey="Castro M">MR Castro</name></author><author><name sortKey="Gharib, H" uniqKey="Gharib H">H 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