Diagnostic Accuracy and Reliability of Ultrasoundelastography in the Evaluation of Thyroid Nodules

Bender, Ömer; Kiliç, Yusuf Erkan; Hot, Semih; Ertürk, Aslı; Coskun, Zafer Unsal; Akan, Arzu

doi:10.5222/otd.2012.151

Cited by 2 publications

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“…In this study, the performance of score 5 in detecting malignancy was lower than of score 1 to detect benign lesions. Also, the sensitivity and specificity of UE scoring was 58.4% and 71.0%, respectively [ 48 ]. The fact that there are many studies on UE application in thyroid nodules attracts attention despite its high specificity and sensitivity.…”

Section: Discussionmentioning

confidence: 99%

“…As USG waves do not pass through calcifications, the method can be misleading in strongly calcified nodules. In purely cystic nodules, it is not right to apply UE as nodules neighboring bigger veins and complex nodules with cystic components have more liquid tissue elasticity [ 48 , 49 ]. Technically, it may not be applied on patients with conglomerate-looking multiple nodules.…”

Section: Discussionmentioning

confidence: 99%

“…Technically, it may not be applied on patients with conglomerate-looking multiple nodules. Although UE has more successful results in classic papillas and variant papillary cancer, there is not enough data about its application in follicular, medullary, anaplastic carcinoma, lymphoma and secondary metastasis [ 41 , 43 , 45 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

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Sonographic Elastography of the Thyroid Gland

2016

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SummaryThyroid gland disorders include benign and malignant thyroid nodules and diffuse thyroid disorders. The incidence of malignant thyroid nodules is low and the prognosis is good. The diagnosis of thyroid cancer and diffuse parenchymal disorders is generally based on clinical manifestations and histopathological evaluation. Ultrasonography has its place in the diagnostics and follow-up of thyroid disorders. Ultrasonographic elastography is a new, developing method that shows increase in clinical practice. In this study, we aimed to review the data on thyroid ultrasound elastography.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sonographic Elastography of the Thyroid Gland

2016

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“…Thyroid nodules are common lesions that are clinically difficult to diagnose (1). While nodules are detected in 19-67% of the population by ultrasonography, only 5-15% of these nodules are malignant (2).…”

Section: Introductionmentioning

confidence: 99%

Tiroid nodüllerinin benign ve malign ayırıcı tanısında gerçek zamanlı elastografinin etkinliğinin araştırılması

TUNA,

KAVUKCU,

HEKİMSOY

et al. 2022

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Aim: The aim of this study was to evaluate the efficiency of real-time elastography (RTE) in the differential diagnosis of thyroid nodules. Materials and Methods: Fifty-two patients with 60 thyroid nodules were included in this study. Real-time elastography examinations were performed on the axial and longitudinal planes. Elastography images were classified between score 1 (whole nodule is soft) and score 5 (hardness in whole nodule and surrounding tissues). Nodules with scores of 1, 2 and 3 were considered benign, and nodules with scores of 4 and 5 were considered malignant. Nodule-to-sternocleidomastoid and thyroid tissue-to-nodule strain ratios (SR) were calculated. The nodules were evaluated by means of size, echogenicity, border, presence of halo and microcalcifications. Elasticity scores and mean strain ratios of all nodules were compared with the cytological or histopathological diagnosis. Results: Forty-three of all cases were benign, and seventeen were malignant. Hypoechogenicity, microcalcifications and absence of halo were statistically related but irregular margins, and a high elasticity score were not statistically related to malignancy. The diagnostic performance of strain ratio was found insignificant. Nodule echogenicity had the highest accuracy among all nodule characteristics. Conclusion: Diagnostic performance of real-time elastography in the differentiation of benign and malignant thyroid nodules is suboptimal. Real-time elastography is not an alternative to gray scale ultrasound.

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Diagnostic Accuracy and Reliability of Ultrasoundelastography in the Evaluation of Thyroid Nodules

Cited by 2 publications

References 0 publications

Sonographic Elastography of the Thyroid Gland

Sonographic Elastography of the Thyroid Gland

Tiroid nodüllerinin benign ve malign ayırıcı tanısında gerçek zamanlı elastografinin etkinliğinin araştırılması

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