The role of sonoelastography in acute, subacute and chronic thyroiditis: a novel application of the method

Ruchała, Marek; Szczepanek‐Parulska, Ewelina; Zybek, Ariadna; Moczko, Jerzy; Czarnywojtek, Agata; Kamiński, Grzegorz; Sowiński, Jerzy

doi:10.1530/eje-11-0736

Cited by 64 publications

(92 citation statements)

References 24 publications

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“…Baseline thyroid stiffness in SGT was higher than in CAT (36.15±18.7 kPa, p<0.0001) and healthy control subjects (16.18±5.4 kPa, p<0.0001). In the remission of SGT, thyroid stiffness was lower than that found in CAT (p=0.006), and higher comparing with healthy control subjects (p=0.0008) [66].…”

Section: Color Doppler Imagingmentioning

confidence: 64%

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Thyroid Ultrasound: State of the Art Part 1 – Thyroid Ultrasound reporting and Diffuse Thyroid Diseases

et al. 2017

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Accurate differentiation of focal thyroid nodules (FTL) and thyroid abnormalities is pivotal for proper diagnostic and therapeutic work-up. In these two part articles, the role of ultrasound techniques in the characterization of FTL and evaluation of diffuse thyroid diseases is described to expand on the recently published World Federation in Ultrasound and Medicine (WFUMB) thyroid elastography guidelines and review how this guideline fits into a complete thyroid ultrasound exam.

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Section: Color Doppler Imagingmentioning

confidence: 64%

“…Subacute inflammatory pseudonodules were found to have greater stiffness comparing with nodules found in chronic thyroiditis, and in this condition, elastography could be unable to detect thyroid cancer [66].…”

Section: Color Doppler Imagingmentioning

confidence: 81%

Thyroid Ultrasound: State of the Art Part 1 – Thyroid Ultrasound reporting and Diffuse Thyroid Diseases

et al. 2017

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“…It is this property of SE, which we have especially utilized (estimating longitudinal extent and depth of spongiofibrotic segment) in the evaluation of anterior urethral strictures; as spongiofibrosis is one of the most important determinant in planning treatment and prognosis. [2,17,21] To our best knowledge, this is the first study assessing the role of sonoelastography in the evaluation of anterior urethral strictures, which could be a promising potential target for this upcoming imaging technology.…”

Section: Discussionmentioning

confidence: 99%

“…[1,3] Sonoelastography also known as virtual or electronic palpation is a novel technique used for measurement of tissue stiffness. [21] Compared to manual palpation which has a historical importance in physical examination, [22] SE has an advantage of evaluating deeper lesions and furthermore it is semi-quantifiable. The basic principle of this technique is that an abnormal tissue (i.e.…”

Section: Discussionmentioning

confidence: 99%

Comparison of sonoelastography with sonourethrography and retrograde urethrography in the evaluation of male anterior urethral strictures

Talreja

Tomar

Yadav

et al. 2016

Turkish Journal of Urology

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Objective: Retrograde urethrography (RUG) is the most common and preferred imaging modality for imaging of the anterior urethral strictures despite its well-known limitations and disadvantages. Sonourethrography (SUG) was introduced in 1988 to overcome the limitations of RUG and to provide more accurate results. As proper selection of imaging modality is very important for planning the treatment, various advances in this area are required. One of the major factors for recurrence of stricture disease is spongiofibrosis. Sonoelastography (SE) is a newer technique, tried in various other pathologies. In this study, we have used this technique for the first time to assess its efficacy in the evaluation of anterior urethral stricture disease by comparison with RUG and SUG. Material and methods:Between August 2014 and May 2015, 77 patients with clinical features of anterior urethral stricture disease were included in the study and evaluated by RUG followed by SUG and SE for stricture location, length, depth of spongiofibrosis and periurethral pathologies. The results were then correlated with operative and histopathological findings. Results:Overall diagnostic accuracy of SE, SUG, and RGU for the estimation of stricture location, and length were estimated 92.68% vs. 91.54%, 79% vs. 78.87% and 80.48% vs. 43.66%, respectively, while for depth of spongiofibrosis SE, and SUG had accuracy rates of 87.3%, 48%, respectively. The mean length measured on SE was nearest to the mean intra-operative stricture length (21.34+11.8 mm). SE findings significantly correlated with the colour of bladder mucosa on cystoscopic examination (p=0.003) whereas the association was nonsignificant (p=0.127) for difficulty in incision. While a nonsignificant correlation existed between SUG findings related both to the colour of the bladder mucosa and difficulty in incision on cystoscopy, SE findings had a significant association (p<0.001) with histopathology findings for severe degree of fibrosis. Conclusion:Sonoelastography estimates stricture site and length better in comparison with RUG and SUG. It estimates degree of spongiofibrosis which serves as an important prognostic factor for stricture recurrence more accurately than SUG.

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“…Also some new techniques, such as elastography, are believed to improve the reliability of diagnosis. This has been described as a very useful tool in differentiating between benign and malignant thyroid lesions [9][10][11] and diagnostics of other thyroid diseases, such as Graves' disease, chronic or subacute thyroiditis [12][13][14]. Especially shear wave elastography (SWE), a new variant of thyroid imaging, is considered as more objective, reliable and reproducible.…”

Section: Introductionmentioning

confidence: 99%

Jak typować guzy do biopsji aspiracyjnej cienkoigłowej w wolu wieloguzkowym? Rola konwencjonalnej ultrasonografii oraz elastografii fali poprzecznej — badanie pilotażowe

Woliński¹,

Szczepanek‐Parulska²,

Stangierski³

et al. 2014

Endokrynologia Polska

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Introduction: The wide prevalence and relatively low malignancy ratio of thyroid nodular disease (TND) make the selection of suspicious lesions for fine-needle aspiration biopsy (FNAB) a vital problem in endocrinology. Apart from the decision as to whether FNAB is necessary, there is often a second problem -which nodule or nodules to choose in a case of multinodular goitre (MNG), when the number of lesions may be high. The aim of this study was to compare the usefulness of conventional ultrasonography (US) to that of a novel method of tissue stiffness assessment -shear wave elastography (SWE) -in differentiating between malignant and benign nodules and in selecting the most suspicious lesions in MNG. Material and methods: Patients with MNG, referred for thyroidectomy irrespectively of indications for surgery, underwent thyroid US and SWE examination before surgery, between August and December 2010. Results of these examinations were correlated with the histopathological outcomes. Results: 80 patients with 339 thyroid nodules were included. Ten thyroid cancers (TCs) in ten patients were diagnosed in histopathology. All ten cancers were the least elastic lesions in MNG (using quantitative data on maximal tissue stiffness). Four cancers appeared as the biggest lesions in MNG, while one was equally the biggest in a particular goitre (there were other lesions of the same size) taking into account maximal diameter. Three of ten cancers possessed the highest number of suspicious features in MNG, a further four had the highest number equally, with at least one other lesion in the same goitre. Conclusions: On the basis of our results, the relatively high stiffness of a lesion compared to other nodules from the same MNG should be considered as a strong argument for choosing that particular one for FNAB. (Endokrynol Pol 2014; 65 (2): 114-118)

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The role of sonoelastography in acute, subacute and chronic thyroiditis: a novel application of the method

Abstract: Objective: Reports on sonoelastography, which provide an objective estimation of tissue elasticity, are scarce in terms of thyroiditis. The aim of this study was to prospectively assess the applicability of sonoelastography in different types of thyroiditis.

Cited by 64 publications

References 24 publications

Thyroid Ultrasound: State of the Art Part 1 – Thyroid Ultrasound reporting and Diffuse Thyroid Diseases

Thyroid Ultrasound: State of the Art Part 1 – Thyroid Ultrasound reporting and Diffuse Thyroid Diseases

Comparison of sonoelastography with sonourethrography and retrograde urethrography in the evaluation of male anterior urethral strictures

Jak typować guzy do biopsji aspiracyjnej cienkoigłowej w wolu wieloguzkowym? Rola konwencjonalnej ultrasonografii oraz elastografii fali poprzecznej — badanie pilotażowe

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