Оn the need to introduce the TI-RADS classification in Russia

Fisenko, Elena P.; Sencha, Alexander N.; Катрич, А. Н.; Sych, Yulia P.; Tsvetkova, Nadezhda V.; Борсуков, А. В.; Костромина, Е. В.

doi:10.14341/ket10115

Cited by 7 publications

(1 citation statement)

References 17 publications

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“…При обращении пациентов в клинику во всех случаях проведена оценка стратификации риска по раку ЩЖ. При контрольном амбулаторном УЗИ (Phillips Epiq5 (США), Acuson S-2000 (Германия), Mindrаy DC-8 (Китай)) проведен анализ ультразвуковой картины узлов ЩЖ с оценкой «больших» и «малых» эхопризнаков по градациям TI-RADS [15]. По итогам исследования TI-RADS2 установлено у 17 человек, TI-RADS3 -у 11, TI-RADS4 -у 90, TI-RADS5 -у 6.…”

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The Selection of Patients for Minimally Invasive Procedures on the Thyroid Nodules

Saltykova

Aleksandrov

Patrunov

2020

Tavricheskiy Mediko-Biologicheskiy Vestnik

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Percutaneous laser ablation (PLA), high-intensity focused ultrasound (HIFU), and ultrasound-guided sclerotherapy (PIE) are minimally invasive treatments for benign thyroid nodules (MIT). Methods have different effectiveness depending on the size, structure, and localization of thyroid nodes. When selecting patients for treatment, the technical and biological features of various minimally invasive treatment methods are essential. Out of 124 people with thyroid nodules, 32 patients were selected for minimally invasive treatment. Conducting minimally invasive treatment and evaluating early treatment results in 32 people allowed us to identify the characteristics of thyroid nodes that affect the choice of modes of methods, the technique of their implementation, as well as the likely prognosis of the results of treatment of thyroid nodes (partial regression, complete destruction, the formation of fibrosis). When selecting patients for minimally invasive treatment, the leading method is ultrasound, which allows us to objectively assess risks, prevent possible complications, and predict the dynamics of inflammatory and regenerative processes based on the analysis of the ultrasound pattern.

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Section: материал и методыunclassified

The Selection of Patients for Minimally Invasive Procedures on the Thyroid Nodules

Saltykova

Aleksandrov

Patrunov

2020

Tavricheskiy Mediko-Biologicheskiy Vestnik

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Ultrasound patterns of metastases from papillary thyroid cancer in soft tissues of the neck

Parshin

Веселова

Bespalov

et al. 2022

Issled. prakt. med. (Print)

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Purpose of the study. To assess ultrasound features and patterns of features for metastatic papillary thyroid cancer (PTC) in soft tissues of the neck.Materials and methods. The study included 335 histologically confirmed metastases and 102 benign lymph nodes (LN). Statistical processing was carried out in the SPSS program. The reliability between the groups was assessed by criterion t with a significance level of p < 0.05. The informative value of ultrasound signs and patterns of signs, and the probability of the presence of metastasis using binary logistic regression are calculated.Results. The 14 criteria for metastasis have been studied. There are 33 signs, i.e. types of criteria. During the statistical analysis, six most informative criteria were established: calcifications, contours, shape, depth-to-width ratio in the transverse scanning plane, state (differentiation) of the cortical and cerebral layers, echostructure. To create complexes (patterns) of ultrasonic signs, a combination of these signs was used among themselves, and five patterns were established. The first pattern, including the depth-to-width ratio in the transverse scanning plane and the echo structure, has a sensitivity (Se) of 97 %, diagnostic accuracy (Ac) of 96.5 %, area under the curve (AUC) of 96 %, the probability ranges from 95 to 99 %. The Se of the second pattern, including the ratio of depth to width in the transverse scanning plane, echostructure and shape, was 97.2 %, Ac – 96.8 %, AUC – 97.3 %, probability – 95–100 %. The third pattern, including the ratio of depth to width in the transverse scanning plane, nature, shape and contours, and the fourth pattern, including the following criteria, the ratio of depth to width in the transverse scanning plane, echostructure, shape, contours and differentiation into cortical and cerebral layers, have Se 96.9 %, Ac – 97.1 %, AUC – 98.7 %, probability – 88–100 %. The fifth pattern, including the ratio of depth to width in the transverse scanning plane, echostructure, shape; contours; state (differentiation) of the cortical and cerebral layers; calcinates, has Se – 99.6 %, Ac – 99.5 %, AUC – 99.9 %, probability – 94–100 %.Conclusion. Five patterns of metastatic involvement of lymph nodes in PTC were found. The informative value of US increased from the first to the fifth pattern achieving a Se of 99.6 %, Ac of 99.5 %, AUC of 99.9 %. The probability ranged from 94 % to 100 %.

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Dissection of the VI cervical lymph collector for papillary thyroid cancer

Aleksandrov

Dyakiv²

2022

Perm Medical Journal

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Objective. To assess the expediency and necessity of implementing the dissection of the central cervical lymph nodes (group VI) in patients with papillary thyroid cancer. Materials and methods. The results of preoperative examination, surgical treatment and its follow-up were evaluated in 210 patients, who along with thyreoidectomy, underwent dissection of the central cervical lymph nodes (group VI). Results. It was established that for papillary thyroid cancer, a high frequency of cervical lymph node metastasis is typical. During the preoperative examination, (US and cytological study), metastases were detected in 23.5 % of patients, and while pathomorphological study of the removed central neck cellular tissue in 47.4 % more. Therefore, preventive dissection of the central cervical lymph nodes (VI group) is worthwhile. Though expansion of the volume of operations in patients with papillary thyroid cancer at the expense of dissecting the central cervical lymph nodes in addition to the thyroid gland, leads to insignificant elevation of the number of complications but in the remote period (35 years), volume expansion of operations has no negative impact on the indicators of physical and psychical components of the life quality. Conclusions. The obtained objective information regarding the presence or absence of metastatic lesion of the cervical lymph nodes permits to ground the process staging in papillary thyroid cancer and form treatment tactics.

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Оn the need to introduce the TI-RADS classification in Russia

Cited by 7 publications

References 17 publications

The Selection of Patients for Minimally Invasive Procedures on the Thyroid Nodules

The Selection of Patients for Minimally Invasive Procedures on the Thyroid Nodules

Ultrasound patterns of metastases from papillary thyroid cancer in soft tissues of the neck

Dissection of the VI cervical lymph collector for papillary thyroid cancer

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