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Ultrasound Microvascular Blood Flow Evaluation: A New Tool for the Management of Thyroid Nodule?
المؤلفون المشاركون
Casella, Claudio
Cappelli, Carlo
Pirola, Ilenia
Gandossi, Elena
Castellano, Maurizio
Cristiano, Alessandra
Marini, Fiorella
Lombardi, Davide
Agosti, Barbara
Ferlin, Alberto
المصدر
International Journal of Endocrinology
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-03-25
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Toshiba Medical System has developed a new Doppler technique [Superb Microvascular Imaging (SMI)] that has improved microvascular flow imaging.
SMI depicts perinodular and intranodular thyroid microvascular flow in higher detail compared to standard colour Doppler (CD) and power Doppler (PD) imaging.
Objective.
Assess the nodular microvascular architecture by SMI compared to CD and PD features in a series of thyroid nodules submitted to fine needle aspiration cytology, in order to evaluate the potential of SMI in detecting thyroid cancer.
Materials and Methods.
From April 2016 to July 2017, 254 patients with thyroid nodules, evaluated as at high risk for malignancy in agreement with AACE/ACE/AME guidelines, were submitted to cytology.
All nodules were previously submitted to ultrasound grayscale, CD, PD, and SMI evaluation.
Benign and malignant nodules were stratified in accordance to the number of vessels visualised by SMI: score 1 with a maximum of two blood vessels and score 2 with three or more vessels.
Results.
Score 1 was found in 59.6% of benign nodules and in 17.9% of malignant nodules, whereas score 2 was found in 40.4% and in 82.1%, respectively (sensitivity 81.7%; specificity 60.5%, p<0.001).
Variables significantly associated with malignancy in the univariate analysis were gender (OR, 0.18; 95% CI, 0.08-0.37; p<0.001), vascularity (OR, 1.91; 95% CI, 1.65-3.89; p<0.001), and SMI (OR, 6.72; 95% CI, 3.89-11.59; p<0.001); multivariate logistic model confirmed SMI score 2 as an independent risk factor for malignancy (OR, 6.99; 95% CI, 3.46-12.09; p<0.001).
Conclusions.
This prospective pilot study showed that SMI can depict intranodular flow in higher detail compared to CDI and PDI, thus improving thyroid cancer detection.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cappelli, Carlo& Pirola, Ilenia& Gandossi, Elena& Marini, Fiorella& Cristiano, Alessandra& Casella, Claudio…[et al.]. 2019. Ultrasound Microvascular Blood Flow Evaluation: A New Tool for the Management of Thyroid Nodule?. International Journal of Endocrinology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1160057
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cappelli, Carlo…[et al.]. Ultrasound Microvascular Blood Flow Evaluation: A New Tool for the Management of Thyroid Nodule?. International Journal of Endocrinology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1160057
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cappelli, Carlo& Pirola, Ilenia& Gandossi, Elena& Marini, Fiorella& Cristiano, Alessandra& Casella, Claudio…[et al.]. Ultrasound Microvascular Blood Flow Evaluation: A New Tool for the Management of Thyroid Nodule?. International Journal of Endocrinology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1160057
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1160057
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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