갑상선 탄성 초음파 검사 시 칼라 오버레이 패턴의 유용성
Usefulness of Color-overlay Pattern of Thyroid Elastic Ultrasonography
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초록
The color overlay pattern of thyroid shear wave elastography applied in this study distinguishes benign and malignant nodules based on the optimal cut-off value of 74.2 kPa. From august 2021 to september 2021, thyroid ultrasound and elastography were performed on 57 patients with thyroid lesions using an ultrasound device RS85 prestige (Samsung Medison, Korea) and a 2-14 MHz linear transducer. In addition, the results of classification by K-TIRADS for each thyroid nodule and the results of classification by color overlay pattern according to the kPa value of acoustic ultrasound were compared and analyzed. In the color overlay pattern, the results classified as 40 people from dark blue to light blue and 17 people from green to red were similar to the K-TIRADS category results, which were classified as 42 benign and 15 malignant. Between blue and light blue, benign, and between green and red, malignant. If the shear wave elastography method is applied before the fine-needle aspiration cytology of the thyroid nodule is performed, the differential diagnosis of thyroid tissue from benign and malignant can be predicted in advance, and it will help to reduce unnecessary invasive tests.
Abstract
The color overlay pattern of thyroid shear wave elastography applied in this study distinguishes benign and malignant nodules based on the optimal cut-off value of 74.2 kPa. From august 2021 to september 2021, thyroid ultrasound and elastography were performed on 57 patients with thyroid lesions using an ultrasound device RS85 prestige (Samsung Medison, Korea) and a 2-14 MHz linear transducer. In addition, the results of classification by K-TIRADS for each thyroid nodule and the results of classification by color overlay pattern according to the kPa value of acoustic ultrasound were compared and analyzed. In the color overlay pattern, the results classified as 40 people from dark blue to light blue and 17 people from green to red were similar to the K-TIRADS category results, which were classified as 42 benign and 15 malignant. Between blue and light blue, benign, and between green and red, malignant. If the shear wave elastography method is applied before the fine-needle aspiration cytology of the thyroid nodule is performed, the differential diagnosis of thyroid tissue from benign and malignant can be predicted in advance, and it will help to reduce unnecessary invasive tests.
참고문헌 (15)
- 하은주, "Primary Imaging Test and Appropriate Biopsy Methods for Thyroid Nodules: Guidelines by Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency", Korean Journal of Radiology, 19(4), pp.623~631 (2018), 대한영상의학회[DOI]
- Annual report of cancer statistics in Korea in 2018, "Ministry of Health and Welfare", ~
- 이가희, "갑상선 결절의 최신 진료 지침: 대한갑상선학회 갑상선 결절 및 암 진료 권고안 개정안을 중심으로", 대한내과학회지, 80(2), pp.158~161 (2011), 대한내과학회
- Hegedus L, "Clinical practice. The thyroid nodule", N Engl J Med, 351, pp.1764~1771 (2004)
- 한수연, "Discrepancies between the ultrasonographic and gross pathological size of papillary thyroid carcinomas", ULTRASONOGRAPHY, 35(3), pp.220~225 (2016), 대한초음파의학회
- Kim EK, "New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid", AJR Am J Roentgenol, 178, pp.687~691 (2002)
- Cappelli C, "The predictive value of ultrasound findings in the management of thyroid nodules", QJM, 100, pp.29~35 (2007)
- Baloch ZW, "Fineneedle aspiration of thyroid : An institutional experience", Thyroid, 8, pp.565~569 (1998)
- Agrawal S, "Diagnostic accuracy and role of fine needle aspiration cytology in management of thyroid nodules", J Surg Oncol, 58, pp.168~172 (1995)
- Khurana KK, "The role of ultrasonography-guided fine-needle aspiration biopsy in the management of nonpalpable and palpable thyroid nodules", Thyroid, 8, pp.511~515 (1998)
- 이혜진, "당뇨병 진단기준으로 헤모글로빈A1C의 역할", 대한내과학회지, 79(5), pp.495~499 (2010), 대한내과학회
- Lerner RM, "“Sonoelasticity” images derived from ultrasound signals in mechanically vibrated tissues", Ultrasound Med Biol, 16, pp.231~239 (1990)
- Ophir J, "Elastography : Ultrasonic estimation and imaging of the elastic properties of tissues", Proc Inst Mech Eng H, 213, pp.203~233 (1999)
- 이가희, "2016년 대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안", International Journal of Thyroidology, 9(2), pp.59~126 (2016), 대한갑상선학회
- Ophir J, "Elastographic imaging", Ultrasound Med Biol, 26, pp.S23~S29 (2000)