갑상선결절에서 추가 횡파 탄성 초음파검사의진단정확성: 체계적 문헌고찰과 메타분석
Diagnostic Performance of Shear Wave Elastography as Add-on Test in Thyroid Nodules: a Systematic Review and Meta-Analysis
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background and Objectives: The diagnostic performance of shear wave elastography (SWE) combined with ultrasound (US) in the differential diagnosis of thyroid nodules was evaluated. Materials and Methods: 459 articles were collected using KoreaMed, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. The searching words were ‘{(elastography and shear).mp. OR SWE.mp. OR acoustic radiation force impulse.mp. OR ARFI.mp. OR acuson.mp. OR aixplorer.mp.}’. Two authors independently performed article selection and evaluation of the quality of studies with Scottish Intercollegiate Guidelines Network tool. Results: 2582 specimens (thyroid nodules) from 11 studies selected were included in this review. Combined use of US and SWE was reported higher specificity in five literatures, lower specificity in five studies, and no changes in 1 study when compared to US. We performed meta-analysis using data from 10 studies. The pooled sensitivity and specificity of US and SWE group for the differential diagnosis of benign and malignant nodules were 0.91 (I2=83.4%), 0.73 (I2=95.9%). The pooled sensitivity and specificity of US alone group were 0.88 (I2=93.2%), 0.71 (I2=92.7%). Conclusion: SWE is not effective in the differential diagnosis of thyroid nodules to minimize unnecessary biopsy of nodules. The included studies showed significant heterogeneity of results.
Abstract
Background and Objectives: The diagnostic performance of shear wave elastography (SWE) combined with ultrasound (US) in the differential diagnosis of thyroid nodules was evaluated. Materials and Methods: 459 articles were collected using KoreaMed, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. The searching words were ‘{(elastography and shear).mp. OR SWE.mp. OR acoustic radiation force impulse.mp. OR ARFI.mp. OR acuson.mp. OR aixplorer.mp.}’. Two authors independently performed article selection and evaluation of the quality of studies with Scottish Intercollegiate Guidelines Network tool. Results: 2582 specimens (thyroid nodules) from 11 studies selected were included in this review. Combined use of US and SWE was reported higher specificity in five literatures, lower specificity in five studies, and no changes in 1 study when compared to US. We performed meta-analysis using data from 10 studies. The pooled sensitivity and specificity of US and SWE group for the differential diagnosis of benign and malignant nodules were 0.91 (I2=83.4%), 0.73 (I2=95.9%). The pooled sensitivity and specificity of US alone group were 0.88 (I2=93.2%), 0.71 (I2=92.7%). Conclusion: SWE is not effective in the differential diagnosis of thyroid nodules to minimize unnecessary biopsy of nodules. The included studies showed significant heterogeneity of results.
참고문헌 (29)
- 이가희, "갑상선 결절의 최신 진료 지침: 대한갑상선학회 갑상선 결절 및 암 진료 권고안 개정안을 중심으로", 대한내과학회지, 80(2), pp.158~161 (2011), 대한내과학회
- Park YJ, "Epidemiology of thyroid nodules in screening", pp.1~66 (2015), National Evidence Collaborating Agency
- Gharib H, "Thyroid nodules: clinical importance, assessment, and treatment", Endocrinol Metab Clin North Am, 36(3), pp.707~735 (2007)[DOI]
- Ross DS, "Nonpalpable thyroid nodules--managing an epidemic", J Clin Endocrinol Metab, 87(5), pp.1938~1940 (2002)
- Tan GH, "Thyroid incidentalomas: management approaches to nonpalpable nodules discovered incidentally on thyroid imaging", Ann Intern Med, 126(3), pp.226~231 (1997)[DOI]
- 이가희, "대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안", Endocrinology and Metabolism, 25(4), pp.270~297 (2010), 대한내분비학회
- Tian W, "Comparison of diagnostic accuracy of real-time elastography and shear wave elastography in differentiation malignant from benign thyroid nodules", Medicine (Baltimore), 94(52), pp.e2312~ (2015)[DOI]
- Xing P, "Differentiation of benign from malignant thyroid lesions: calculation of the strain ratio on thyroid sonoelastography", J Ultrasound Med, 30(5), pp.663~669 (2011)[DOI]
- Zhang B, "Shear wave elastography for differentiation of benign and malignant thyroid nodules: a meta-analysis", J Ultrasound Med, 32(12), pp.2163~2169 (2013)[DOI]
- Tamsel S, "Power Doppler US patterns of vascularity and spectral Doppler US parameters in predicting malignancy in thyroid nodules", Clin Radiol, 62(3), pp.245~251 (2007)[DOI]
- Cappelli C, "Thyroid nodule shape suggests malignancy", Eur J Endocrinol, 155(1), pp.27~31 (2006)[DOI]
- Ophir J, "Elastography: ultrasonic estimation and imaging of the elastic properties of tissues", Proc Inst Mech Eng H, 213(3), pp.203~233 (1999)
- Lerner RM, ""Sonoelasticity" images derived from ultrasound signals in mechanically vibrated tissues", Ultrasound Med Biol, 16(3), pp.231~239 (1990)[DOI]
- Dong FJ, "Acoustic radiation force impulse imaging for detecting thyroid nodules: a systematic review and pooled meta-analysis", Med Ultrason, 17(2), pp.192~199 (2015)[DOI]
- Zhan J, "Comparative study of acoustic radiation force impulse imaging with real-time elastography in differential diagnosis of thyroid nodules", Ultrasound Med Biol, 39(12), pp.2217~2225 (2013)[DOI]
- "Scottish Intercollegiate Guidelines Network: SIGN methodology checklist"[URL]
- "Scottish Intercollegiate Guidelines Network: SIGN 50- a guideline developer's handbook"[URL]
- Higgins JP, "Measuring inconsistency in meta-analyses", BMJ, 327(7414), pp.557~560 (2003)[DOI]
- Duan SB, "Diagnostic value of two-dimensional shear wave elastography in papillary thyroid microcarcinoma", Onco Targets Ther, 9, pp.1311~1317 (2016)
- Wang F, "Does shear wave elastography provide additional value in the evaluation of thyroid nodules that are suspicious for malignancy?", J Ultrasound Med, 35(11), pp.2397~2404 (2016)[DOI]
- Liu B, "Two-dimensional shear wave elastography as promising diagnostic tool for predicting malignant thyroid nodules: a prospective single-centre experience", Eur Radiol, 25(3), pp.624~634 (2015)[DOI]
- Park AY, "Shear wave elastography of thyroid nodules for the prediction of malignancy in a large scale study", Eur J Radiol, 84(3), pp.407~412 (2015)[DOI]
- Kim H, "Quantitative assessment of shear-wave ultrasound elastography in thyroid nodules: diagnostic performance for predicting malignancy", Eur Radiol, 23(9), pp.2532~2537 (2013)[DOI]
- Veyrieres JB, "A threshold value in shear wave elastography to rule out malignant thyroid nodules: a reality?", Eur J Radiol, 81(12), pp.3965~3972 (2012)[DOI]
- 곽진영, "정량적 갑상선 조직 탄성도 분석을 통한 전단파 탄성초음파의 갑상선암 진단 유용성에 관한 연구 연세대학교", International Journal of Thyroidology, 4(2), pp.109~113 (2011), 대한갑상선학회
- Sebag F, "Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules", J Clin Endocrinol Metab, 95(12), pp.5281~5288 (2010)[DOI]
- Xing P, "Combination of conventional ultrasound and tissue quantification using acoustic radiation force impulse technology for differential diagnosis of small thyroid nodules", Int J Clin Exp Med, 9(5), pp.8288~8295 (2016)
- Zhang YF, "Acoustic radiation force impulse elastography: a useful tool for differential diagnosis of thyroid nodules and recommending fine-needle aspiration: a diagnostic accuracy study", Medicine (Baltimore), 94(42), pp.e1834~ (2015)[DOI]
- Zhang YF, "Acoustic radiation force impulse elastography in the diagnosis of thyroid nodules: useful or not useful?", Ultrasound Med Biol, 41(10), pp.2581~2593 (2015)[DOI]