Abstract:
OBJECTIVE:Nearly all reported parathyroid cancers are >15 mm at presentation. The objective was to identify ultrasound criteria of malignancy in parathyroid lesions of >15 mm in size. MATERIALS AND METHODS:This study was approved by a local ethics committee. A retrospective review of patients identified from a database from 2004-2009 was performed. All patients underwent ultrasound imaging according to the protocol. Two trained observers categorized findings using the pre-determined features: shape, calcification, pattern of vascularity, local infiltration and internal lesion gray scale appearances. RESULTS:Sixty-nine patients (mean age 54.3 years, range 19-79 years; male = 16, female = 53) fulfilled the criteria of a parathyroid lesion >15 mm; 8/69 (11.6%) with parathyroid cancer and 61/69 (88.4%) with benign solitary parathyroid adenoma. A high positive predictive value (PPV) for cancer was identified for infiltration (PPV 100%) and calcification (PPV 100%), whilst a high negative predictive value (NPV) was found for the absence of suspicious vascularity (NPV 97.6%), a thick capsule (NPV 96.7) and inhomogeneity (NPV 100%). CONCLUSION:In lesions >15 mm systematic ultrasound assessment of specific features provides a valuable tool to identify parathyroid cancers before surgery.
journal_name
Eur Radioljournal_title
European radiologyauthors
Sidhu PS,Talat N,Patel P,Mulholland NJ,Schulte KMdoi
10.1007/s00330-011-2141-3subject
Has Abstractpub_date
2011-09-01 00:00:00pages
1865-73issue
9eissn
0938-7994issn
1432-1084journal_volume
21pub_type
杂志文章abstract:OBJECTIVES:To assess the relative diagnostic utility of low- and standard-dose computed tomography (CT)-guided lung biopsy. METHODS:In this single-center, single-blind, prospective, randomized controlled trial, patients were enrolled between November 2016 and June 2017. Enrolled study participants were randomly select...
journal_title:European radiology
pub_type: 杂志文章
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abstract:OBJECTIVES:This study was conducted in order to evaluate whether enhancement types on preoperative MRI can reflect prognostic factors and surgical outcomes in invasive breast cancer. METHODS:Among 484 consecutive patients who underwent preoperative breast MRI from October 2014 to July 2017 for biopsy-proven breast can...
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pub_type: 杂志文章,多中心研究
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abstract:OBJECTIVES:To evaluate whether post-contrast cone-beam breast CT (CBBCT) alone is comparable to the current standard of combined pre- and post-contrast CBBCT regarding diagnostic accuracy and superior regarding radiation exposure. MATERIAL AND METHODS:This study included 49 women (61 breasts) with median age 57.9 year...
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abstract::Diverticular disease is a common condition in Western countries. The formation of inflammatory fistulae, usually from sigmoid colon to bladder or vagina, can be a feature of complicated cases of the disorder and is normally an indication for surgical intervention. We present a case of colosalpingeal fistulation occurr...
journal_title:European radiology
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doi:10.1007/s003300050864
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abstract::The technique of thrombolysis is now well established, becoming employed increasingly often in disease of the peripheral vasculature, both arterial and venous, in addition to its important role in the treatment of coronary artery thrombosis. This is a general review of its applications in peripheral vascular disease c...
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abstract::An unusual case of myositis ossificans traumatica lesion located in the paraspinal region is reported. Despite the contiguity of the lesion with the cervical vertebrae and ominous appearance of the biopsy material, the history of antecedent trauma and computed tomography findings allowed preoperative accurate diagnosi...
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abstract::The aim of this study was to describe a new sonographic sign of bone fracture and to determine if it can be helpful in decreasing the number of missed fractures of the proximal humerus. Ultrasound (US) of the shoulder was performed in 57 consecutive patients with shoulder pain and/or disability following trauma. All c...
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更新日期:2007-03-01 00:00:00
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更新日期:2019-06-01 00:00:00
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更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:To evaluate tissue perfusion and venous susceptibility in ischaemic stroke patients as a means to predict clinical status and early prognosis. METHODS:A retrospective study of 51 ischaemic stroke patients were enrolled in this study. Susceptibility, perfusion and National Institute of Health stroke scale (N...
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更新日期:2017-06-01 00:00:00
abstract::The value of 31P-magnetic resonance spectroscopy (MRS) as a possible tool to distinguish viable from non-viable tissue after myocardial infarction was analysed in humans. Fifteen patients 3 weeks after anterior myocardial infarction were studied with breath-hold cine MRI and 3D-CSI MRS (1.5 T system). 31P-spectra were...
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更新日期:2017-01-01 00:00:00
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更新日期:2001-01-01 00:00:00
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更新日期:2017-10-01 00:00:00
abstract::This technical note describes the use of dynamic MRI in the diagnosis of groin herniations. A review of the anatomy of the groin is presented and 4 representative cases are described. This paper indicates that dynamic MRI can be used to confirm the diagnosis in patients with clinically evident groin herniations. ...
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doi:10.1007/s003300050377
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doi:10.1007/BF00240701
更新日期:1996-01-01 00:00:00
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更新日期:2003-06-01 00:00:00