Ultrasonographic elastography of thyroid nodules: is adding strain ratio to colour mapping better?

Abstract:

AIM:To determine the diagnostic performance of colour mapping and strain ratio for characterizing malignant thyroid nodules on ultrasonographic (US) elastography. MATERIALS AND METHODS:The study was approved by the institutional review board and written informed consent was obtained. One hundred and thirty-one patients with 142 thyroid nodules >0.5 cm were prospectively enrolled between July 2010 and January 2011. Seven radiologists performed US elastography (iU22 Vision 2010; Philips, Seattle, WA, USA) using colour mapping and strain ratio for thyroid nodules blinded to the cytopathological results. Diagnostic performances of colour mapping alone, strain ratio alone, colour mapping and strain ratio, and colour mapping or strain ratio were compared using receiver operating characteristic (ROC) curve analysis. RESULTS:Of the 142 nodules, 69 (48.6%) were benign and 73 (51.4%) were malignant. Colour mapping of elastography showed a more frequent blue colour in malignant nodules than in benign nodules (65.8% versus 24.6%, p < 0.0001). A higher ratio than 1.21 as the best cut-off value was found in 65.8% of malignant nodules and 46.4% of benign nodules (p = 0.030). Area under the ROC curve (AUC) of colour mapping alone was significantly greater than that of colour mapping or strain ratio (AUC = 0.706 versus AUC = 0.63, p = 0.0195) and similar to that of colour mapping and strain ratio (AUC = 0.673, p = 0.1364). CONCLUSION:US elastography is helpful to predict malignant thyroid nodules. However, adding strain ratio to colour mapping does not improve performance compared to colour mapping alone.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Chong Y,Shin JH,Ko ES,Han BK

doi

10.1016/j.crad.2013.06.023

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1241-6

issue

12

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(13)00373-5

journal_volume

68

pub_type

临床试验,杂志文章
  • Case report: grey scale and colour Doppler ultrasound appearance of acute sarcoidosis of the parotid gland.

    abstract::Sarcoidosis is a relatively common disease with protean clinical manifestations. Involvement of the parotid glands in the acute presentation is well recognized but the grey scale and colour Doppler appearances are less well so. These are described in a case where imaging and biopsy proved valuable in the diagnosis of ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81832-x

    authors: Kelly IM,Lees WR,Watts RW

    更新日期:1994-06-01 00:00:00

  • Features of cardiac disease demonstrated on CT pulmonary angiography.

    abstract::The heart and mediastinal structures can be overlooked at CT pulmonary angiogram (CTPA). This pictorial review will demonstrate the features of cardiac disease that may be evident on a CTPA. CTPA allows assessment of not only the pulmonary arteries for embolism, but also of the bronchi, lung parenchyma, mediastinum an...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2004.07.005

    authors: McKie SJ,Hardwick DJ,Reid JH,Murchison JT

    更新日期:2005-01-01 00:00:00

  • Posteromedial corner injuries of the knee.

    abstract::Magnetic resonance imaging (MRI) depicts in exquisite detail the supporting structures of the posteromedial corner of the knee. This musculoligamentous unit plays a central role as a dynamic stabilizer of the knee joint and the recognition of injury to the posteromedial corner carries important implications in terms o...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2006.11.024

    authors: House CV,Connell DA,Saifuddin A

    更新日期:2007-06-01 00:00:00

  • With advances in medical imaging can the radiologist reliably diagnose Wilms' tumours?

    abstract:AIM:To evaluate whether radiologists can accurately differentiate Wilms' tumours from other paediatric abdominal masses with renal involvement using modern imaging methods alone. METHODS:From February 1993 to June 1997, 23 patients presented to the Paediatric Oncology Service at The Royal Hospital for Sick Children, E...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(99)90563-9

    authors: Scott DJ,Wallace WH,Hendry GM

    更新日期:1999-05-01 00:00:00

  • The radiological diagnosis of frontotemporal dementia in everyday practice: an audit of reports, review of diagnostic criteria, and proposal for service improvement.

    abstract:AIM:To investigate how commonly valuable diagnostic information regarding the frontotemporal dementias (FTDs) may be missed on routine radiological reporting. MATERIALS AND METHODS:The magnetic resonance imaging (MRI) examination results of a series of 39 consecutive patients in whom the diagnosis was initially though...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.09.008

    authors: Dewer B,Rogers P,Ricketts J,Mukonoweshuro W,Zeman A

    更新日期:2016-01-01 00:00:00

  • Carcinoma of the cervix: results of a hyperbaric oxygen trial associated with the use of the cathetron.

    abstract::Since 1971, 82 patients with advanced carcinoma of the cervix have been included in a randomised clinical trial in association with the Working Party on Radiotherapy and Hyperbaric Oxygen of the Medical Research Council. External irradiation was given in 10 fractions by an unconventional schedule, either in air or HBO...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0009-9260(79)80213-5

    authors: Ward AJ,Dixon B

    更新日期:1979-07-01 00:00:00

  • CT-guided drainage of pelvic abscesses: the peranal transrectal approach.

    abstract::Five patients with deep pelvic abscesses underwent computed tomography (CT)-guided catheter drainage using a transrectal approach. The use of an outer removable plastic sheath over the catheter to facilitate positioning and prevent inadvertent damage to the mucosal wall is described. This new approach using CT guidanc...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80007-8

    authors: Lomas DJ,Dixon AK,Thomson HJ,St John Collier D

    更新日期:1992-04-01 00:00:00

  • CT imaging of complications of catheter ablation for atrial fibrillation.

    abstract::The complication rate following radiofrequency catheter ablation for atrial fibrillation is low (<5%). Complications include pericardial effusion, cardiac tamponade, pulmonary vein stenosis, oesophageal ulceration or perforation, atrio-oesophageal fistula formation, stroke/transient ischaemic attack, phrenic nerve inj...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2013.08.018

    authors: Shroff GS,Guirguis MS,Ferguson EC,Oldham SA,Kantharia BK

    更新日期:2014-01-01 00:00:00

  • Chest radiographs are unreliable in predicting thrombi in the left atrium or its appendage in rheumatic mitral stenosis.

    abstract::We have assessed the diagnostic accuracy of a flat or concave left mid-cardiac border (the region of the left atrial appendage) on conventional postero-anterior chest radiographs as a predictor of the presence of thrombi in the left atrium or its appendage in 80 patients with rheumatic mitral stenosis who subsequently...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80543-4

    authors: Sharma S,Kumar MV,Aggarwal S,Reddy VM,Kaul U,Rajani M,Venugopal P

    更新日期:1991-05-01 00:00:00

  • Ductus arteriosus aneurysm in the adult: role of computed tomography in diagnosis.

    abstract::Aneurysm of the ductus arteriosus has been reported in children more frequently than in adults [1-4]. The rarity of the lesion explains the low rate of recognition by the radiologist, especially because symptoms are non-specific in most cases. Clinically and radiologically, aneurysm of the ductal diverticulum can be c...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(97)80279-6

    authors: Taneja K,Gulati M,Jain M,Saxena A,Das B,Rajani M

    更新日期:1997-03-01 00:00:00

  • Tumour heterogeneity in oesophageal cancer assessed by CT texture analysis: preliminary evidence of an association with tumour metabolism, stage, and survival.

    abstract:AIM:To undertake a pilot study assessing whether tumour heterogeneity evaluated using computed tomography texture analysis (CTTA) has the potential to provide a marker of tumour aggression and prognosis in oesophageal cancer. MATERIALS AND METHODS:In 21 patients, unenhanced CT images of the primary oesophageal lesion ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2011.08.012

    authors: Ganeshan B,Skogen K,Pressney I,Coutroubis D,Miles K

    更新日期:2012-02-01 00:00:00

  • Retrospective evaluation and dating of non-accidental rib fractures in infants.

    abstract:AIM:To describe the sequential appearance of healing rib fractures on initial and follow-up radiographs using published guidelines in approximating the age of rib fractures in infants with the aim of establishing a more objective method of dating rib fractures by measuring the thickness of the callous formation. MATER...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2013.03.017

    authors: Sanchez TR,Nguyen H,Palacios W,Doherty M,Coulter K

    更新日期:2013-08-01 00:00:00

  • Differentiation of focal organising pneumonia and peripheral adenocarcinoma in solid lung lesions using thin-section CT-based radiomics.

    abstract:AIM:To evaluate the predictive role of radiomics based on computed tomography (CT) in discriminating focal organising pneumonia (FOP) from peripheral lung adenocarcinoma (LA). MATERIALS AND METHODS:Institutional research board approval was obtained for this retrospective study. One hundred and seventeen patients with ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.08.014

    authors: Zhang T,Yuan M,Zhong Y,Zhang YD,Li H,Wu JF,Yu TF

    更新日期:2019-01-01 00:00:00

  • The empty rectum on plain X-ray. Does it have any significance in the neonate?

    abstract::The absence of rectal gas is said to be a sign of Hirschsprung's disease, especially when there is also gaseous distension of the bowel proximally. This paper reviews 136 neonates who had plain abdominal radiographs. There were 83 patients with multiple examinations, of which 52 (63%) showed variability in the presenc...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80253-3

    authors: Bradley MJ,Pilling D

    更新日期:1991-04-01 00:00:00

  • Stenosis in the aorta caused by non-specific aortitis: results of treatment by percutaneous stent placement.

    abstract:AIM:To evaluate the short-term results of percutaneous stent placement in treating stenosis in the aorta caused by non-specific aortitis (Takayasu's disease). METHOD:Five patients were treated by this method, all of whom had uncontrolled hypertension, haemodynamically significant stenosis in the aorta and a clinically...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(99)91239-4

    authors: Sharma S,Bahl VK,Saxena A,Kothari SS,Talwar KK,Rajani M

    更新日期:1999-01-01 00:00:00

  • Diaphragmatic herniation of the large bowel.

    abstract::We present 19 patients who were found to have colonic herniation into the chest via the oesophageal hiatus on barium enema. This was demonstrated by showing the position of the hernia and its intimate association with the oesophagus at barium swallow. In nearly all cases there was a co-existent partially volved hernia...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81743-x

    authors: Jewell FM,Tesar PA,Virjee J

    更新日期:1994-07-01 00:00:00

  • Extrinsic compression of the third part of the duodenum.

    abstract::The clinical findings in 12 patients who exhibited marked to-and-fro peristalsis in the duodenum with extrinsic compression of the third part and proximal dilatation at barium meal examination are described. In nine cases the compression was thought to be due to the superior mesenteric artery and its mesentery. In two...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(82)80358-9

    authors: Anderson JR,Earnshaw PM,Fraser GM

    更新日期:1982-01-01 00:00:00

  • Case report: torsion of the gall-bladder on ultrasound--differentiation from acalculous cholecystitis.

    abstract::Acalculous cholecystitis is usually seen in critically-ill patients while torsion of the gall-bladder tends to arise de novo, pre-disposed to by an absent mesentery. There are ultrasonic features in common but the most useful distinguishing finding is the sign of the 'floating gall-bladder'. A case is reported and the...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81142-0

    authors: Cameron EW,Beale TJ,Pearson RH

    更新日期:1993-04-01 00:00:00

  • Hickmans in unusual places.

    abstract::Radiologists now commonly insert long-term indwelling right atrial catheters. The insertion of these catheters in patients with limited venous access is a challenging clinical problem. Our experience in dealing with patients with limited venous access from a series of 500 Hickman catheter insertions is presented, as a...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(99)91071-1

    authors: Murphy JM,Wallis F,Molloy MP

    更新日期:1999-02-01 00:00:00

  • Three-dimensional reformations of computed tomography in the assessment of facial trauma.

    abstract::Three-dimensional (3D) computed tomography (CT) reformations were obtained in 15 patients presenting with facial injuries of differing severity. The 3D images were compared with standard radiographs and high resolution CT, including multiplanar reformations, and assessed under the headings of fracture detection, exten...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(87)80144-7

    authors: Gillespie JE,Isherwood I,Barker GR,Quayle AA

    更新日期:1987-09-01 00:00:00

  • Diagnostic value of CT for deep vein thrombosis: results of a systematic review and meta-analysis.

    abstract:AIM:To estimate the sensitivity and specificity of computed tomography (CT) for the diagnosis of deep vein thrombosis (DVT) in patients with suspected DVT and pulmonary embolus (PE). MATERIALS AND METHODS:A search of the medical literature and citation lists was undertaken, and selected studies comparing CT to a refer...

    journal_title:Clinical radiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.crad.2007.09.010

    authors: Thomas SM,Goodacre SW,Sampson FC,van Beek EJ

    更新日期:2008-03-01 00:00:00

  • Cone-beam computed tomography and its applications in dental and maxillofacial radiology.

    abstract::Cone-beam computed tomography (CBCT) was first used in dental and maxillofacial radiology (DMFR) at the end of the 1990s. Since then, it has been successfully established as the standard three-dimensional radiographic imaging technique in DMFR, with a wide variety of applications in this field. This manuscript briefly...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2020.04.006

    authors: Schulze RKW,Drage NA

    更新日期:2020-09-01 00:00:00

  • Case report: Tuberculous hepatic and splenic abscess.

    abstract::Tuberculous abscess of the liver is rare and delay in diagnosis is common. The case of a 66-year-old Singaporean Chinese female with tuberculous liver abscess is reported. The abscess had an unusual septated ('honeycomb-like') ultrasonographic and computed tomographic appearance and the diagnosis was made with difficu...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80484-2

    authors: Wilde CC,Kueh YK

    更新日期:1991-03-01 00:00:00

  • Comparative evaluation of magnetization transfer contrast and fluid attenuated inversion recovery sequences in brain tuberculoma.

    abstract:AIM:To compare T1-weighted magnetization transfer (MT) with fluid attenuated inversion recovery (FLAIR) imaging for evaluating conspicuity and number of lesions in individuals with brain tuberculoma. MATERIALS AND METHODS:In all 28 patients with brain tuberculoma underwent MR examination using fast spin-echo (FSE) T2,...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2004.09.016

    authors: Saxena S,Prakash M,Kumar S,Gupta RK

    更新日期:2005-07-01 00:00:00

  • Sonography of cutaneous non-Hodgkin's lymphomas.

    abstract::Sonographic examination (10 MHz) of 25 patients with cutaneous non-Hodgkin's lymphomas of B-cell type (10 patients), of T-cell type (nine patients) and non-B non-T-cell type (six patients) demonstrated "diffuse' (11 patients) and "focal' patterns (14 patients): the former, which can be described as an homogeneous, hyp...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(97)80059-1

    authors: Giovagnorio F

    更新日期:1997-04-01 00:00:00

  • Magnetic resonance imaging of Trilucent TM breast implants.

    abstract:AIM:To demonstrate the magnetic resonance imaging (MRI) appearances of intact and ruptured Trilucent TM implants with imaging and surgical correlation. The appearances of the implant transponder artefact are also described MATERIALS AND METHODS:A retrospective review of the MRI findings in 34 patients with bilateral s...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2001.0767

    authors: Elson EM,Jones A,King R,Chapman P,Stanek J,Irvine AT,Bingham JB

    更新日期:2002-04-01 00:00:00

  • Contemporary imaging of auditory implants.

    abstract::There have been significant advances in the diversity and effectiveness of hearing technologies in recent years. Implanted auditory devices may be divided into those that stimulate the cochlear hair cells (bone conduction devices and middle ear implants), and those that stimulate the neural structures (cochlear implan...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2017.03.002

    authors: Connor SEJ

    更新日期:2018-01-01 00:00:00

  • Technical report: an injection technique for repositioning subclavian catheters.

    abstract::Malpositioned central venous catheters need to be repositioned so as to avoid local toxicity from chemotherapeutic and other agents and to prevent venous thrombosis. We describe a simple, safe and effective technique for repositioning silicone central venous catheters, by using a hand injection of sterile saline. It w...

    journal_title:Clinical radiology

    pub_type:

    doi:10.1016/s0009-9260(05)80871-2

    authors: Mahon T,Lawrence D Sr

    更新日期:1991-09-01 00:00:00

  • The hemipelvis: an unusual site of osteonecrosis. A report of two cases.

    abstract::Osteonecrosis or aseptic necrosis is well-recognised in certain sites. We report two patients, both with predisposing factors, who developed avascular necrosis of the hemipelvis which was bilateral in one case. In each patient the diagnosis was not suspected clinically. In the initial phase, bone scintigraphy showed d...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(89)80259-4

    authors: Sissons GR,Hayward MW

    更新日期:1989-09-01 00:00:00

  • Improved control of primary vaginal tumours by combined external-beam and interstitial radiotherapy.

    abstract::In 20 years we have seen only 78 cases of primary vaginal cancer. 61 patients had squamous carcinoma, three had adenocarcinoma, 10 had clear-cell carcinoma, four of which may have been metastatic from carcinoma of the kidney, and four had malignant melanoma. The actuarial 5-year survival of patients with squamous canc...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(86)80160-x

    authors: MacNaught R,Symonds RP,Hole D,Watson ER

    更新日期:1986-01-01 00:00:00