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 Radioljournal_title
Clinical radiologyauthors
Chong Y,Shin JH,Ko ES,Han BKdoi
10.1016/j.crad.2013.06.023subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1241-6issue
12eissn
0009-9260issn
1365-229Xpii
S0009-9260(13)00373-5journal_volume
68pub_type
临床试验,杂志文章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
更新日期:1994-06-01 00:00:00
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
更新日期:2005-01-01 00:00:00
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
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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
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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...
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pub_type: 杂志文章
doi:10.1016/j.crad.2015.09.008
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1979-07-01 00:00:00
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
更新日期:1992-04-01 00:00:00
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
更新日期:2014-01-01 00:00:00
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
更新日期:1991-05-01 00:00:00
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
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doi:10.1016/s0009-9260(97)80279-6
更新日期:1997-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.08.012
更新日期:2012-02-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2013.03.017
更新日期:2013-08-01 00:00:00
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
更新日期:2019-01-01 00:00:00
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
更新日期:1991-04-01 00:00:00
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
更新日期:1999-01-01 00:00:00
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
更新日期:1994-07-01 00:00:00
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
更新日期:1982-01-01 00:00:00
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
更新日期:1993-04-01 00:00:00
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
更新日期:1999-02-01 00:00:00
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
更新日期:1987-09-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.crad.2007.09.010
更新日期:2008-03-01 00:00:00
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
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更新日期:2020-09-01 00:00:00
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
更新日期:1991-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.09.016
更新日期:2005-07-01 00:00:00
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
更新日期:1997-04-01 00:00:00
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
更新日期:2002-04-01 00:00:00
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
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更新日期:2018-01-01 00:00:00
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
更新日期:1991-09-01 00:00:00
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
更新日期:1989-09-01 00:00:00
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
更新日期:1986-01-01 00:00:00