Use of Shear Wave Elastography in the Sonographic Triage of Thyroid Nodules: Feasibility Study in a Series of Lesions Already Selected for Fine Needle Aspiration

2018 ◽  
Vol 38 (7) ◽  
pp. 1713-1720 ◽  
Author(s):  
Davide Ippolito ◽  
Stefania Galimberti ◽  
Davide Leni ◽  
Francesco Vacirca ◽  
Ahmed Nasr ◽  
...  
Keyword(s):  
Shear Wave ◽  
Feasibility Study ◽  
Fine Needle Aspiration ◽  
Thyroid Nodules ◽  
Shear Wave Elastography ◽  
Needle Aspiration ◽  
Fine Needle

scholarly journals Comparing the Sensitivity and Specificity of Two-Dimensional Shear Wave Elastography and Fine Needle Aspiration in Determining Malignant Thyroid Nodules

2019 ◽  
Vol 8 (1) ◽  
pp. 30
Author(s):  
SayyidAmir Tabatabaei ◽  
Maryam Farghadani ◽  
Roozbeh Barikbin ◽  
Armindokht Shahsanai ◽  
Maryam Riahinezhad ◽  
...  
Keyword(s):  
Shear Wave ◽  
Sensitivity And Specificity ◽  
Fine Needle Aspiration ◽  
Thyroid Nodules ◽  
Shear Wave Elastography ◽  
Needle Aspiration ◽  
Two Dimensional ◽  
Fine Needle

The incidentaloma of the thyroid

2005 ◽  
Vol 44 (05) ◽  
pp. 213-224
Author(s):  
C. Kobe ◽  
M. Schmidt ◽  
H. Schicha ◽  
M. Dietlein
Keyword(s):  
Risk Stratification ◽  
Fine Needle Aspiration ◽  
Thyroid Nodules ◽  
Outcome Measurement ◽  
Needle Aspiration ◽  
Epidemiological Studies ◽  
Fine Needle ◽  
Small Cancer ◽  
The Family ◽  
Wait And See

Summary:The incidentally detected thyroid nodule using sonography is described as incidentaloma; the most nodules have a diameter up to 1.5 cm. Sonography will detect thyroid nodules in more than 20% of the population in Germany. Epidemiological studies investigating the prevalence of malignancy in such incidentalomas are missing. The incidence of differentiated thyroid cancer is about 3 per 100,000 people and year. However, several monocentric studies have shown a prevalence of malignancy of up to 10% of the thyroid nodules in selected patients’ group. The histology did not found microcarcinomas only, but also small cancer with infiltration of the thyroid capsule, lymph node metastasis or multifocal spread. The studies were not designed for outcome measurement after early and incidental detection of small thyroid cancers. Hypoechogenity, ill defined borders, central hypervascularization or microcalcifications were used as combined criteria for risk stratification. The second method for risk stratification is scintigraphy and further tests are warranted for hypofunctioning nodule ≥1 cm. Additionally, the family history, patient’s age <20 years, former radiation of the neck, and measurement of calcitonin should be regarded. Without such a risk stratification selection for fine needle aspiration is impossible. Fine needle aspiration of non-palpable incidentalomas led to non-representative or unequivocal cytological findings in up to 40%. Because better outcome of incidentally detected small thyroid carcinomas is not proved and because sonography, scintigraphy and fine needle aspiration remain imprecise regarding dignity of incidentalomas, fine needle aspiration is not the standard for small, non-palpable thyroid nodules. Conclusion: For management of incidentaloma, sonographically unsuspicious, scintigraphically indifferent (nodules ≥1 cm) and without any risk factors in patients’ history, wait and see is justified when patient is informed about the problem.

Application of society of radiologists in ultrasound recommendations for fine needle aspiration of thyroid nodules

2017 ◽  
Vol 6 (1) ◽  
pp. 10
Author(s):  
Silpa Kadiyala ◽  
Poonam Agarwal ◽  
V Suresh ◽  
Amith Chowhan ◽  
AY Lakshmi ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Thyroid Nodules ◽  
Needle Aspiration ◽  
Fine Needle
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