Clinical Value of Shear Wave Elastography Color Scores in Classifying Thyroid Nodules

Zhang, Yanxia; Xue, Jiping; Li, Hui-zhan; Miao, Junwang; Chen, Kang

doi:10.2147/ijgm.s331406

Cited by 6 publications

(10 citation statements)

References 34 publications

(32 reference statements)

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“…found that high SE scores might have high diagnostic performance in thyroid nodules with the cutoff over 15 mm compared with the cutoff over 10 mm ( 20 ). Moreover, several studies found that qualitative color pattern SWE was useful to distinguish benign and malignant thyroid nodules ( 10 , 17 ). Tan et al ( 17 ) found that the stiff rim sign was more likely to occur in malignant nodules.…”

Section: Discussionmentioning

confidence: 99%

“…Tan et al ( 17 ) found that the stiff rim sign was more likely to occur in malignant nodules. Zhang et al ( 10 ) reported that qualitative SWE color scores could assist in differentiating thyroid nodules. In this study, we proposed a new qualitative color pattern SWE classification for the differentiation of benign and malignant ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm.…”

Section: Discussionmentioning

confidence: 99%

“…The stiff rim sign of qualitative color pattern SWE was firstly proposed by Zhou et al ( 21 ) for the differentiation of benign and malignant breast lesions, which indicated that the surrounding tissue of lesions had greater hardness, and it might be related to tumor infiltration and desmoplastic reaction into the surrounding tissue of lesions. Several studies used this sign in the differentiation of benign and malignant thyroid nodules ( 10 , 17 ). Tan et al ( 17 ) found that the stiff rim in thyroid nodules was more likely to occur in malignant thyroid nodules, and the malignant rate of thyroid nodules that present a stiff rim sign was 93.10%.…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative color pattern SWE could evaluate the stiffness of the whole thyroid nodule, which might be an effective, convenient, and supplementary method to differentiate thyroid nodules ( 10 ). Moreover, some studies had reported that qualitative color pattern SWE presents good repeatability and diagnostic performance in the diagnosis of breast masses ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

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The value of quantitative and a new qualitative color pattern shear wave elastography for the differentiation of ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm

Yi,

Yang,

Cui

et al. 2024

Front. Endocrinol.

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ObjectiveThis study aims to evaluate the diagnostic performance of quantitative shear wave elastography (SWE) and a new qualitative color pattern SWE for the differentiation of benign and malignant American College of Radiology Thyroid Imaging, Reporting, and Data System (ACR TI-RADS) 4 or 5 category thyroid nodules measuring ≤10 mm.Materials and methodsFrom May 2020 to July 2022, a total of 237 patients with 270 thyroid nodules were enrolled, and conventional ultrasound and SWE examinations were performed for each patient. Each ACR TI-RADS 4 or 5 category thyroid nodule measuring ≤10 mm was evaluated by quantitative SWE and a new qualitative color pattern SWE. The diagnostic performance of quantitative SWE parameters, the new qualitative color pattern SWE, and the combination of SWE with ACR TI-RADS, respectively, for the differentiation of benign and malignant ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm was evaluated and compared.ResultsAmong 270 thyroid nodules in 237 patients, 72 (26.67%) thyroid nodules were benign and 198 (73.33%) thyroid nodules were malignant. The qualitative color pattern SWE showed better diagnostic performance than the quantitative SWE parameters. When combining the qualitative color pattern SWE with ACR TI-RADS scores, with the optimal cutoff value of the total points ≥8, the thyroid nodules were considered malignant. The sensitivity, specificity, accuracy, and AUC were 89.90%, 56.94%, 81.11%, and 0.820 (95% CI: 0.768–0.864), respectively. Compared with using qualitative color pattern SWE alone, the combination of qualitative color pattern SWE and ACR TI-RADS had better diagnostic performance, which was significantly different (p < 0.05).ConclusionThe combination of qualitative SWE color patterns and ACR TI-RADS had high sensitivity and accuracy, which might be a convenient and useful method to differentiate benign and malignant ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm. It would be helpful for the management of thyroid nodules and improving prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The value of quantitative and a new qualitative color pattern shear wave elastography for the differentiation of ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm

Yi,

Yang,

Cui

et al. 2024

Front. Endocrinol.

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“…Nodule presents on elastography as a low elastic nodule, without a rigid border, without internal color homogeneity, no tension in the whole lesion, with blue shading and with focal green dots (31).…”

Section: Elastosonographymentioning

confidence: 99%

ACR TI-RADS^®SCORE ULTRASOUND – PICTORIAL ESSAY OF ULTRASOUND / ELASTOSONOGRAPHY / ANATOMY / CYTOLOGY and HISTOLOGY

Andrade

Oliveira²,

Bittencourt

et al. 2022

Preprint

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Introduction: Thyroid Imaging Reporting and Data System (TI-RADS) is a system for classifying thyroid nodules detected at ultrasonography, aiming at a descriptive standardization as well as to classify their risk of malignancy based on sonographic findings. Aium: To present a pictorial essay by composing anatomical, histological, ultrasound and elastography images of the TI-RADS score. Method: Using software for image composition, based on the ultrasound image of the various types of thyroid nodules, we adapt to the anatomical image, the elastosonography, and histological corresponding TI-RADS and present a pictorial essay. Results: The correlation between the sonographic, elastography, anatomical, cytology and histological images corresponding to the TI-RADS score are demonstrated. Conclusion: Ultrasonographic features, elastosonography, anatomical, and histological in evaluation of thyroid nodules can correlate with features TI-RADS score.

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Diagnostic value of American College of Radiology Thyroid Imaging Reporting and Data System combined with elastography in differentiating clinically atypical subacute thyroiditis from papillary thyroid carcinoma: a single retrospective research

Chen,

Hu,

Sun

et al. 2023

Egypt J Radiol Nucl Med

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Background Common ultrasound imaging is hard to distinguish thyroid nodules of clinically atypical subacute thyroiditis (CAST) with papillary thyroid carcinoma (PTC). The purpose of this study was to investigate the diagnostic value of real-time elastography combined with American College of Radiology Thyroid Imaging Reporting and Data System (ACR-TIRADS) in differentiating these two lesions. Results Centripetal reduction echogenicity was only observed in the CAST nodules, with high specificity (100%) though low sensitivity (23.96%). Echogenic foci yielded good capability for differentiating PTC and CAST, with odds ratio (OR) of 36.572 and AUC of 0.788. Size and ES were independent factors to distinguish the two lesions with OR of 10.709 and 3.697, respectively. The combination of microcalcification, size < 10 mm and ES of 4 showed better AUC (0.885) than echogenic foci alone (p < 0.001). TI-RADS showed high sensitivity (91.23%) with specificity of 30.21% and AUC of 0.607 in predicting malignancy risk of PTC from CAST, while the AUC of ES and the combination of both methods were 0.508 and 0.585, respectively. Conclusions Centripetal reduction echogenicity, echogenic foci, size and ES may assist in the differential diagnosis of CAST and PTC nodules. ACR TI-RADS is superior to ES and the combination of both methods for distinguishing these two lesions.

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Clinical Value of Shear Wave Elastography Color Scores in Classifying Thyroid Nodules

Cited by 6 publications

References 34 publications

The value of quantitative and a new qualitative color pattern shear wave elastography for the differentiation of ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm

The value of quantitative and a new qualitative color pattern shear wave elastography for the differentiation of ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm

ACR TI-RADS^®SCORE ULTRASOUND – PICTORIAL ESSAY OF ULTRASOUND / ELASTOSONOGRAPHY / ANATOMY / CYTOLOGY and HISTOLOGY

Diagnostic value of American College of Radiology Thyroid Imaging Reporting and Data System combined with elastography in differentiating clinically atypical subacute thyroiditis from papillary thyroid carcinoma: a single retrospective research

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Clinical Value of Shear Wave Elastography Color Scores in Classifying Thyroid Nodules

Cited by 6 publications

References 34 publications

The value of quantitative and a new qualitative color pattern shear wave elastography for the differentiation of ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm

The value of quantitative and a new qualitative color pattern shear wave elastography for the differentiation of ACR TI-RADS 4 or 5 category thyroid nodules measuring ≤10 mm

ACR TI-RADS®SCORE ULTRASOUND – PICTORIAL ESSAY OF ULTRASOUND / ELASTOSONOGRAPHY / ANATOMY / CYTOLOGY and HISTOLOGY

Diagnostic value of American College of Radiology Thyroid Imaging Reporting and Data System combined with elastography in differentiating clinically atypical subacute thyroiditis from papillary thyroid carcinoma: a single retrospective research

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ACR TI-RADS^®SCORE ULTRASOUND – PICTORIAL ESSAY OF ULTRASOUND / ELASTOSONOGRAPHY / ANATOMY / CYTOLOGY and HISTOLOGY