Denizli bölgesinde baş-boyun tümörlerinin dağılımı ve klinik kaynak kullanımına etkisi.

Ezber, Aslınur; Köroğlu, Melike; Yildiz, Gizdem; Ardıç, Fazíl Necdet

doi:10.31362/patd.629867

Cited by 1 publication

(1 citation statement)

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“…18 There are many studies to demonstrate microflow within the nodules with traditional Doppler methods in the literature. 19,20 In Doppler US, the detection of a punctate blood supply area within the nodule or the hypervascular nature of the nodule center was found to be significant in terms of detecting malignant nodules. 21 However, in many studies in the literature, it has been reported that the flow detected by classical Doppler US in the nodule is insufficient to distinguish the benign-malignant nodule, and no statistically significant relationship was found.…”

Section: Discussionmentioning

confidence: 99%

Investigation of the Effectiveness of Microvascular Doppler Ultrasound and Q-Pack in the Discrimination of Malign Thyroid Nodules From Benign

Karagulle

Arslan

Şimşek

et al. 2022

Ultrasound Quarterly

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In this prospective study, the diagnostic performance of MicroV Doppler ultrasonography (US) and Q-pack application in distinguishing malignant thyroid nodules from benign nodules will be examined. Given the emerging irregular vascular structures in malignant nodules, it is thought that MicroV Doppler US and Q-pack application can help in diagnosis. One hundred sixteen nodules that were suggested a biopsy by a clinician were examined with B-mode US, color, X-flow, and MicroV Doppler US, respectively. In addition, during MicroV Doppler US examination, thyroid nodule and its adjacent thyroid parenchyma were evaluated with Q-pack application. After US examinations, biopsy was performed on the nodules and histopathological results were obtained. Eighty-nine nodules were histopathologically proven as benign, and the rest of them were malignant. In Doppler types, the thyroid findings in score 1, 2, and 3 nodule blood supply type were benign, whereas the thyroid findings in the score 4 have a possibility of malignancy between 63% and 66.7%. It was found that MicroV Doppler was significantly superior to X-flow and color Doppler ( P = 0.037 and P = 0.042, respectively). Nodule/parenchyma Q-pack mean values were statistically significantly higher in malignant findings compared with benign findings ( P < 0.001). Nodule/parenchyma Q-pack peak values were also statistically significantly higher in malignant findings compared with benign findings ( P < 0.001). As a result, although Q-pack application enables us to obtain quantitative values about vascularity, due to its ability to demonstrate slow blood flow, microvascular vessel structure, and distribution, MicroV Doppler US has promises to detect malignant thyroid nodules.

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