Cited 64 times in
Positive predictive values of sonographic features of solid thyroid nodule
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 홍유진 | - |
dc.contributor.author | 곽진영 | - |
dc.contributor.author | 김은경 | - |
dc.contributor.author | 손은주 | - |
dc.contributor.author | 장항석 | - |
dc.contributor.author | 홍순원 | - |
dc.date.accessioned | 2015-04-23T17:33:51Z | - |
dc.date.available | 2015-04-23T17:33:51Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0899-7071 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/102708 | - |
dc.description.abstract | AIM: The purpose of this study was to assess the positive predictive value of the suspicious sonographic features of solid nodules of the thyroid. MATERIALS AND METHODS: After approval by our institutional review board, we evaluated 594 sonographically detected nodules on which fine needle aspiration biopsy had been performed from January to December 2005. Among these, pure cystic lesions and inadequate pathologic results were excluded. The remaining 530 solid thyroid nodules were analyzed by two radiologists. Each lesion was classified based on four sonographic features that suggested malignancy: microcalcifications; an irregular or microlobulated margin; marked hypoechogenicity; and a shape that was taller than wide. The sensitivity, specificity, positive predictive value, and negative predictive value of the each sonographic feature were calculated. RESULTS: Final pathologic results showed that 97 (18.3%) of 530 nodules were malignant. The positive predictive values for malignancy in each sonographic feature were microcalcifications, 38.6% (39/101); an irregular or microlobulated margin, 28.2% (70/248); marked hypoechogenecity, 49.4% (38/77); taller than wide shape, 59.8% (49/82). In terms of relative risk, microcalcification [P<.01, relative risk (RR)=3.115, 95% CI: 1.724-5.628], hypoechogenecity (P<.01, RR=2.510, 95% CI: 1.290-4.881). The shape of nodule which was taller than wide (P<.01, RR=7.624, 95% CI: 4.156-13.986) revealed the highest predictive sonographic finding suggesting malignancy. However, margin is the least significant feature of detection of thyroid malignancy (P=.27, RR=1.395, 95% CI: 0.777-2.505). CONCLUSION: The three sonographic features of solid thyroid nodule, that is, microcalcifications, marked hypoechogenecity, and a taller than wide shape are meaningful findings in the diagnosis of thyroid malignancy. The shape that was taller than wide was the most reliable sonographic feature for predicting malignancy. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 127~133 | - |
dc.relation.isPartOf | CLINICAL IMAGING | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Observer Variation | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Thyroid Nodule/diagnostic imaging* | - |
dc.subject.MESH | Ultrasonography/methods* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Positive predictive values of sonographic features of solid thyroid nodule | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Yoo Jin Hong | - |
dc.contributor.googleauthor | Eun Ju Son | - |
dc.contributor.googleauthor | Eun-Kyung Kim | - |
dc.contributor.googleauthor | Jin Young Kwak | - |
dc.contributor.googleauthor | Soon Won Hong | - |
dc.contributor.googleauthor | Hang-Seok Chang | - |
dc.identifier.doi | 10.1016/j.clinimag.2008.10.034 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04422 | - |
dc.contributor.localId | A00182 | - |
dc.contributor.localId | A00801 | - |
dc.contributor.localId | A01988 | - |
dc.contributor.localId | A03488 | - |
dc.contributor.localId | A04411 | - |
dc.relation.journalcode | J00577 | - |
dc.identifier.eissn | 1873-4499 | - |
dc.identifier.pmid | 20189077 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0899707109001259 | - |
dc.subject.keyword | Solid thyroid nodule | - |
dc.subject.keyword | Malignancy | - |
dc.subject.keyword | Ultrasonography | - |
dc.contributor.alternativeName | Hong, Yoo Jin | - |
dc.contributor.alternativeName | Kwak, Jin Young | - |
dc.contributor.alternativeName | Kim, Eun Kyung | - |
dc.contributor.alternativeName | Son, Eun Ju | - |
dc.contributor.alternativeName | Chang, Hang Seok | - |
dc.contributor.alternativeName | Hong, Soon Won | - |
dc.contributor.affiliatedAuthor | Hong, Yoo Jin | - |
dc.contributor.affiliatedAuthor | Kwak, Jin Young | - |
dc.contributor.affiliatedAuthor | Kim, Eun-Kyung | - |
dc.contributor.affiliatedAuthor | Son, Eun Ju | - |
dc.contributor.affiliatedAuthor | Chang, Hang Seok | - |
dc.contributor.affiliatedAuthor | Hong, Soon Won | - |
dc.citation.volume | 34 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 127 | - |
dc.citation.endPage | 133 | - |
dc.identifier.bibliographicCitation | CLINICAL IMAGING, Vol.34(2) : 127-133, 2010 | - |
dc.identifier.rimsid | 56448 | - |
dc.type.rims | ART | - |
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