KMID : 0338420160310020313
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The Korean Journal of Internal Medicine 2016 Volume.31 No. 2 p.313 ~ p.322
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Comparison of two- and three-dimensional sonography for the prediction of the extrathyroidal extension of papillary thyroid carcinomas
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Yi Yang-Seon
Kim Sang-Soo Kim Won-Jin Bae Min-Jung Kang Ji-Hyun Choi Bo-Gwang Jeon Yun-Kyung Kim Bo-Hyun Lee Byung-Joo Wang Soo-Geun Kim In-Joo Kim Yong-Ki
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Abstract
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Background/Aims: The purpose of this study was to compare the diagnostic validity of two-dimensional (2D) and three-dimensional (3D) ultrasonography (US) when predicting the extrathyroidal extension of papillary thyroid cancer.
Methods: All 2D data were interpreted in real time and 3D data were stored, rendered using tomographic ultrasound imaging (TUI), and then reviewed retrospectively.
Results: Extrathyroidal extension was present in 17 papillary thyroid cancers(24.3%) on pathology reports. The presence of contact was significantly associated with extrathyroidal extension on both 2D and 3D US (p = 0.007 and p = 0.003), and the sensitivity and specificity were not significantly different between 2D and 3D US (p = 1.000 and p = 0.754). The coexistence of protrusion and contact was not significantly associated with extrathyroidal extension on either 2D or 3D sonogram.
Conclusions: Three-dimensional images rendered with TUI algorithms alone do not seem to be markedly superior to real-time 2D US in predicting the extrathyroidal extension of papillary thyroid cancer.
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KEYWORD
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Thyroid neoplasm, Tumor staging, Extrathyroidal extension, Three-dimensional ultrasonography, Tomographic ultrasound imaging
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