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KMID : 0338420160310020313
The Korean Journal of Internal Medicine
2016 Volume.31 No. 2 p.313 ~ p.322
Comparison of two- and three-dimensional sonography for the prediction of the extrathyroidal extension of papillary thyroid carcinomas
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
Abstract
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.
KEYWORD
Thyroid neoplasm, Tumor staging, Extrathyroidal extension, Three-dimensional ultrasonography, Tomographic ultrasound imaging
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