Vascular pattern and spectral parameters of Doppler ultrasound in differentiation between malignant and benign thyroid nodules | ||||
| Journal of Current Medical Research and Practice | ||||
| Volume 6, Issue 1, January 2021, Page 82-86 PDF (818.8 K) | ||||
| DOI: 10.4103/JCMRP.JCMRP_41_20 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohab Mohammed Fathy; Hassan Ibrahim Megali; Wageeh Abd El-Hafeez | ||||
| Abstract | ||||
| Background Thyroid nodules are common pathologies detected in thyroid gland. A thyroid nodule is the manifestation of a wide range of thyroid diseases, some benign and others malignant. Currently, the use of imaging methods has increased the diagnosis of asymptomatic nodules. Ultrasound studies of the population have reported a nodular thyroid disease rate of nearly 67% in elderly women. Most of these nodules are benign, and the incidence of malignancy is low (3–7%). Purpose To evaluate the role of vascular pattern and spectral wave forms and resistivity and pulsatility indices to differentiate between malignant and benign features. Patients and methods A total of 40 patients who were presented with thyroid nodules scheduled for surgery and preoperative fine-needle aspiration cytology were examined in a prospective way. G?ray-scale and c?olor Doppler patterns were used to rank each thyroid nodule on a scale from 0 to 4 as follows: none, solely perinodular, accompanied by per-nodular prominence, accompanied by intranodular prominence, and only intranodular, respectively. Final diagnosis (benign or malignant) was confirmed by pathological correlations. Results Value of malignancy in thyroid nodules with a mean resistivity index of 0.72±0.13 is found to be significantly higher than with benignity (0.60.0.08). Conclusion Duplex Doppler parameters are helpful in distinguishing malignant from benign thyroid nodules. | ||||
| Keywords | ||||
| vascular; Doppler; Ultrasound; benign; malignant; THYROID; nodules | ||||
|
Statistics Article View: 28 PDF Download: 26 |
||||
