Combined Use of the Strain Ratio and Elastography Score Can Help Surgeons in Choosing which Thyroid Nodule Needs Surgery | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 18, Issue 1, January 2025, Page 13-18 PDF (361.34 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.325481.1163 | ||||
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| Authors | ||||
Mahmoud Abdelbaky Mahmoud  1; Tarek Ismail Ahmed Ouf1; Heba Tharwat Abdelaziz2; Ahmed Hassan Soliman3; Ayman Magdy Botrous Ghaly1
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| 1Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| 2Department of General Surgery, Faculty of Medicine, Al Azhar University, Egypt | ||||
| 3Department of Radiology, Faculty of Medicine, Ain Shams University, Egypt | ||||
| Abstract | ||||
| Introduction: After Thyroidectomy, only 5%–15%of specimens are malignant. Most of procedures carried out of concern for cancer. Although FNAC recommended, it is invasiveness, expense and nondiagnostic outcomes. Aim of work: The aim of study was to investigate whether the simultaneous use of the strain ratio, elasticity score together in the differential diagnosis of thyroid nodules can help surgeons deciding which thyroid nodule can left for follow up and which needs to remove. Patients and methods: In all, 154 individuals 180 nodules were included. For symptomatic nodules with an elastography score of 1 or higher, as well as for nodules with a score of 2 or higher, all patients had complete thyroidectomy. The reference was the specimen histopathology final diagnosis. The examination of the receiver operating curve was used to calculate the values for the strain ratio and elasticity score. Results: We had 35 malignant nodules and the elasticity score and strain ratio had a statistically significant (p < 0.001) success rate in predicting thyroid malignancy. Both had acceptable accuracy when employed independently, yet the elasticity score’s accuracy was found to be higher than the strain ratio’s, however the difference not statistically significant. When combined, they were 93.5% specific in identifying the right diagnosis. Conclusion: More reliable findings obtained when the strain ratio and elasticity score are used for differential diagnosis of thyroid nodules. For suspected thyroid nodules, combining the two techniques might be a viable choice, helping surgeon avoids doing thyroidectomy. | ||||
| Keywords | ||||
| Elastography; nodule; thyroid | ||||
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