Role of different imaging modalities and FNAC correlation in diagnosing thyroid gland pathologies | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2023, Issue 2, February 2023 | ||||
| DOI: 10.58675/2682-339X.1656 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohamed Talaat Mohamed Ibrahim1; Ahmed Abdel Fattah Abu Rashid2; Mohammed Wahbi3; Doaa Mokhtar Emara3 | ||||
| 1Radiology departmentFaculty of Medicine (Cairo) Al-Azhar University. Egypt | ||||
| 2Department of Radiodiagnosis ,Faculity of Medicine ,Al-Azhar university | ||||
| 3Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University, Egypt | ||||
| Abstract | ||||
| Background: Thyroid nodule, goiter, thyroiditis, and thyroid cancer are all common conditions that may have a negative impact on normal thyroid function. Objective: Determine how FNAC correlation and various imaging modalities contribute to the diagnosis of thyroid gland diseases. Patients and Methods: Al-Hussein University Hospital's outpatient departments (OPD) for thyroid problems saw 100 participants for the research. All patients were screened with ultrasound, and based on the results of that exam, some were sent for further radiological testing. Results: Out of the 100 patients included in the study, US was able to classify the thyroid diseases as focal (69 cases) diffuse (30 cases) and others (11 cases). 48 thyroid nodules underwent FNAC and distributed based on Bethesda score as 3 (6.2%) in category I, 30 (62.5%) in category II, 5 (10.4%) in category III, 1 (2%) in category IV, 3 (6.2%) in category V and 6 (12.5%) in category VI; the sensitivity, specificity, positive and negative predictive values, accuracy, and likelihood ratios of US, and pathology were determined. about 22 patients (22 %) underwent a CT scan mainly to evaluate retrosternal extension and for pre-operative staging; 22 patients (22%) underwent a radionuclide scan. Conclusion: Patients with normal thyroid function (euthyroid) should first have an ultrasonography. In the same way, ultrasonography is the first line of diagnosis for a goiter's size and extent. CT without contrast is appropriate if there is any worry about effect on the trachea or if it is necessary to determine how deep the goiter sits. | ||||
| Keywords | ||||
| Thyroid gland pathologies; Fine needle aspiration biopsy; CT; Bethesda system | ||||
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