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http://dx.doi.org/10.3904/kjim.2014.363

Comparison of two- and three-dimensional sonography for the prediction of the extrathyroidal extension of papillary thyroid carcinomas  

Yi, Yang Seon (Department of Internal Medicine, Busan Veterans Hospital)
Kim, Sang Soo (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital)
Kim, Won Jin (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital)
Bae, Min Jung (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic)
Kang, Ji Hyun (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic)
Choi, Bo Gwang (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic)
Jeon, Yun Kyung (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital)
Kim, Bo Hyun (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital)
Lee, Byung Joo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital)
Wang, Soo Geun (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital)
Kim, In Joo (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital)
Kim, Yong Ki (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic)
Publication Information
The Korean journal of internal medicine / v.31, no.2, 2016 , pp. 313-322 More about this Journal
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.
Keywords
Thyroid neoplasm; Tumor staging; Extrathyroidal extension; Three-dimensional ultrasonography; Tomographic ultrasound imaging;
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