Head and Neck Imaging

Diagnostic Value of Real-time Ultrasonic Elastography in Identification of Benign and Malignant Thyroid Nodules

Author:LAN Fang-rong.

affiliation:Wuhan First Hospital Physical Examination Center, Wuhan 430030, Hubei Province, China

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Abstract

Objective To explore the diagnostic value of real-time ultrasonic elastography in identification of benign and malignant thyroid nodules. Methods 64 cases of patients with benign and malignant thyroid nodules in our hospital from March 2014 to July 2015 were selected, with a total of 85 thyroid nodules. All the patients received routine ultrasound and real-time ultrasonic elastography. The results of the two methods were compared with the pathological results after operation. Results Postoperative pathological findings were the gold standard, 62 cases were confirmed as benign nodule, and 23 cases were confirmed as malignant nodule. Routine ultrasound diagnosis that there were 41 benign nodules, 12 malignant nodules. Real-time ultrasound elastography that there were 56 benign nodules and 21 malignant nodules. The sensitivity, specificity and diagnostic accuracy of ultrasound elastography were higher than those of routine ultrasound (P<0.05). Conclusion Real-time ultrasonic elastography in identification of benign and malignant thyroid nodules, the sensitivity, specificity and diagnostic coincidence rate are better than those of routine ultrasound, with higher clinical diagnostic value.

【Keyword】Real-time Ultrasonic Elastography; Benign and Malignant Thyroid Nodules; Routine Ultrasound

【Chart number】R335+.2

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2019.02.003