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Acoustic Radiation Force Impulse (ARFI) imaging for the distinction between benign and malignant thyroid nodules

  • HEAD, NECK AND DENTAL RADİOLOGY
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Abstract

Purpose

The aim of the present study was to evaluate thyroid nodules using virtual touch quantification (VTQ) of force impulse acoustic radiation (ARFI) imaging and to investigate a cutoff value for the differentiation of malignant thyroid nodules.

Materials and methods

Ninety-five patients with quantitatively-assessed (VTQ) thyroid nodules were evaluated with ARFI imaging in this prospective study. ARFI imaging with VTQ was performed only on the nodules which were expected to undergo fine-needle aspiration biopsy (FNAB). All of the thyroid lesions were examined histopathologically.

Results

The mean shear wave velocity (SWV) value of the malignant nodules (3.18 ± 0.39 m/s) was higher than that of the benign nodules (2.11 ± 0.53 m/s). There was a statistically significant difference between the mean SWV values of benign and malignant nodules (p < 0.001). A SWV cutoff value of greater than 2.66 m/s yielded sensitivity and specificity values of 100 and 82.3 %, respectively, for diagnosis of malignant nodules.

Conclusion

VTQ of ARFI imaging has high sensitivity and specificity for discriminating between benign and malignant thyroid nodules and may positively contribute to clinical evaluation of these nodules.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, Medical School, Dicle University, Sur 21280, Diyarbakır, Turkey

    Cihad Hamidi, Cemil Göya, Salih Hattapoğlu, Memik Teke, Mehmet Sedat Durmaz, Mehmet Sıddık Yavuz & Güven Tekbaş

  2. Department of General Surgery, Medical School, Dicle University, Diyarbakır, Turkey

    Ömer Uslukaya

  3. Department of Pathology, Medical School, Dicle University, Diyarbakır, Turkey

    Arif Hamidi

Authors
  1. Cihad Hamidi
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  2. Cemil Göya
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  3. Salih Hattapoğlu
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  4. Ömer Uslukaya
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  5. Memik Teke
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  6. Mehmet Sedat Durmaz
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  7. Mehmet Sıddık Yavuz
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  8. Arif Hamidi
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  9. Güven Tekbaş
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Corresponding author

Correspondence to Cihad Hamidi.

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Hamidi, C., Göya, C., Hattapoğlu, S. et al. Acoustic Radiation Force Impulse (ARFI) imaging for the distinction between benign and malignant thyroid nodules. Radiol med 120, 579–583 (2015). https://doi.org/10.1007/s11547-014-0495-8

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  • DOI: https://doi.org/10.1007/s11547-014-0495-8

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