Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules

Objectives: To evaluate contrast-enhanced ultrasound (CEUS) for guiding fine-needle aspiration (FNA) of suspicious thyroid nodules to obtain sufficient biopsy specimens. Methods: A total of 236 uncertain thyroid nodules detected in 228 patients from October 2016 to March 2017 were retrospectively re...

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Autor principal:	Ying Fu, MD, Shi Tan, MD, LiGang Cui, MD, Fang Mei, MD
Formato:	article
Lenguaje:	EN
Publicado:	Editorial Office of Advanced Ultrasound in Diagnosis and Therapy 2021
Materias:	\|thyroid\|neoplasm\|ultrasound\|contrast agent\|fine-needle aspiration Medical technology R855-855.5 Medicine R
Acceso en línea:	https://doaj.org/article/95b130ce35b0438b97f24dde82449063
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spelling	oai:doaj.org-article:95b130ce35b0438b97f24dde824490632021-11-05T08:34:43ZContrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules2576-251610.37015/AUDT.2021.200063https://doaj.org/article/95b130ce35b0438b97f24dde824490632021-09-01T00:00:00Zhttp://www.journaladvancedultrasound.com:81/fileup/2576-2516/PDF/1630472683289-1211320538.pdfhttps://doaj.org/toc/2576-2516Objectives: To evaluate contrast-enhanced ultrasound (CEUS) for guiding fine-needle aspiration (FNA) of suspicious thyroid nodules to obtain sufficient biopsy specimens. Methods: A total of 236 uncertain thyroid nodules detected in 228 patients from October 2016 to March 2017 were retrospectively reviewed and analyzed in this study. Overall, 117 patients underwent CEUS-guided FNA, and 111 patients underwent ultrasound (US)-guided FNA. The target for aspiration was only at the enhanced area in the CEUS group. In the US-guided group, aspiration was conducted within the nodule at various angles and areas. The final cytopathologic findings were reported using the Bethesda criteria. The inadequacy, indeterminacy, malignancy, and benignity rates of FNA specimens were compared between two groups. Results: There were no significant differences in age, sex, or nodule size between the two groups. The inadequacy rate in the CEUS group was significantly lower than that in the US group (P = 0.008). Twenty-two benign nodules were diagnosed using CEUS-guided FNA, whereas seven were diagnosed using US-guided FNA (P = 0.006). The indeterminacy and malignancy rates were similar for both groups. Conclusions: CEUS-guided FNA improves the diagnostic success rate and reduces uncertainty by facilitating accurate biopsy of suspected thyroid nodules with microcirculation perfusion imaging.Ying Fu, MD, Shi Tan, MD, LiGang Cui, MD, Fang Mei, MDEditorial Office of Advanced Ultrasound in Diagnosis and Therapyarticle\|thyroid\|neoplasm\|ultrasound\|contrast agent\|fine-needle aspirationMedical technologyR855-855.5MedicineRENAdvanced Ultrasound in Diagnosis and Therapy, Vol 5, Iss 3, Pp 219-225 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	\|thyroid\|neoplasm\|ultrasound\|contrast agent\|fine-needle aspiration Medical technology R855-855.5 Medicine R
spellingShingle	\|thyroid\|neoplasm\|ultrasound\|contrast agent\|fine-needle aspiration Medical technology R855-855.5 Medicine R Ying Fu, MD, Shi Tan, MD, LiGang Cui, MD, Fang Mei, MD Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules
description	Objectives: To evaluate contrast-enhanced ultrasound (CEUS) for guiding fine-needle aspiration (FNA) of suspicious thyroid nodules to obtain sufficient biopsy specimens. Methods: A total of 236 uncertain thyroid nodules detected in 228 patients from October 2016 to March 2017 were retrospectively reviewed and analyzed in this study. Overall, 117 patients underwent CEUS-guided FNA, and 111 patients underwent ultrasound (US)-guided FNA. The target for aspiration was only at the enhanced area in the CEUS group. In the US-guided group, aspiration was conducted within the nodule at various angles and areas. The final cytopathologic findings were reported using the Bethesda criteria. The inadequacy, indeterminacy, malignancy, and benignity rates of FNA specimens were compared between two groups. Results: There were no significant differences in age, sex, or nodule size between the two groups. The inadequacy rate in the CEUS group was significantly lower than that in the US group (P = 0.008). Twenty-two benign nodules were diagnosed using CEUS-guided FNA, whereas seven were diagnosed using US-guided FNA (P = 0.006). The indeterminacy and malignancy rates were similar for both groups. Conclusions: CEUS-guided FNA improves the diagnostic success rate and reduces uncertainty by facilitating accurate biopsy of suspected thyroid nodules with microcirculation perfusion imaging.
format	article
author	Ying Fu, MD, Shi Tan, MD, LiGang Cui, MD, Fang Mei, MD
author_facet	Ying Fu, MD, Shi Tan, MD, LiGang Cui, MD, Fang Mei, MD
author_sort	Ying Fu, MD, Shi Tan, MD, LiGang Cui, MD, Fang Mei, MD
title	Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules
title_short	Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules
title_full	Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules
title_fullStr	Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules
title_full_unstemmed	Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules
title_sort	contrast-enhanced ultrasound improves technical sufficiency of fine-needle aspiration in suspicious thyroid nodules
publisher	Editorial Office of Advanced Ultrasound in Diagnosis and Therapy
publishDate	2021
url	https://doaj.org/article/95b130ce35b0438b97f24dde82449063
work_keys_str_mv	AT yingfumdshitanmdligangcuimdfangmeimd contrastenhancedultrasoundimprovestechnicalsufficiencyoffineneedleaspirationinsuspiciousthyroidnodules
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Contrast-enhanced Ultrasound Improves Technical Sufficiency of Fine-needle Aspiration in Suspicious Thyroid Nodules

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