Added Value of Computed Tomography to Ultrasonography for Assessing LN Metastasis in Preoperative Patients with Thyroid Cancer: Node-by-Node Correlation
Abstract
:1. Introduction
2. Results
2.1. Baseline Characteristics
2.2. Incidences and Malignancy Risks of the US, CT, and Combined US/CT Categories
2.3. Malignancy Risks of the Combined US/CT Categories According to the US and CT Categories
2.4. Concordance between the US and CT Categories
2.5. CT Imaging Features in the Reclassified Cases
2.6. Interobserver Aagreement for the US and CT Classification of LNs
3. Discussion
4. Materials and Methods
4.1. Patient Selection
4.2. Image Acquisition
4.3. Image Analysis
4.4. Statistical Analysis
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Category | US | CT | Combined US/CT |
---|---|---|---|
Probably benign | 21.2 (58/274) | 8.4 (23/274) | 20.4 (56/274) |
Indeterminate | 24.5 (67/274) | 36.9 (101/274) | 18.2 (50/274) |
Suspicious | 54.4 (149/274) | 54.7 (150/274) | 61.3 (168/274) |
Category | US | CT | Combined US/CT |
---|---|---|---|
Probably benign | 1.7 (1/58) | 8.7 (2/23) | 0 (0/56) |
Indeterminate | 22.4 (15/67) | 5.9 (6/101) | 8.0 (4/50) |
Suspicious | 77.2 (115/149) | 82.0 (123/150) | 75.6 (127/168) |
US | CT | Combined US/CT | Malignancy Risk % * |
---|---|---|---|
Probably benign (16) | Probably benign (16) | 0 (0/16) | |
Probably benign (58) | Indeterminate (38) | Probably benign (38) | 0 (0/38) |
Suspicious (4) | Suspicious (4) | 25.0 (1/4) | |
Probably benign (2) | Probably benign (2) | 0 (0/2) | |
Indeterminate (67) | Indeterminate (50) | Indeterminate (50) | 8.0 (4/50) |
Suspicious (15) | Suspicious (15) | 73.3 (11/15) | |
Probably benign (5) | Suspicious (5) | 40.0 (2/5) | |
Suspicious (149) | Indeterminate (13) | Suspicious (13) | 15.4 (2/13) |
Suspicious (131) | Suspicious (131) | 84.7 (111/131) |
US/CT Category * | No. of LNs (%) | Malignancy Risk % † |
---|---|---|
Concordant benign | 16 (5.8) | 0 (0/16) |
Discordant benign | 40 (14.6) | 0 (0/40) |
Concordant indeterminate | 50 (18.2) | 8.0 (4/50) |
Concordant suspicious | 131 (47.8) | 84.7 (111/131) |
Discordant suspicious | 37 (13.5) | 43.2 (16/37) |
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Yoo, R.-E.; Kim, J.-h.; Hwang, I.; Kang, K.M.; Yun, T.J.; Choi, S.H.; Sohn, C.-H.; Park, S.-W. Added Value of Computed Tomography to Ultrasonography for Assessing LN Metastasis in Preoperative Patients with Thyroid Cancer: Node-by-Node Correlation. Cancers 2020, 12, 1190. https://doi.org/10.3390/cancers12051190
Yoo R-E, Kim J-h, Hwang I, Kang KM, Yun TJ, Choi SH, Sohn C-H, Park S-W. Added Value of Computed Tomography to Ultrasonography for Assessing LN Metastasis in Preoperative Patients with Thyroid Cancer: Node-by-Node Correlation. Cancers. 2020; 12(5):1190. https://doi.org/10.3390/cancers12051190
Chicago/Turabian StyleYoo, Roh-Eul, Ji-hoon Kim, Inpyeong Hwang, Koung Mi Kang, Tae Jin Yun, Seung Hong Choi, Chul-Ho Sohn, and Sun-Won Park. 2020. "Added Value of Computed Tomography to Ultrasonography for Assessing LN Metastasis in Preoperative Patients with Thyroid Cancer: Node-by-Node Correlation" Cancers 12, no. 5: 1190. https://doi.org/10.3390/cancers12051190