Elastografía cuantitativa en la evaluación de nódulos tiroideos

Franco Uliaque, C. ; Laborda Herrero, R. ; Ángulo Hervias, E. ; Riaguas Almenara, A. ; Pardo Berdún, F.J.

Resumen: Objective To retrospectively assess the diagnostic capacity of quantitative elastography to determine the odds between benign and malignant thyroid nodules, and determine its usefulness in deciding which nodules should be subjected to fine needle aspiration puncture (FNA). Patients and methods 203 thyroid nodules from 195 patients referred by the Endocrinology Service for cytological study during the year 2018 were analyzed. All of them underwent conventional ultrasound, quantitative elastography and FNA. A statistical analysis was performed using logistic regression that relates the probability that a nodule is suspected of malignancy and the elasticity value measured in kilopascals (kPa) and the elastographic ratio. Results There is a significant and positive relationship between the cytological result of Bethesda V / VI and the kPas / elastographic ratio. FNA is recommended for those nodules with values greater than 25kPa and / or elastographic ratio greater than 1.5. Conclusion Quantitative elastography is a useful tool that, together with other ultrasound parameters, would help to predict the malignancy of a thyroid nodule and to better select for FNA. © 2021 Georg Thieme Verlag. All rights reserved.

Idioma: Español

DOI: 10.1055/s-0040-1721347

Año: 2021

Publicado en: Revista Argentina de Radiologia 85, 4 (2021), 83-90
ISSN: 0048-7619

Factor impacto CITESCORE: 0.2 - Medicine (Q4)

Factor impacto SCIMAGO: 0.117 - Radiology, Nuclear Medicine and Imaging (Q4)

Tipo y forma: Article (Published version)