The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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Comparison of two- and three-dimensional sonography for the prediction of the extrathyroidal extension of papillary thyroid carcinomas

  • Yi, Yang Seon (Department of Internal Medicine, Busan Veterans Hospital) ;
  • Kim, Sang Soo (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital) ;
  • Kim, Won Jin (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital) ;
  • Bae, Min Jung (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic) ;
  • Kang, Ji Hyun (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic) ;
  • Choi, Bo Gwang (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic) ;
  • Jeon, Yun Kyung (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital) ;
  • Kim, Bo Hyun (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital) ;
  • Lee, Byung Joo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital) ;
  • Wang, Soo Geun (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital) ;
  • Kim, In Joo (Division of Endocrinology and Metabolism, Department of Internal Medicine, Pusan National University Hospital) ;
  • Kim, Yong Ki (Department of Internal Medicine, Kim Yong Ki Internal Medicine Clinic)
  • Received : 2014.11.26
  • Accepted : 2015.05.13
  • Published : 2016.03.01
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Abstract

Background/Aims: The purpose of this study was to compare the diagnostic validity of two-dimensional (2D) and three-dimensional (3D) ultrasonography (US) when predicting the extrathyroidal extension of papillary thyroid cancer. Methods: All 2D data were interpreted in real time and 3D data were stored, rendered using tomographic ultrasound imaging (TUI), and then reviewed retrospectively. Results: Extrathyroidal extension was present in 17 papillary thyroid cancers (24.3%) on pathology reports. The presence of contact was significantly associated with extrathyroidal extension on both 2D and 3D US (p = 0.007 and p = 0.003), and the sensitivity and specificity were not significantly different between 2D and 3D US (p = 1.000 and p = 0.754). The coexistence of protrusion and contact was not significantly associated with extrathyroidal extension on either 2D or 3D sonogram. Conclusions: Three-dimensional images rendered with TUI algorithms alone do not seem to be markedly superior to real-time 2D US in predicting the extrathyroidal extension of papillary thyroid cancer.

Keywords

Acknowledgement

Supported by : Pusan National University Hospital

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