Category: Thyroid

Monitor: 32

32 - ADVANCED ULTRASOUND APPLICATION - IMPACT ON PRESURGICAL RISK STRATIFICATION OF THYROID NODULES

Saturday, Apr 27
11:00 AM – 11:30 AM

Objective :

The current major guidelines do recommend risk stratification of the thyroid nodules, after each diagnostic evaluation, in order to focus the attention on the proper risk nodules. The main aim of our study was to evaluate the performance of combined advanced ultrasound techniques in this process, compared with conventional stratification models, in order to reduce unneeded FNAC, respectively surgeries.


Methods :

We evaluated 261 cases (261 nodules) using conventional 2B ultrasound, real time Doppler evaluation (4D) respectively real time elastography, using a linear multifrequency probe and a linear volumetric probe (Hitachi Prerius Machine, Hitachi Inc, Japan). All the nodules were classified using a risk stratification model with seven conventional US characteristics, two 4D characteristics and color map RTE aspect. The results were compared with the pathology results, considered as golden standard diagnosis.


Results :

The prevalence of malignant nodules was 21.83% (57 cases). Conventional risk classification generated: 106 low risk cases, 113 intermediate risk and 42 high risk cases. Our proposed risk classification changes the conventional risk classification with risk upgrade in 27 cases, respectively with risk downgrade in 69 cases. The diagnostic quality of the combined risk stratification model was better, considering low risk category predictive for benignancy and high risk category predictive for malignancy: Se: 80.88% versus 49.01% respectively Sp: 91.22% versus 54.38. The diagnostic power differences were observed regardless of the nodule size.


Discussion : n/a


Conclusion :

Advanced ultrasound techniques did add diagnostic value in the presurgical risk assessment of the thyroid nodules.

SHORT URL FUNCTION-->

Andreea Borlea

PhD Fellow
“ Victor Babes” University of Medicine and Pharmacy Timisoara, Romania
Timisoara, Timis, Romania

I graduated “Victor Babes” University of Medicine and Pharmacy in Timisoara, Romania. I am currently a Resident Doctor in Endocrinology at "Pius Brinzeu" Clinical Emergency County Hospital. Starting 2018 I am a PhD student, my main area of research being represented by advanced ultrasound imaging of the thyroid gland.

Dana Stoian

Associate Professor
Department of Internal Medicine II, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania

Experienced Associate Professor with a demonstrated history of working in the higher education industry. Skilled in Negotiation, Wellness Coaching, Gynecology, Nutritional Counseling, and Endocrinology. Strong education professional graduated from International Society Gynecological Endocrinology, European Academy for Sexual Medicine( FECSM 2013). Just promoted the Habilitation Exam.

Adrian Apostol

Medical Doctor
Department of Internal Medicine II, “ Victor Babes” University of Medicine and Pharmacy Timisoara, Romania

Intensive Care - Cardiology, "Pius Brinzeu" Clinical Emergency County Hospital Timisoara

Mihnea Derban

Medical Doctor
Department of Pathology, CFR Hospital, Timisoara, Romania

Graduated "V Babes" University of Medicine and Pharmacy. Practicioner - CFR Hospital Timisoara (2012-present)

Laura Cotoi

PhD Fellow
“Victor Babes” University of Medicine and Pharmacy Timisoara, Romania

Graduated "Victor Babes” University of Medicine and Pharmacy Timisoara, Romania (2016). Currently Resident Doctor in Endocrinology Department, "Pius Brinzeu" Clinical Emergency Hospital Timisoara.

Ioana Mozos

Associate Professor
Department of Physiopathology, University of Medicine and Pharmacy “Victor Babes” Timisoara, Romania

Experienced Associate Professor with a demonstrated history of working in an university. Strong education professional skilled in Clinical Research, Medical Education, Cardiovascular Research, Hypertension, Electrocardiography, Arterial Stiffness, Life Sciences, and Epidemiology.

Florian Varcus

Associate Professor
Department of Surgery, University of Medicine and Pharmacy “ Victor Babes” Timisoara, Romania

Associate Proffessor - Department of Surgery, University of Medicine and Pharmacy “ Victor Babes” Timisoara, Romania

Viviana Ivan

Assistant Proffessor
Department of Cardiology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania

2018- Chief of Cardiology Clinic, "Pius Brinzeu" Clinical Emergency County Hospital Timisoara