THYROID NODULES: EVALUATION WITH COLOR DOPPLER ULTRASONOGRAPHY.

Authors

  • Chutiwan VIWATTANASITTIPHONG Department of Radiology, Ramathibodi Hospital
  • Bussanee WIBULPOLPRASERT Department of Radiology, Ramathibodi Hospital
  • Achara SANGSAI Department of Radiology, Ramathibodi Hospital
  • Chatchai THANUDUMRONG Department of Radiology, Ramathibodi Hospital

Abstract

he aim of this study was to assess prospectively the value of thyroid Color Doppler sonographic examination of the patients with a solitary thyroid nodule and correlation with the fine needle aspiration cytology.
Sixty patients with a solitary thyroid nodule underwent Color Doppler sonography with 7.5 MHz transducer which proved histologically to be 10 (15%) malignant and 50 (85%) benign nodules. Perinodular color flow signal were depicted in 6 out of 10 (60%) malignant nodules and 29 out of 50 (58%) benign lesions. Intranodular color flow signal were exhibited in 3 out of 10 (33%) and 2 out of 50 (4%) of malignant and benign lesions respectively. This left 20 out of 60 (33%) to have absence of color flow signal. The malignant nodule showed greater tendency to exhibit intranodular color flow signal than benign lesion but perinodular color flow signal was found in both benign and malignant nodule equally. The quantitative evaluation of the peak flow velocity obtained from the Doppler wave form shows no significant difference of the peak flow velocity between benign and malignant lesion (mean peak flow velocity 15.85 cm/sec of malignant nodule and 13.37 cm/sec of benign lesion.

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References

Brooks JR. The solitary thyroid nodule. Am J Surg 1973; 125: 477-81

Haff RC, Schecter BC, Armstrong RC, Evans WE. Factors increasing the probability of malig- nancy in thyroid nodules. Am J Surg 1976; 131 : 707-9

Ro jeski MT, Ghirib H. Nodular thyroid disease : Evaluation and management. N ENG J Med 1985 ; 313: 428-36

Cox MR., Marshall SG, Spence RAJ. Solitary thyroid nodule: a prospective evaluation of nuclear scanning and Ultrasonography. Br J Surg 1991; 78: 90- 93

Ralls PW, Mayekawa DS, Lee KP, et al: Color- flow Doppler Sonography in Graves' disease. AJR 1988; 150 781

Luigi SB, Vincenzo CF, Enrico BR. Thyroid Pathologic Radiology Clinics of North America 1992 30 945-950

Kazuhiro SM, Tokiko Endo, Takeo Ishigaki, et al: Thyroid Nodules: Evaluation with Color Doppler Ultrasonography. J Ultrasound Med 1993; 12: 673-678

Takahashi M, Ishibashi T, Kawanami H: Angiographic diagnosis of benign and malignant tumors of the thyroid. Radiology 1969; 92: 520.

Wickbom I, Zachrisson BF: Thyroid angiography. In Abrams HL (Ed): Angiography, 2 nd edition ; vol 1. Bastom, little, Brown, 1971, P. 677

Cape EG, Sung H-W, Yoganathan AP: Basics of Color Doppler imaging. In Lanzer P, Yoganthan AP (Eds) Vascular Imaging By Color Doppler and Magnetic Resonance. Berlin, Springer-Verlag, 1991, p. 73

Taylor KJW, Ramos I, Carter D, et al: Corre- lation of Doppler US tumor signals with neovascular morphologic feature, Radiology 1988; 166: 57.

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Published

2023-03-30

How to Cite

1.
VIWATTANASITTIPHONG C, WIBULPOLPRASERT B, SANGSAI A, THANUDUMRONG C. THYROID NODULES: EVALUATION WITH COLOR DOPPLER ULTRASONOGRAPHY. ASEAN J Radiol [Internet]. 2023 Mar. 30 [cited 2024 Mar. 28];1(2):75-80. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/245

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