Diffusion-weighted images differentiate benign from malignant thyroid nodules
Purpose: To reveal the possible role of diffusion‐weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine‐needle aspiration cytology (FNAC). Materials and Methods: In an 18‐month period (December 2005 to May 2007), 27 cases with be...
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Published in | Journal of magnetic resonance imaging Vol. 31; no. 1; pp. 94 - 100 |
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Abstract | Purpose:
To reveal the possible role of diffusion‐weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine‐needle aspiration cytology (FNAC).
Materials and Methods:
In an 18‐month period (December 2005 to May 2007), 27 cases with benign thyroid nodules with a total of 52 benign nodules, nine cases with thyroid gland malignancy, and 24 healthy control cases were included in the study. Cases that were indicated to undergo to FNAC examination and sent by a clinician for biopsy to the radiology unit were included in the study to assess the cytopathologic confirmation of the clinic, ultrasonographic, and magnetic resonance imaging (MRI) findings.
Results:
The mean apparent diffusion coefficient (ADC) values of thyroid nodules were 2745.3 ± 601.1 × 10−6 mm2/s (1605–3899 × 10−6mm2/s) in the benign group and 695.2 ± 312.5 × 10−6mm2/s (165–1330 × 10−6mm2/s) in the malignant group. Normal thyroid tissues had mean ADC values of 1344.1 ± 276.4 × 10−6 mm2/s (1015–1764 × 10−6mm2/s). The ADC values of three subgroups were significantly different (P = 0.0001). A reduced ADC was observed in most types of malignant tumors due to the consequent decrease of the extracellular extravascular space.
Conclusion:
Our preliminary results showed that ADC values of nodules may provide useful data about the nature of a thyroid nodule. J. Magn. Reson. Imaging 2010;31:94–100. © 2009 Wiley‐Liss, Inc. |
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AbstractList | PURPOSETo reveal the possible role of diffusion-weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine-needle aspiration cytology (FNAC).MATERIALS AND METHODSIn an 18-month period (December 2005 to May 2007), 27 cases with benign thyroid nodules with a total of 52 benign nodules, nine cases with thyroid gland malignancy, and 24 healthy control cases were included in the study. Cases that were indicated to undergo to FNAC examination and sent by a clinician for biopsy to the radiology unit were included in the study to assess the cytopathologic confirmation of the clinic, ultrasonographic, and magnetic resonance imaging (MRI) findings.RESULTSThe mean apparent diffusion coefficient (ADC) values of thyroid nodules were 2745.3 +/- 601.1 x 10(-6) mm(2)/s (1605-3899 x 10(-6)mm(2)/s) in the benign group and 695.2 +/- 312.5 x 10(-6)mm(2)/s (165-1330 x 10(-6)mm(2)/s) in the malignant group. Normal thyroid tissues had mean ADC values of 1344.1 +/- 276.4 x 10(-6) mm(2)/s (1015-1764 x 10(-6)mm(2)/s). The ADC values of three subgroups were significantly different (P = 0.0001). A reduced ADC was observed in most types of malignant tumors due to the consequent decrease of the extracellular extravascular space.CONCLUSIONOur preliminary results showed that ADC values of nodules may provide useful data about the nature of a thyroid nodule. Purpose: To reveal the possible role of diffusion-weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine-needle aspiration cytology (FNAC). Materials and Methods: In an 18-month period (December 2005 to May 2007), 27 cases with benign thyroid nodules with a total of 52 benign nodules, nine cases with thyroid gland malignancy, and 24 healthy control cases were included in the study. Cases that were indicated to undergo to FNAC examination and sent by a clinician for biopsy to the radiology unit were included in the study to assess the cytopathologic confirmation of the clinic, ultrasonographic, and magnetic resonance imaging (MRI) findings. Results: The mean apparent diffusion coefficient (ADC) values of thyroid nodules were 2745.3 ± 601.1 × 10-6 mm2/s (1605-3899 × 10-6mm2/s) in the benign group and 695.2 ± 312.5 × 10-6mm2/s (165-1330 × 10-6mm2/s) in the malignant group. Normal thyroid tissues had mean ADC values of 1344.1 ± 276.4 × 10-6 mm2/s (1015-1764 × 10-6mm2/s). The ADC values of three subgroups were significantly different (P = 0.0001). A reduced ADC was observed in most types of malignant tumors due to the consequent decrease of the extracellular extravascular space. Conclusion: Our preliminary results showed that ADC values of nodules may provide useful data about the nature of a thyroid nodule. J. Magn. Reson. Imaging 2010;31:94-100. © 2009 Wiley-Liss, Inc. [PUBLICATION ABSTRACT] Purpose: To reveal the possible role of diffusion‐weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine‐needle aspiration cytology (FNAC). Materials and Methods: In an 18‐month period (December 2005 to May 2007), 27 cases with benign thyroid nodules with a total of 52 benign nodules, nine cases with thyroid gland malignancy, and 24 healthy control cases were included in the study. Cases that were indicated to undergo to FNAC examination and sent by a clinician for biopsy to the radiology unit were included in the study to assess the cytopathologic confirmation of the clinic, ultrasonographic, and magnetic resonance imaging (MRI) findings. Results: The mean apparent diffusion coefficient (ADC) values of thyroid nodules were 2745.3 ± 601.1 × 10−6 mm2/s (1605–3899 × 10−6mm2/s) in the benign group and 695.2 ± 312.5 × 10−6mm2/s (165–1330 × 10−6mm2/s) in the malignant group. Normal thyroid tissues had mean ADC values of 1344.1 ± 276.4 × 10−6 mm2/s (1015–1764 × 10−6mm2/s). The ADC values of three subgroups were significantly different (P = 0.0001). A reduced ADC was observed in most types of malignant tumors due to the consequent decrease of the extracellular extravascular space. Conclusion: Our preliminary results showed that ADC values of nodules may provide useful data about the nature of a thyroid nodule. J. Magn. Reson. Imaging 2010;31:94–100. © 2009 Wiley‐Liss, Inc. To reveal the possible role of diffusion-weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine-needle aspiration cytology (FNAC). In an 18-month period (December 2005 to May 2007), 27 cases with benign thyroid nodules with a total of 52 benign nodules, nine cases with thyroid gland malignancy, and 24 healthy control cases were included in the study. Cases that were indicated to undergo to FNAC examination and sent by a clinician for biopsy to the radiology unit were included in the study to assess the cytopathologic confirmation of the clinic, ultrasonographic, and magnetic resonance imaging (MRI) findings. The mean apparent diffusion coefficient (ADC) values of thyroid nodules were 2745.3 +/- 601.1 x 10(-6) mm(2)/s (1605-3899 x 10(-6)mm(2)/s) in the benign group and 695.2 +/- 312.5 x 10(-6)mm(2)/s (165-1330 x 10(-6)mm(2)/s) in the malignant group. Normal thyroid tissues had mean ADC values of 1344.1 +/- 276.4 x 10(-6) mm(2)/s (1015-1764 x 10(-6)mm(2)/s). The ADC values of three subgroups were significantly different (P = 0.0001). A reduced ADC was observed in most types of malignant tumors due to the consequent decrease of the extracellular extravascular space. Our preliminary results showed that ADC values of nodules may provide useful data about the nature of a thyroid nodule. Abstract Purpose: To reveal the possible role of diffusion‐weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results of fine‐needle aspiration cytology (FNAC). Materials and Methods: In an 18‐month period (December 2005 to May 2007), 27 cases with benign thyroid nodules with a total of 52 benign nodules, nine cases with thyroid gland malignancy, and 24 healthy control cases were included in the study. Cases that were indicated to undergo to FNAC examination and sent by a clinician for biopsy to the radiology unit were included in the study to assess the cytopathologic confirmation of the clinic, ultrasonographic, and magnetic resonance imaging (MRI) findings. Results: The mean apparent diffusion coefficient (ADC) values of thyroid nodules were 2745.3 ± 601.1 × 10 −6 mm 2 /s (1605–3899 × 10 −6 mm 2 /s) in the benign group and 695.2 ± 312.5 × 10 −6 mm 2 /s (165–1330 × 10 −6 mm 2 /s) in the malignant group. Normal thyroid tissues had mean ADC values of 1344.1 ± 276.4 × 10 −6 mm 2 /s (1015–1764 × 10 −6 mm 2 /s). The ADC values of three subgroups were significantly different ( P = 0.0001). A reduced ADC was observed in most types of malignant tumors due to the consequent decrease of the extracellular extravascular space. Conclusion: Our preliminary results showed that ADC values of nodules may provide useful data about the nature of a thyroid nodule. J. Magn. Reson. Imaging 2010;31:94–100. © 2009 Wiley‐Liss, Inc. |
Author | Alkan, Alpay Sahin, Ibrahim Fırat, Ahmet Kemal Erdem, Gulnur Muammer, Hakki Erdem, Tamer Mutlu, Deniz Yakar |
Author_xml | – sequence: 1 givenname: Gulnur surname: Erdem fullname: Erdem, Gulnur email: gerdem@inonu.edu.tr organization: Inonu University, School of Medicine, Department of Radiology, Malatya, Turkey – sequence: 2 givenname: Tamer surname: Erdem fullname: Erdem, Tamer organization: Inonu University, School of Medicine, Department of Otolaryngology, Malatya, Turkey – sequence: 3 givenname: Hakki surname: Muammer fullname: Muammer, Hakki organization: Inonu University, School of Medicine, Department of Radiology, Malatya, Turkey – sequence: 4 givenname: Deniz Yakar surname: Mutlu fullname: Mutlu, Deniz Yakar organization: Inonu University, School of Medicine, Department of Radiology, Malatya, Turkey – sequence: 5 givenname: Ahmet Kemal surname: Fırat fullname: Fırat, Ahmet Kemal organization: Inonu University, School of Medicine, Department of Radiology, Malatya, Turkey – sequence: 6 givenname: Ibrahim surname: Sahin fullname: Sahin, Ibrahim organization: Inonu University, School of Medicine, Department of Internal Medicine, Malatya, Turkey – sequence: 7 givenname: Alpay surname: Alkan fullname: Alkan, Alpay organization: Inonu University, School of Medicine, Department of Radiology, Malatya, Turkey |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20027577$$D View this record in MEDLINE/PubMed |
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To reveal the possible role of diffusion‐weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the... To reveal the possible role of diffusion-weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the results... Abstract Purpose: To reveal the possible role of diffusion‐weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by... Purpose: To reveal the possible role of diffusion-weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the... PURPOSETo reveal the possible role of diffusion-weighted images (DWI) in the differential diagnosis of benign and malignant thyroid nodules by comparing the... |
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SubjectTerms | Adult Aged Algorithms Diagnosis, Differential Diffusion Magnetic Resonance Imaging - methods diffusion weighted imaging Female Humans Image Enhancement - methods Image Interpretation, Computer-Assisted - methods Magnetic resonance imaging Male Middle Aged Reproducibility of Results Sensitivity and Specificity thyroid cancer thyroid nodule |
Title | Diffusion-weighted images differentiate benign from malignant thyroid nodules |
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