Can ultrasonography be used to differentiate parathyroid masses abutting the thyroid gland from thyroid masses extending into the parathyroid area?
To determine the ultrasonographic (US) features that could help to distinguish between parathyroid masses abutting the thyroid gland and thyroid masses extending into the parathyroid area. Two blinded readers retrospectively evaluated the US images of 76 histopathologically confirmed parathyroid mas...
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Veröffentlicht in: | Medical ultrasonography 2024-12, Vol.26 (4), p.362-368 |
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creator | Lee, Chae Woon Yoon, Dae Young Baek, Sora Lee, Hyung Jin Kim, Eun Soo Lim, Kyoung Ja Seo, Young Lan Yun, Eun Joo |
description | To determine the ultrasonographic (US) features that could help to distinguish between parathyroid masses abutting the thyroid gland and thyroid masses extending into the parathyroid area.
Two blinded readers retrospectively evaluated the US images of 76 histopathologically confirmed parathyroid masses abutting the thyroid gland and 34 thyroid masses extending into the parathyroid area. Maximal diameter, transverse diameter/anterior-posterior diameter (T/AP) ratio, longitudinal diameter/AP diameter (L/AP) ratio, margin, shape, echogenicity, echotexture, and echogenic interface were evaluated and compared between the two groups.
Echogenic interface (p2.0 were useful US features for differentiating parathyroid masses abutting the thyroid gland from thyroid masses extending into theparathyroid area. |
doi_str_mv | 10.11152/mu-4393 |
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Two blinded readers retrospectively evaluated the US images of 76 histopathologically confirmed parathyroid masses abutting the thyroid gland and 34 thyroid masses extending into the parathyroid area. Maximal diameter, transverse diameter/anterior-posterior diameter (T/AP) ratio, longitudinal diameter/AP diameter (L/AP) ratio, margin, shape, echogenicity, echotexture, and echogenic interface were evaluated and compared between the two groups.
Echogenic interface (p<0.001) and L/AP ratio (p<0.001) were statistically significant US features that differentiated parathyroid and thyroid masses. Other US features did not show any significant differences between the two groups. Interobserver agreement was excellent for all US features. Sensitivity/specificity of the presence of echogenic interface and L/AP ratio >2.0 were 85.5%/100% and 43.2%/82.4% in distinguishing parathyroid from thyroid masses, respectively.
The presence of an echogenic interface and L/AP ratio >2.0 were useful US features for differentiating parathyroid masses abutting the thyroid gland from thyroid masses extending into theparathyroid area.</description><identifier>ISSN: 1844-4172</identifier><identifier>EISSN: 2066-8643</identifier><identifier>DOI: 10.11152/mu-4393</identifier><identifier>PMID: 39078995</identifier><language>eng</language><publisher>Romania: Romanian Society of Ultrasonography in Medicine and Biology</publisher><subject>Accuracy ; Adult ; Aged ; Aged, 80 and over ; Chi-square test ; Demographic variables ; Demographics ; Diagnosis, Differential ; Endocrine system ; Female ; Humans ; Image analysis ; Male ; Middle Aged ; Parathyroid Glands - diagnostic imaging ; Parathyroid Neoplasms - diagnostic imaging ; Patients ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Statistical analysis ; Surgery ; Thyroid gland ; Thyroid Gland - diagnostic imaging ; Thyroid Neoplasms - diagnostic imaging ; Thyroid Neoplasms - pathology ; Ultrasonic imaging ; Ultrasonography - methods ; Young Adult</subject><ispartof>Medical ultrasonography, 2024-12, Vol.26 (4), p.362-368</ispartof><rights>Copyright Romanian Society of Ultrasonography in Medicine and Biology 2024</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39078995$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Chae Woon</creatorcontrib><creatorcontrib>Yoon, Dae Young</creatorcontrib><creatorcontrib>Baek, Sora</creatorcontrib><creatorcontrib>Lee, Hyung Jin</creatorcontrib><creatorcontrib>Kim, Eun Soo</creatorcontrib><creatorcontrib>Lim, Kyoung Ja</creatorcontrib><creatorcontrib>Seo, Young Lan</creatorcontrib><creatorcontrib>Yun, Eun Joo</creatorcontrib><title>Can ultrasonography be used to differentiate parathyroid masses abutting the thyroid gland from thyroid masses extending into the parathyroid area?</title><title>Medical ultrasonography</title><addtitle>Med Ultrason</addtitle><description>To determine the ultrasonographic (US) features that could help to distinguish between parathyroid masses abutting the thyroid gland and thyroid masses extending into the parathyroid area.
Two blinded readers retrospectively evaluated the US images of 76 histopathologically confirmed parathyroid masses abutting the thyroid gland and 34 thyroid masses extending into the parathyroid area. Maximal diameter, transverse diameter/anterior-posterior diameter (T/AP) ratio, longitudinal diameter/AP diameter (L/AP) ratio, margin, shape, echogenicity, echotexture, and echogenic interface were evaluated and compared between the two groups.
Echogenic interface (p<0.001) and L/AP ratio (p<0.001) were statistically significant US features that differentiated parathyroid and thyroid masses. Other US features did not show any significant differences between the two groups. Interobserver agreement was excellent for all US features. Sensitivity/specificity of the presence of echogenic interface and L/AP ratio >2.0 were 85.5%/100% and 43.2%/82.4% in distinguishing parathyroid from thyroid masses, respectively.
The presence of an echogenic interface and L/AP ratio >2.0 were useful US features for differentiating parathyroid masses abutting the thyroid gland from thyroid masses extending into theparathyroid area.</description><subject>Accuracy</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chi-square test</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Diagnosis, Differential</subject><subject>Endocrine system</subject><subject>Female</subject><subject>Humans</subject><subject>Image analysis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parathyroid Glands - diagnostic imaging</subject><subject>Parathyroid Neoplasms - diagnostic imaging</subject><subject>Patients</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Thyroid gland</subject><subject>Thyroid Gland - diagnostic imaging</subject><subject>Thyroid Neoplasms - diagnostic imaging</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Young Adult</subject><issn>1844-4172</issn><issn>2066-8643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkctKA0EQRRtRTIgBv0Aa3LgZ7ec8ViLBFwTc6Hqo6a5JRjIzsR9gvsMfdmISEVe1qFOn4F5Czjm75pxrcdPGRMlCHpGxYGma5KmSx2TMc6USxTMxIlPvm4oJydNMF-yUjGTBsrwo9Jh8zaCjcRUc-L7rFw7Wyw2tkEaPloae2qau0WEXGghI1-AgLDeubyxtwXv0FKoYQtMtaFgiPewWK-gsrV3f0n84fgbs7JZvukG_PforBYdwe0ZOalh5nO7nhLw93L_OnpL5y-Pz7G6eGK65TNDktU6Z0EIZK4w2UhtmUYqsULmBwqZDEFBJRCmZFMLWwAwayCtrlEy5nJDLnXft-o-IPpTvfXTd8LKUXLNcFzxLB-pqRxnXe--wLteuacFtSs7KnwLKNpbbAgb0Yi-MVYv2FzzELb8BloOEGA</recordid><startdate>20241219</startdate><enddate>20241219</enddate><creator>Lee, Chae Woon</creator><creator>Yoon, Dae Young</creator><creator>Baek, Sora</creator><creator>Lee, Hyung Jin</creator><creator>Kim, Eun Soo</creator><creator>Lim, Kyoung Ja</creator><creator>Seo, Young Lan</creator><creator>Yun, Eun Joo</creator><general>Romanian Society of Ultrasonography in Medicine and Biology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20241219</creationdate><title>Can ultrasonography be used to differentiate parathyroid masses abutting the thyroid gland from thyroid masses extending into the parathyroid area?</title><author>Lee, Chae Woon ; Yoon, Dae Young ; Baek, Sora ; Lee, Hyung Jin ; Kim, Eun Soo ; Lim, Kyoung Ja ; Seo, Young Lan ; Yun, Eun Joo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1513-ec8f5602524cd2c5c35c0de327948ca9d6643ab3ee330322dfa0ceca8bdc43613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Accuracy</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chi-square test</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Diagnosis, Differential</topic><topic>Endocrine system</topic><topic>Female</topic><topic>Humans</topic><topic>Image analysis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parathyroid Glands - diagnostic imaging</topic><topic>Parathyroid Neoplasms - diagnostic imaging</topic><topic>Patients</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Thyroid gland</topic><topic>Thyroid Gland - diagnostic imaging</topic><topic>Thyroid Neoplasms - diagnostic imaging</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Lee, Chae Woon</creatorcontrib><creatorcontrib>Yoon, Dae Young</creatorcontrib><creatorcontrib>Baek, Sora</creatorcontrib><creatorcontrib>Lee, Hyung Jin</creatorcontrib><creatorcontrib>Kim, Eun Soo</creatorcontrib><creatorcontrib>Lim, Kyoung Ja</creatorcontrib><creatorcontrib>Seo, Young Lan</creatorcontrib><creatorcontrib>Yun, Eun Joo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Medical ultrasonography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Chae Woon</au><au>Yoon, Dae Young</au><au>Baek, Sora</au><au>Lee, Hyung Jin</au><au>Kim, Eun Soo</au><au>Lim, Kyoung Ja</au><au>Seo, Young Lan</au><au>Yun, Eun Joo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can ultrasonography be used to differentiate parathyroid masses abutting the thyroid gland from thyroid masses extending into the parathyroid area?</atitle><jtitle>Medical ultrasonography</jtitle><addtitle>Med Ultrason</addtitle><date>2024-12-19</date><risdate>2024</risdate><volume>26</volume><issue>4</issue><spage>362</spage><epage>368</epage><pages>362-368</pages><issn>1844-4172</issn><eissn>2066-8643</eissn><abstract>To determine the ultrasonographic (US) features that could help to distinguish between parathyroid masses abutting the thyroid gland and thyroid masses extending into the parathyroid area.
Two blinded readers retrospectively evaluated the US images of 76 histopathologically confirmed parathyroid masses abutting the thyroid gland and 34 thyroid masses extending into the parathyroid area. Maximal diameter, transverse diameter/anterior-posterior diameter (T/AP) ratio, longitudinal diameter/AP diameter (L/AP) ratio, margin, shape, echogenicity, echotexture, and echogenic interface were evaluated and compared between the two groups.
Echogenic interface (p<0.001) and L/AP ratio (p<0.001) were statistically significant US features that differentiated parathyroid and thyroid masses. Other US features did not show any significant differences between the two groups. Interobserver agreement was excellent for all US features. Sensitivity/specificity of the presence of echogenic interface and L/AP ratio >2.0 were 85.5%/100% and 43.2%/82.4% in distinguishing parathyroid from thyroid masses, respectively.
The presence of an echogenic interface and L/AP ratio >2.0 were useful US features for differentiating parathyroid masses abutting the thyroid gland from thyroid masses extending into theparathyroid area.</abstract><cop>Romania</cop><pub>Romanian Society of Ultrasonography in Medicine and Biology</pub><pmid>39078995</pmid><doi>10.11152/mu-4393</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accuracy Adult Aged Aged, 80 and over Chi-square test Demographic variables Demographics Diagnosis, Differential Endocrine system Female Humans Image analysis Male Middle Aged Parathyroid Glands - diagnostic imaging Parathyroid Neoplasms - diagnostic imaging Patients Reproducibility of Results Retrospective Studies Sensitivity and Specificity Statistical analysis Surgery Thyroid gland Thyroid Gland - diagnostic imaging Thyroid Neoplasms - diagnostic imaging Thyroid Neoplasms - pathology Ultrasonic imaging Ultrasonography - methods Young Adult |
title | Can ultrasonography be used to differentiate parathyroid masses abutting the thyroid gland from thyroid masses extending into the parathyroid area? |
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