Sonographic appearance of thyroid glands in patients treated with intensity-modulated radiotherapy or conventional radiotherapy for nasopharyngeal carcinoma

ABSTRACT Background This study aimed to investigate the sonographic appearances of the thyroid glands in nasopharyngeal carcinoma (NPC) patients whose cervical lymph nodes were treated with conventional radiotherapy (RT) or intensity‐modulated radiotherapy (IMRT). The post‐RT sonographic appearances...

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Veröffentlicht in:Journal of clinical ultrasound 2015-05, Vol.43 (4), p.210-223
Hauptverfasser: Cheng, Sammy C.H., Wu, Vincent W.C., Kwong, Dora L.W., Lui, C.Y., Cheng, Ashley C.K., Kot, Brian C.W., Ying, Michael T.C.
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container_end_page 223
container_issue 4
container_start_page 210
container_title Journal of clinical ultrasound
container_volume 43
creator Cheng, Sammy C.H.
Wu, Vincent W.C.
Kwong, Dora L.W.
Lui, C.Y.
Cheng, Ashley C.K.
Kot, Brian C.W.
Ying, Michael T.C.
description ABSTRACT Background This study aimed to investigate the sonographic appearances of the thyroid glands in nasopharyngeal carcinoma (NPC) patients whose cervical lymph nodes were treated with conventional radiotherapy (RT) or intensity‐modulated radiotherapy (IMRT). The post‐RT sonographic appearances of the thyroid glands in NPC patients were also correlated with the thyroid function. Methods One hundred and three NPC patients who had completed RT of cervical lymph nodes using the anterior cervical field, 30 NPC patients who had completed RT of cervical lymph nodes using IMRT, and 61 healthy subjects were included in the study. Thyroid glands were sonographically assessed for their size, echogenicity, vascularity, and internal architecture. Thyroid function tests were also performed on each subject. Results In comparison with the patients with abnormal thyroid function, the thyroid glands of the patients with normal thyroid function tended to be homogeneous and to have greater volume and echogenicity index (p 
doi_str_mv 10.1002/jcu.22222
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The post‐RT sonographic appearances of the thyroid glands in NPC patients were also correlated with the thyroid function. Methods One hundred and three NPC patients who had completed RT of cervical lymph nodes using the anterior cervical field, 30 NPC patients who had completed RT of cervical lymph nodes using IMRT, and 61 healthy subjects were included in the study. Thyroid glands were sonographically assessed for their size, echogenicity, vascularity, and internal architecture. Thyroid function tests were also performed on each subject. Results In comparison with the patients with abnormal thyroid function, the thyroid glands of the patients with normal thyroid function tended to be homogeneous and to have greater volume and echogenicity index (p &lt; 0.05). Compared with those of the healthy subjects, the thyroid glands of patients previously treated with IMRT and those treated with the anterior cervical field showed significantly lower thyroid volume, lower incidence and number of nodules, and higher vascularity index (p &lt; 0.05). Conclusions The patient's history of previous RT should be taken into consideration in the sonographic examination of the thyroid gland post‐RT. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:210–223, 2015</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.22222</identifier><identifier>PMID: 25138465</identifier><identifier>CODEN: JCULDD</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>hypothyroidism ; nasopharyngeal carcinoma ; radiotherapy ; thyroid ; Ultrasonic imaging ; ultrasonography</subject><ispartof>Journal of clinical ultrasound, 2015-05, Vol.43 (4), p.210-223</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4602-8f30b1ea65f44799022d9369efdc1d5127c937773a51a323d85b7945e62aca573</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.22222$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.22222$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25138465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Sammy C.H.</creatorcontrib><creatorcontrib>Wu, Vincent W.C.</creatorcontrib><creatorcontrib>Kwong, Dora L.W.</creatorcontrib><creatorcontrib>Lui, C.Y.</creatorcontrib><creatorcontrib>Cheng, Ashley C.K.</creatorcontrib><creatorcontrib>Kot, Brian C.W.</creatorcontrib><creatorcontrib>Ying, Michael T.C.</creatorcontrib><title>Sonographic appearance of thyroid glands in patients treated with intensity-modulated radiotherapy or conventional radiotherapy for nasopharyngeal carcinoma</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>ABSTRACT Background This study aimed to investigate the sonographic appearances of the thyroid glands in nasopharyngeal carcinoma (NPC) patients whose cervical lymph nodes were treated with conventional radiotherapy (RT) or intensity‐modulated radiotherapy (IMRT). The post‐RT sonographic appearances of the thyroid glands in NPC patients were also correlated with the thyroid function. Methods One hundred and three NPC patients who had completed RT of cervical lymph nodes using the anterior cervical field, 30 NPC patients who had completed RT of cervical lymph nodes using IMRT, and 61 healthy subjects were included in the study. Thyroid glands were sonographically assessed for their size, echogenicity, vascularity, and internal architecture. Thyroid function tests were also performed on each subject. Results In comparison with the patients with abnormal thyroid function, the thyroid glands of the patients with normal thyroid function tended to be homogeneous and to have greater volume and echogenicity index (p &lt; 0.05). Compared with those of the healthy subjects, the thyroid glands of patients previously treated with IMRT and those treated with the anterior cervical field showed significantly lower thyroid volume, lower incidence and number of nodules, and higher vascularity index (p &lt; 0.05). Conclusions The patient's history of previous RT should be taken into consideration in the sonographic examination of the thyroid gland post‐RT. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:210–223, 2015</description><subject>hypothyroidism</subject><subject>nasopharyngeal carcinoma</subject><subject>radiotherapy</subject><subject>thyroid</subject><subject>Ultrasonic imaging</subject><subject>ultrasonography</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFkc1u1DAUhS0EokNhwQsgS2zYpPVPbMdLNGJaqgqEoLC0PI4z8ZCxU9uh5F14WDwzpRJs8OZaOt-50j0HgJcYnWGEyPnWTGdk_x6BBUZSVAhJ_hgsysAVEQyfgGcpbRFCnDH2FJwQhmlTc7YAvz4HHzZRj70zUI-j1VF7Y2HoYO7nGFwLN4P2bYLOw1FnZ31OMEers23hnct9EbL1yeW52oV2Gg5C1K0Lubdl8QxDhCb4H8XpgtfD32JXVK9TGHsdZ7-xRTc6GufDTj8HTzo9JPvifp6Cm9W7L8vL6vrjxfvl2-vK1ByRqukoWmOrOevqWkiJCGkl5dJ2rcEtw0QYSYUQVDOsKaFtw9ZC1sxyoo1mgp6CN8e9Ywy3k01Z7VwydiiH2zAlhRvCmWwklf9HueB0ny4p6Ot_0G2YYgngQGGCBRJ1oV7dU9N6Z1s1RrcrSag_FRXg_AjcucHODzpGat-9Kt2rQ_fqanlz-BRHdXS4lO3PB4eO3xUXVDD17cOF-sS-ri5XcqWu6G-MkbK9</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Cheng, Sammy C.H.</creator><creator>Wu, Vincent W.C.</creator><creator>Kwong, Dora L.W.</creator><creator>Lui, C.Y.</creator><creator>Cheng, Ashley C.K.</creator><creator>Kot, Brian C.W.</creator><creator>Ying, Michael T.C.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>NPM</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7QO</scope><scope>7X8</scope></search><sort><creationdate>201505</creationdate><title>Sonographic appearance of thyroid glands in patients treated with intensity-modulated radiotherapy or conventional radiotherapy for nasopharyngeal carcinoma</title><author>Cheng, Sammy C.H. ; Wu, Vincent W.C. ; Kwong, Dora L.W. ; Lui, C.Y. ; Cheng, Ashley C.K. ; Kot, Brian C.W. ; Ying, Michael T.C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4602-8f30b1ea65f44799022d9369efdc1d5127c937773a51a323d85b7945e62aca573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>hypothyroidism</topic><topic>nasopharyngeal carcinoma</topic><topic>radiotherapy</topic><topic>thyroid</topic><topic>Ultrasonic imaging</topic><topic>ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, Sammy C.H.</creatorcontrib><creatorcontrib>Wu, Vincent W.C.</creatorcontrib><creatorcontrib>Kwong, Dora L.W.</creatorcontrib><creatorcontrib>Lui, C.Y.</creatorcontrib><creatorcontrib>Cheng, Ashley C.K.</creatorcontrib><creatorcontrib>Kot, Brian C.W.</creatorcontrib><creatorcontrib>Ying, Michael T.C.</creatorcontrib><collection>Istex</collection><collection>PubMed</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Sammy C.H.</au><au>Wu, Vincent W.C.</au><au>Kwong, Dora L.W.</au><au>Lui, C.Y.</au><au>Cheng, Ashley C.K.</au><au>Kot, Brian C.W.</au><au>Ying, Michael T.C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sonographic appearance of thyroid glands in patients treated with intensity-modulated radiotherapy or conventional radiotherapy for nasopharyngeal carcinoma</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J. Clin. Ultrasound</addtitle><date>2015-05</date><risdate>2015</risdate><volume>43</volume><issue>4</issue><spage>210</spage><epage>223</epage><pages>210-223</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><coden>JCULDD</coden><abstract>ABSTRACT Background This study aimed to investigate the sonographic appearances of the thyroid glands in nasopharyngeal carcinoma (NPC) patients whose cervical lymph nodes were treated with conventional radiotherapy (RT) or intensity‐modulated radiotherapy (IMRT). The post‐RT sonographic appearances of the thyroid glands in NPC patients were also correlated with the thyroid function. Methods One hundred and three NPC patients who had completed RT of cervical lymph nodes using the anterior cervical field, 30 NPC patients who had completed RT of cervical lymph nodes using IMRT, and 61 healthy subjects were included in the study. Thyroid glands were sonographically assessed for their size, echogenicity, vascularity, and internal architecture. Thyroid function tests were also performed on each subject. Results In comparison with the patients with abnormal thyroid function, the thyroid glands of the patients with normal thyroid function tended to be homogeneous and to have greater volume and echogenicity index (p &lt; 0.05). Compared with those of the healthy subjects, the thyroid glands of patients previously treated with IMRT and those treated with the anterior cervical field showed significantly lower thyroid volume, lower incidence and number of nodules, and higher vascularity index (p &lt; 0.05). Conclusions The patient's history of previous RT should be taken into consideration in the sonographic examination of the thyroid gland post‐RT. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:210–223, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25138465</pmid><doi>10.1002/jcu.22222</doi><tpages>14</tpages></addata></record>
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subjects hypothyroidism
nasopharyngeal carcinoma
radiotherapy
thyroid
Ultrasonic imaging
ultrasonography
title Sonographic appearance of thyroid glands in patients treated with intensity-modulated radiotherapy or conventional radiotherapy for nasopharyngeal carcinoma
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