Distribution patterns of microcalcifications in suspected thyroid carcinoma: a classification method helpful for diagnosis

Purpose The aim of this study was to compare the distribution patterns of microcalcifications in thyroid cancers with benign cases. Methods In total, 358 patients having microcalcifications on ultrasonography were analysed. Microcalcifications were categorised according to the distribution patterns:...

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Veröffentlicht in:European radiology 2018-06, Vol.28 (6), p.2612-2619
Hauptverfasser: Ning, Chun-ping, Ji, Qing-lian, Fang, Shi-bao, Wang, Hong-qiao, Zhong, Yan-mi, Niu, Hai-tao
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container_issue 6
container_start_page 2612
container_title European radiology
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creator Ning, Chun-ping
Ji, Qing-lian
Fang, Shi-bao
Wang, Hong-qiao
Zhong, Yan-mi
Niu, Hai-tao
description Purpose The aim of this study was to compare the distribution patterns of microcalcifications in thyroid cancers with benign cases. Methods In total, 358 patients having microcalcifications on ultrasonography were analysed. Microcalcifications were categorised according to the distribution patterns: (I) microcalcifications inside one (a) or more (b) suspected nodules, (II) microcalcifications not only inside but also surrounding a suspected single (a) or multiple (b) nodules, and (III) focal (a) or diffuse (b) microcalcifications in the absence of any suspected nodule. Differences in distribution patterns of microcalcifications in benign and malignant thyroid lesions were compared. Results We found that the distribution patterns of microcalcifications differed between malignant ( n = 325) and benign lesions ( n = 117) ( X 2 = 9.926, p < 0.01). Benign lesions were classified as type Ia (66.7%), type Ib (29.1%) or type IIIa (4.3%). The specificity of type II and type IIIb in diagnosing malignant cases was 100%. Among malignant lesions, 172 locations were classified as type Ia, 106 as type Ib, 12 as type IIa, 7 as IIb, 7 as type IIIa and 19 as type IIIb. Accompanying Hashimoto thyroiditis was most frequent in type III (51.6%). Conclusions Types II and IIIb are highly specific for cancer detection. Microcalcifications outside a nodule and those detected in the absence of any nodule should therefore be reviewed carefully in clinical practice. Key Points • A method to classify distribution patterns of thyroid microcalcifications is presented. • Distribution features of microcalcifications are useful for diagnosing thyroid cancers. • Microcalcifications outside a suspicious nodule are highly specific for thyroid cancers. • Microcalcifications without suspicious nodules should also alert the physician to thyroid cancers.
doi_str_mv 10.1007/s00330-017-5212-2
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Methods In total, 358 patients having microcalcifications on ultrasonography were analysed. Microcalcifications were categorised according to the distribution patterns: (I) microcalcifications inside one (a) or more (b) suspected nodules, (II) microcalcifications not only inside but also surrounding a suspected single (a) or multiple (b) nodules, and (III) focal (a) or diffuse (b) microcalcifications in the absence of any suspected nodule. Differences in distribution patterns of microcalcifications in benign and malignant thyroid lesions were compared. Results We found that the distribution patterns of microcalcifications differed between malignant ( n = 325) and benign lesions ( n = 117) ( X 2 = 9.926, p &lt; 0.01). Benign lesions were classified as type Ia (66.7%), type Ib (29.1%) or type IIIa (4.3%). The specificity of type II and type IIIb in diagnosing malignant cases was 100%. Among malignant lesions, 172 locations were classified as type Ia, 106 as type Ib, 12 as type IIa, 7 as IIb, 7 as type IIIa and 19 as type IIIb. Accompanying Hashimoto thyroiditis was most frequent in type III (51.6%). Conclusions Types II and IIIb are highly specific for cancer detection. Microcalcifications outside a nodule and those detected in the absence of any nodule should therefore be reviewed carefully in clinical practice. Key Points • A method to classify distribution patterns of thyroid microcalcifications is presented. • Distribution features of microcalcifications are useful for diagnosing thyroid cancers. • Microcalcifications outside a suspicious nodule are highly specific for thyroid cancers. • Microcalcifications without suspicious nodules should also alert the physician to thyroid cancers.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-017-5212-2</identifier><identifier>PMID: 29313119</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Analysis of Variance ; Benign ; Biopsy ; Biopsy, Fine-Needle - methods ; Calcinosis - classification ; Calcinosis - diagnostic imaging ; Calcinosis - pathology ; Diagnosis, Differential ; Diagnostic Radiology ; Female ; Head and Neck ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Lesions ; Male ; Mammography ; Medical diagnosis ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuroradiology ; Nodules ; Physicians ; Radiology ; Retrospective Studies ; Sensitivity and Specificity ; Thyroid ; Thyroid cancer ; Thyroid carcinoma ; Thyroid gland ; Thyroid Neoplasms - classification ; Thyroid Neoplasms - diagnostic imaging ; Thyroid Neoplasms - pathology ; Thyroid Nodule - classification ; Thyroid Nodule - diagnostic imaging ; Thyroid Nodule - pathology ; Thyroiditis ; Ultrasonography ; Ultrasound ; Young Adult</subject><ispartof>European radiology, 2018-06, Vol.28 (6), p.2612-2619</ispartof><rights>European Society of Radiology 2018</rights><rights>European Radiology is a copyright of Springer, (2018). 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Methods In total, 358 patients having microcalcifications on ultrasonography were analysed. Microcalcifications were categorised according to the distribution patterns: (I) microcalcifications inside one (a) or more (b) suspected nodules, (II) microcalcifications not only inside but also surrounding a suspected single (a) or multiple (b) nodules, and (III) focal (a) or diffuse (b) microcalcifications in the absence of any suspected nodule. Differences in distribution patterns of microcalcifications in benign and malignant thyroid lesions were compared. Results We found that the distribution patterns of microcalcifications differed between malignant ( n = 325) and benign lesions ( n = 117) ( X 2 = 9.926, p &lt; 0.01). Benign lesions were classified as type Ia (66.7%), type Ib (29.1%) or type IIIa (4.3%). The specificity of type II and type IIIb in diagnosing malignant cases was 100%. Among malignant lesions, 172 locations were classified as type Ia, 106 as type Ib, 12 as type IIa, 7 as IIb, 7 as type IIIa and 19 as type IIIb. Accompanying Hashimoto thyroiditis was most frequent in type III (51.6%). Conclusions Types II and IIIb are highly specific for cancer detection. Microcalcifications outside a nodule and those detected in the absence of any nodule should therefore be reviewed carefully in clinical practice. Key Points • A method to classify distribution patterns of thyroid microcalcifications is presented. • Distribution features of microcalcifications are useful for diagnosing thyroid cancers. • Microcalcifications outside a suspicious nodule are highly specific for thyroid cancers. • Microcalcifications without suspicious nodules should also alert the physician to thyroid cancers.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Benign</subject><subject>Biopsy</subject><subject>Biopsy, Fine-Needle - methods</subject><subject>Calcinosis - classification</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Calcinosis - pathology</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Head and Neck</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Lesions</subject><subject>Male</subject><subject>Mammography</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine &amp; 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Methods In total, 358 patients having microcalcifications on ultrasonography were analysed. Microcalcifications were categorised according to the distribution patterns: (I) microcalcifications inside one (a) or more (b) suspected nodules, (II) microcalcifications not only inside but also surrounding a suspected single (a) or multiple (b) nodules, and (III) focal (a) or diffuse (b) microcalcifications in the absence of any suspected nodule. Differences in distribution patterns of microcalcifications in benign and malignant thyroid lesions were compared. Results We found that the distribution patterns of microcalcifications differed between malignant ( n = 325) and benign lesions ( n = 117) ( X 2 = 9.926, p &lt; 0.01). Benign lesions were classified as type Ia (66.7%), type Ib (29.1%) or type IIIa (4.3%). The specificity of type II and type IIIb in diagnosing malignant cases was 100%. Among malignant lesions, 172 locations were classified as type Ia, 106 as type Ib, 12 as type IIa, 7 as IIb, 7 as type IIIa and 19 as type IIIb. Accompanying Hashimoto thyroiditis was most frequent in type III (51.6%). Conclusions Types II and IIIb are highly specific for cancer detection. Microcalcifications outside a nodule and those detected in the absence of any nodule should therefore be reviewed carefully in clinical practice. Key Points • A method to classify distribution patterns of thyroid microcalcifications is presented. • Distribution features of microcalcifications are useful for diagnosing thyroid cancers. • Microcalcifications outside a suspicious nodule are highly specific for thyroid cancers. • Microcalcifications without suspicious nodules should also alert the physician to thyroid cancers.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29313119</pmid><doi>10.1007/s00330-017-5212-2</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1045-077X</orcidid></addata></record>
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subjects Adolescent
Adult
Aged
Analysis of Variance
Benign
Biopsy
Biopsy, Fine-Needle - methods
Calcinosis - classification
Calcinosis - diagnostic imaging
Calcinosis - pathology
Diagnosis, Differential
Diagnostic Radiology
Female
Head and Neck
Humans
Imaging
Internal Medicine
Interventional Radiology
Lesions
Male
Mammography
Medical diagnosis
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Nodules
Physicians
Radiology
Retrospective Studies
Sensitivity and Specificity
Thyroid
Thyroid cancer
Thyroid carcinoma
Thyroid gland
Thyroid Neoplasms - classification
Thyroid Neoplasms - diagnostic imaging
Thyroid Neoplasms - pathology
Thyroid Nodule - classification
Thyroid Nodule - diagnostic imaging
Thyroid Nodule - pathology
Thyroiditis
Ultrasonography
Ultrasound
Young Adult
title Distribution patterns of microcalcifications in suspected thyroid carcinoma: a classification method helpful for diagnosis
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