Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study

YÜCEL, CEM; GÜMÜŞ, Terman; AKINBİNGÖL, Şelale; ÖZLÜ, Mehmet; AKKAN, Koray; OKTAR, Suna Özhan; özdemir, hakan

Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study

Suna Özhan OKTAR, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Cem YÜCEL, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Koray AKKAN, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Terman GÜMÜŞ, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Şelale AKINBİNGÖL, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Mehmet ÖZLÜ, (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Hakan ÖZDEMİR (Gazi Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Gazi Medical Journal

3 0

Yıl: 2004 Cilt: 15 Sayı: 2 Sayfa Aralığı: 53 - 60 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study

Öz:

Amaç: Gerçek zamanlı "compound" görüntüleme ultrasonografı teknolojisinde önemli ilerlemelerden biridir. Çalışmamızda gerçek zamanlı "compound" ultrasonografınin konvansiyonel ultrasonografı ile karşılaştırıldığında, tiroid nodüllerinin ince iğne aspirasyon biyopsisindeki potansiyel faydalarını değerlendirmeyi amaçladık. Method: Bu çalışmada, 60 ardışık hastada 60 tiroid nodülüne ultrasonografı kılavuzluğunda ince iğne aspirasyon biyopsisi uygulandı. Biyopsi işlemi sırasında aynı nodulun hem konvansiyonel hem de "compound" görüntüleme ile ultrasonogramları elde edildi. Tüm görüntüler ultrasonografıde deneyimli birbirinden bağımsız iki gözlemci tarafından değerlendirildi. Tüm görüntüler için, iğne şaftının görünebilirliği, iğne ucunun görünebilirliği ve genel görüntü kalitesi değerlendirildi ve derecelendirildi. İki teknik arasında istatistiksel kıyaslama için Wilcoxon işaret testi kullanıldı. Gözlemciler arasındaki uyumu değerlendirmek için Kappa skorları hesaplandı. Bulgular: Gerçek zamanlı 'compound' görüntüleme, iğne şaftının ve ucunun görülebilirliği, ve genel görüntü kalitesi bakımından konvansiyonel US'ye göre daha üstündü (tüm değerlendirme kriterleri açısından p<0,01). Her iki gözlemci için de görüntülerin hiçbirinde iğne ucunun görülebilirliği açısından konvansiyonel US, gerçek zamanlı 'compound' görüntülemeye göre daha iyi değildi. Sonuç: Genel görüntü kalitesi, iğne şaftının ve ucunun görülebilirliği göz önüne alındığında gerçek zamanlı 'compound' görüntüleme, biyopsi iğnesine ultrasonografık kılavuzluk etmede konvansiyonel sonografıye üstündür. İğnenin ve iğne ile lezyon ve komşu yapıların ilişkisinin daha kolay görülebilir hale gelmesi nedeniyle, gerçek zamanlı 'compound' görüntüleme, özellikle az deneyimli radyologlara biyopsi işlemi sırasında yardımcı olabilir.

Anahtar Kelime: Biyopsi, ince-iğne Tiroid nodülü Karşılaştırmalı çalışma Ultrasonografi

Konular: Genel ve Dahili Tıp

Tiroid nodüllerinin ince iğne aspirasyon biyopsisinde gerçek-zamanlı 'Compound' görüntülemenin değeri: Karşılaştırmalı çalışma

Öz:

Purpose: Real-time compound imaging is one of the main advances in sonographic technology. Our aim was to assess the potential benefits of real-time compound sonography in the fine needle aspiration biopsy of the thyroid nodules compared with conventional sonography. Methods: Sonography-guided fine needle aspiration biopsy was performed on 60 thyroid nodules of 60 consecutive patients. Sonograms of the same nodule were obtained during the biopsy procedure using both conventional sonography and compound imaging. All images were independently reviewed by two independent observers experienced in sonography. For all images, the visibility of the needle shaft, visibility of the needle tip, and overall image quality were assessed and graded. Wilcoxon's signed rank test was used for statistical comparisons between the two techniques. Kappa scores were calculated to assess inter-observer agreement. Results: Real-time compound imaging was significantly superior to conventional sonography with respect to overall image quality, and visibility of the needle shaft and the tip, compared to conventional sonography (p- -0.001 for all evaluated parameters). In none of the images was the visibility of needle tip better in conventional images according to both observers. Conclusion: In terms of overall image quality, and the visibility of the shaft and tip of the needle, real-time compound sonography is superior to fundamental sonography in guiding the biopsy needle ultrasonographically. We assume that real-time compound imaging can be used for guidance in fine needle aspiration biopsy, and may be especially helpful for less experienced radiologists by way of easier visualization of the needle and its relationships with the lesion and neighboring structures.

Anahtar Kelime: Comparative Study Ultrasonography Biopsy, Fine-Needle Thyroid Nodule

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	OKTAR S, YÜCEL C, AKKAN K, GÜMÜŞ T, AKINBİNGÖL Ş, ÖZLÜ M, özdemir h (2004). Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. , 53 - 60.
Chicago	OKTAR Suna Özhan,YÜCEL CEM,AKKAN Koray,GÜMÜŞ Terman,AKINBİNGÖL Şelale,ÖZLÜ Mehmet,özdemir hakan Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. (2004): 53 - 60.
MLA	OKTAR Suna Özhan,YÜCEL CEM,AKKAN Koray,GÜMÜŞ Terman,AKINBİNGÖL Şelale,ÖZLÜ Mehmet,özdemir hakan Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. , 2004, ss.53 - 60.
AMA	OKTAR S,YÜCEL C,AKKAN K,GÜMÜŞ T,AKINBİNGÖL Ş,ÖZLÜ M,özdemir h Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. . 2004; 53 - 60.
Vancouver	OKTAR S,YÜCEL C,AKKAN K,GÜMÜŞ T,AKINBİNGÖL Ş,ÖZLÜ M,özdemir h Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. . 2004; 53 - 60.
IEEE	OKTAR S,YÜCEL C,AKKAN K,GÜMÜŞ T,AKINBİNGÖL Ş,ÖZLÜ M,özdemir h "Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study." , ss.53 - 60, 2004.
ISNAD	OKTAR, Suna Özhan vd. "Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study". (2004), 53-60.

APA	OKTAR S, YÜCEL C, AKKAN K, GÜMÜŞ T, AKINBİNGÖL Ş, ÖZLÜ M, özdemir h (2004). Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. Gazi Medical Journal, 15(2), 53 - 60.
Chicago	OKTAR Suna Özhan,YÜCEL CEM,AKKAN Koray,GÜMÜŞ Terman,AKINBİNGÖL Şelale,ÖZLÜ Mehmet,özdemir hakan Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. Gazi Medical Journal 15, no.2 (2004): 53 - 60.
MLA	OKTAR Suna Özhan,YÜCEL CEM,AKKAN Koray,GÜMÜŞ Terman,AKINBİNGÖL Şelale,ÖZLÜ Mehmet,özdemir hakan Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. Gazi Medical Journal, vol.15, no.2, 2004, ss.53 - 60.
AMA	OKTAR S,YÜCEL C,AKKAN K,GÜMÜŞ T,AKINBİNGÖL Ş,ÖZLÜ M,özdemir h Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. Gazi Medical Journal. 2004; 15(2): 53 - 60.
Vancouver	OKTAR S,YÜCEL C,AKKAN K,GÜMÜŞ T,AKINBİNGÖL Ş,ÖZLÜ M,özdemir h Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study. Gazi Medical Journal. 2004; 15(2): 53 - 60.
IEEE	OKTAR S,YÜCEL C,AKKAN K,GÜMÜŞ T,AKINBİNGÖL Ş,ÖZLÜ M,özdemir h "Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study." Gazi Medical Journal, 15, ss.53 - 60, 2004.
ISNAD	OKTAR, Suna Özhan vd. "Value of real-time compound sonography in fine needle aspiration biopsy of thyroid nodules: A comparative study". Gazi Medical Journal 15/2 (2004), 53-60.