Hana Kim1, Jeong-Ah Kim2, Eun Ju Son1, Ji Hyun Youk1, Tae-Sub Chung1, Cheong Soo Park3, Hang-Seok Chang3. 1. Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonjuro, Gangnam-Gu, Seoul 135-720, South Korea. 2. Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonjuro, Gangnam-Gu, Seoul 135-720, South Korea. Electronic address: chrismd@hanmail.net. 3. Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Abstract
BACKGROUND: The purpose of this study was to assess the diagnostic performance of preoperative ultrasonography (US) for the prediction of extrathyroidal extension (ETE) in patients with papillary thyroid carcinoma (PTC) and to compare the diagnostic performances of US and magnetic resonance imaging (MRI) for predicting ETE. METHODS: 75 patients with PTC who underwent preoperative US and MRI were retrospectively reviewed in this study. Two radiologists independently evaluated the US and MR findings to assess minimal or extensive ETE of PTC. These results were compared with the histopathologic findings. The diagnostic performances of US and MRI in the evaluation of ETE were compared. RESULTS: US was more accurate than MRI in the prediction of minimal ETE (p < 0.05) and the accuracies were not significantly different between US and MRI in extensive ETE. US showed higher sensitivity, negative predictive value and accuracy than MRI (p < 0.001) in the prediction of overall ETE. CONCLUSION: US provided higher accuracy for assessing overall ETE and higher sensitivity for minimal ETE than MR imaging in preoperative evaluation of ETE of PTC. There was no significant difference in evaluating extensive ETE of PTC between US and MRI.
BACKGROUND: The purpose of this study was to assess the diagnostic performance of preoperative ultrasonography (US) for the prediction of extrathyroidal extension (ETE) in patients with papillary thyroid carcinoma (PTC) and to compare the diagnostic performances of US and magnetic resonance imaging (MRI) for predicting ETE. METHODS: 75 patients with PTC who underwent preoperative US and MRI were retrospectively reviewed in this study. Two radiologists independently evaluated the US and MR findings to assess minimal or extensive ETE of PTC. These results were compared with the histopathologic findings. The diagnostic performances of US and MRI in the evaluation of ETE were compared. RESULTS: US was more accurate than MRI in the prediction of minimal ETE (p < 0.05) and the accuracies were not significantly different between US and MRI in extensive ETE. US showed higher sensitivity, negative predictive value and accuracy than MRI (p < 0.001) in the prediction of overall ETE. CONCLUSION: US provided higher accuracy for assessing overall ETE and higher sensitivity for minimal ETE than MR imaging in preoperative evaluation of ETE of PTC. There was no significant difference in evaluating extensive ETE of PTC between US and MRI.