Standard operating procedure (SOP) for cervical ultrasound cine loop video sequences in the follow-up of differentiated thyroid carcinoma (DTC).

IF 3.7 3区医学 Q2 Medicine

Endocrine Pub Date : 2024-09-03 DOI:10.1007/s12020-024-04021-w

Marc-Patrick Sopuschek, Martin Freesmeyer, Thomas Winkens, Christian Kühnel, Manuela Petersen, Falk Gühne, Anke Werner, Philipp Seifert

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Abstract

Rationale and objectives: Cervical ultrasound (US) is crucial in the follow-up of differentiated thyroid cancer (DTC). However, there are no guidelines for its acquisition and documentation, particularly concerning the role of additional video sequences, known as US cine loops (UCL). The aim of this study is to examine the clinical relevance (CR) of a new Standard Operating Procedure (SOP) for cervical UCL in DTC follow-up.

Materials and methods: A retrospective analysis was conducted on all UCL examinations of DTC follow-up patients at a tertiary care center between January 2010 and February 2018 to determine their clinical significance. The patients were divided into two groups: those with no documented CR (UCL-nCR) and those with documented CR (UCL-CR). The study reviewed the respective written medical US reports that were validated by experienced residents. The UCL-CR were categorized in: confirmation of a suspicious finding that was identified during conventional live US (UCL-CR^con), identification of a suspicious finding that was not identified during conventional live US (UCL-CR^ide), and invalidation of a suspicious finding that was identified during conventional live US (UCL-CR^inv).

Results: A total of 5512 UCLs in 652 DTC patients were analyzed, with 71.5% women and a mean age of 50 years. More than 90% of the tumors were low-risk at initial staging. The mean number of UCLs per patient was 8.5 ± 4.6. Overall, 95 cases of UCL-CR were identified in 82 patients (12.6%), with a patient-based number needed to scan of 8. UCL-CR^inv was the most common type of UCL-CR, accounting for 77 (81.1%) of cases. The occurrences of 12 UCL-CR^con (12.6%) and 6 UCL-CR^ide (6.3%) were correspondingly less frequent. The diagnosis of UCL-CR was confirmed in 91.6% of cases during the clinical course.

Conclusions: In 12.6% of the patients, the additional acquisition and archiving of cervical UCL revealed clinical relevance in the course of DTC disease. The invalidation of suspicious findings through the retrospective analysis of former UCL occurred as the most significant benefit of this method. The UCL SOP can be easily and quickly integrated into the US workflow.

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用于分化型甲状腺癌（DTC）随访的宫颈超声胶片环形视频序列标准操作程序（SOP）。

理由和目的：宫颈超声（US）对分化型甲状腺癌（DTC）的随访至关重要。然而，目前还没有关于其采集和记录的指南，尤其是关于附加视频序列（即 US cine Loops (UCL)）的作用。本研究的目的是检验在 DTC 随访中宫颈 UCL 的新标准操作程序 (SOP) 的临床相关性 (CR)：对一家三级医疗中心 2010 年 1 月至 2018 年 2 月期间 DTC 随访患者的所有 UCL 检查进行回顾性分析，以确定其临床意义。患者分为两组：无记录 CR（UCL-nCR）和有记录 CR（UCL-CR）。研究审查了由经验丰富的住院医师验证的各自书面医学 US 报告。UCL-CR分为：确认常规现场US检查中发现的可疑发现（UCL-CRcon）、确认常规现场US检查中未发现的可疑发现（UCL-CRide）和确认常规现场US检查中发现的可疑发现无效（UCL-CRinv）：结果：共分析了 652 名 DTC 患者的 5512 个 UCL，其中女性占 71.5%，平均年龄为 50 岁。90%以上的肿瘤在初始分期时属于低危肿瘤。每位患者的 UCL 平均数量为 8.5 ± 4.6。总体而言，在82名患者（12.6%）中发现了95例UCL-CR，以患者为基础的扫描需要数为8。12 例 UCL-CRcon（12.6%）和 6 例 UCL-CRide（6.3%）的发生率相应较低。91.6%的病例在临床过程中确诊为 UCL-CR：结论：在 12.6% 的患者中，宫颈 UCL 的额外采集和存档显示了 DTC 病程中的临床相关性。通过对以前的 UCL 进行回顾性分析，使可疑结果失效是这种方法的最大优点。宫颈 UCL SOP 可以方便快捷地集成到 US 工作流程中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrine 医学-内分泌学与代谢

CiteScore

6.40

自引率

5.40%

发文量

期刊介绍： Well-established as a major journal in today’s rapidly advancing experimental and clinical research areas, Endocrine publishes original articles devoted to basic (including molecular, cellular and physiological studies), translational and clinical research in all the different fields of endocrinology and metabolism. Articles will be accepted based on peer-reviews, priority, and editorial decision. Invited reviews, mini-reviews and viewpoints on relevant pathophysiological and clinical topics, as well as Editorials on articles appearing in the Journal, are published. Unsolicited Editorials will be evaluated by the editorial team. Outcomes of scientific meetings, as well as guidelines and position statements, may be submitted. The Journal also considers special feature articles in the field of endocrine genetics and epigenetics, as well as articles devoted to novel methods and techniques in endocrinology. Endocrine covers controversial, clinical endocrine issues. Meta-analyses on endocrine and metabolic topics are also accepted. Descriptions of single clinical cases and/or small patients studies are not published unless of exceptional interest. However, reports of novel imaging studies and endocrine side effects in single patients may be considered. Research letters and letters to the editor related or unrelated to recently published articles can be submitted. Endocrine covers leading topics in endocrinology such as neuroendocrinology, pituitary and hypothalamic peptides, thyroid physiological and clinical aspects, bone and mineral metabolism and osteoporosis, obesity, lipid and energy metabolism and food intake control, insulin, Type 1 and Type 2 diabetes, hormones of male and female reproduction, adrenal diseases pediatric and geriatric endocrinology, endocrine hypertension and endocrine oncology.