考虑FNAB和超声弹性成像资格评估的病变大小截止阈值以及评估甲状腺局灶性病变恶性潜力的观察者之间和内部一致性的研究的meta分析总结。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of Ultrasonography Pub Date : 2022-04-27 eCollection Date: 2022-04-01 DOI:10.15557/JoU.2022.0021
Katarzyna Dobruch-Sobczak, Zbigniew Adamczewski, Marek Dedecjus, Andrzej Lewiński, Bartosz Migda, Marek Ruchała, Anna Skowrońska-Szcześniak, Ewelina Szczepanek-Parulska, Klaudia Zajkowska, Agnieszka Żyłka
{"title":"考虑FNAB和超声弹性成像资格评估的病变大小截止阈值以及评估甲状腺局灶性病变恶性潜力的观察者之间和内部一致性的研究的meta分析总结。","authors":"Katarzyna Dobruch-Sobczak,&nbsp;Zbigniew Adamczewski,&nbsp;Marek Dedecjus,&nbsp;Andrzej Lewiński,&nbsp;Bartosz Migda,&nbsp;Marek Ruchała,&nbsp;Anna Skowrońska-Szcześniak,&nbsp;Ewelina Szczepanek-Parulska,&nbsp;Klaudia Zajkowska,&nbsp;Agnieszka Żyłka","doi":"10.15557/JoU.2022.0021","DOIUrl":null,"url":null,"abstract":"<p><p>Thyroid cancer is a tumour with a steadily increasing incidence. It accounts for 7% to 15% of focal lesions detected by ultrasound, depending on age, gender and other factors affecting its occurrence. Fine-needle aspiration biopsy is an essential method to establish the diagnosis but, in view of its limitations, sonoelastography is seen as a non-invasive technique useful in differentiating the nature of lesions and monitoring them after fine-needle aspiration biopsy. This paper presents a literature review on the role of both sonoelastographic techniques (relative strain sonoelastography, shear wave sonoelastography) to assess the deformability of focal thyroid lesions. Ultrasound examination is a relatively subjective method of thyroid imaging, depending on the skills of the examiner, the experience of the centre, and the quality of equipment used. As a consequence, there are inconsistencies between the results obtained by different examiners (<i>inter-observer variability</i>) and by the same examiner (<i>intra-observer variability</i>). In this paper, the authors present a review of the literature on inter-observer and intra-observer variability in the assessment of individual features of ultrasound imaging of focal lesions in the thyroid. In addition, the authors report on an analysis of cut-off thresholds for the size of lesions constituting the basis for fine-needle aspiration biopsy eligibility assessment. The need to diagnose carcinomas up to 10 mm in diameter is highlighted, however a more liberal approach is recommended in terms of indications for biopsy in lesions associated with a low risk of malignancy, where, based on consultations with patients, active ultrasound surveillance might even be considered.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 89","pages":"130-135"},"PeriodicalIF":1.3000,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/9f/jou-22-130.PMC9231511.pdf","citationCount":"1","resultStr":"{\"title\":\"Summary of Meta-analyses of Studies Considering Lesion Size Cut-off Thresholds for The Assessment of Eligibility for FNAB and Sonoelastography and Inter- and Intra-observer Agreement in Estimating the Malignant Potential of Focal Lesions of The Thyroid Gland.\",\"authors\":\"Katarzyna Dobruch-Sobczak,&nbsp;Zbigniew Adamczewski,&nbsp;Marek Dedecjus,&nbsp;Andrzej Lewiński,&nbsp;Bartosz Migda,&nbsp;Marek Ruchała,&nbsp;Anna Skowrońska-Szcześniak,&nbsp;Ewelina Szczepanek-Parulska,&nbsp;Klaudia Zajkowska,&nbsp;Agnieszka Żyłka\",\"doi\":\"10.15557/JoU.2022.0021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Thyroid cancer is a tumour with a steadily increasing incidence. It accounts for 7% to 15% of focal lesions detected by ultrasound, depending on age, gender and other factors affecting its occurrence. Fine-needle aspiration biopsy is an essential method to establish the diagnosis but, in view of its limitations, sonoelastography is seen as a non-invasive technique useful in differentiating the nature of lesions and monitoring them after fine-needle aspiration biopsy. This paper presents a literature review on the role of both sonoelastographic techniques (relative strain sonoelastography, shear wave sonoelastography) to assess the deformability of focal thyroid lesions. Ultrasound examination is a relatively subjective method of thyroid imaging, depending on the skills of the examiner, the experience of the centre, and the quality of equipment used. As a consequence, there are inconsistencies between the results obtained by different examiners (<i>inter-observer variability</i>) and by the same examiner (<i>intra-observer variability</i>). In this paper, the authors present a review of the literature on inter-observer and intra-observer variability in the assessment of individual features of ultrasound imaging of focal lesions in the thyroid. In addition, the authors report on an analysis of cut-off thresholds for the size of lesions constituting the basis for fine-needle aspiration biopsy eligibility assessment. The need to diagnose carcinomas up to 10 mm in diameter is highlighted, however a more liberal approach is recommended in terms of indications for biopsy in lesions associated with a low risk of malignancy, where, based on consultations with patients, active ultrasound surveillance might even be considered.</p>\",\"PeriodicalId\":45612,\"journal\":{\"name\":\"Journal of Ultrasonography\",\"volume\":\"22 89\",\"pages\":\"130-135\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2022-04-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/9f/jou-22-130.PMC9231511.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ultrasonography\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15557/JoU.2022.0021\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ultrasonography","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15557/JoU.2022.0021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/4/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 1

摘要

甲状腺癌是一种发病率稳步上升的肿瘤。它占超声检出的局灶性病变的7%至15%,取决于年龄、性别和其他影响其发生的因素。细针穿刺活检是确定诊断的重要方法,但鉴于其局限性,超声弹性成像被视为一种非侵入性技术,可用于细针穿刺活检后区分病变性质和监测病变。本文介绍了两种超声弹性成像技术(相对应变超声弹性成像,剪切波超声弹性成像)在评估局灶性甲状腺病变可变形性方面的作用。超声检查是一种相对主观的甲状腺成像方法,取决于检查人员的技能、中心的经验和所使用设备的质量。因此,不同审查员(观察者之间的可变性)和同一审查员(观察者内部的可变性)得出的结果不一致。在这篇文章中,作者介绍了在评估甲状腺局灶性病变的超声成像个体特征时,观察者之间和观察者内部的变异性的文献综述。此外,作者报告了对病变大小的截止阈值的分析,这些阈值构成了细针穿刺活检资格评估的基础。强调了诊断直径小于10mm的肿瘤的必要性,但在低恶性肿瘤风险病变的活检指征方面,建议采用更自由的方法,在与患者协商的基础上,甚至可以考虑主动超声监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Summary of Meta-analyses of Studies Considering Lesion Size Cut-off Thresholds for The Assessment of Eligibility for FNAB and Sonoelastography and Inter- and Intra-observer Agreement in Estimating the Malignant Potential of Focal Lesions of The Thyroid Gland.

Thyroid cancer is a tumour with a steadily increasing incidence. It accounts for 7% to 15% of focal lesions detected by ultrasound, depending on age, gender and other factors affecting its occurrence. Fine-needle aspiration biopsy is an essential method to establish the diagnosis but, in view of its limitations, sonoelastography is seen as a non-invasive technique useful in differentiating the nature of lesions and monitoring them after fine-needle aspiration biopsy. This paper presents a literature review on the role of both sonoelastographic techniques (relative strain sonoelastography, shear wave sonoelastography) to assess the deformability of focal thyroid lesions. Ultrasound examination is a relatively subjective method of thyroid imaging, depending on the skills of the examiner, the experience of the centre, and the quality of equipment used. As a consequence, there are inconsistencies between the results obtained by different examiners (inter-observer variability) and by the same examiner (intra-observer variability). In this paper, the authors present a review of the literature on inter-observer and intra-observer variability in the assessment of individual features of ultrasound imaging of focal lesions in the thyroid. In addition, the authors report on an analysis of cut-off thresholds for the size of lesions constituting the basis for fine-needle aspiration biopsy eligibility assessment. The need to diagnose carcinomas up to 10 mm in diameter is highlighted, however a more liberal approach is recommended in terms of indications for biopsy in lesions associated with a low risk of malignancy, where, based on consultations with patients, active ultrasound surveillance might even be considered.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信