Personal experiences in ultrasonography and sonoelastography of thyroid gland

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Adam Stangierski,Aff1 Kosma Woliński,Aff1 ArticleInfo

ArticleID

: 210

ArticleDOI

: 10.1186/1756-6614-8-S1-A22

ArticleCitationID

: A22

ArticleSequenceNumber

: 22

ArticleCategory

: Meeting abstract

ArticleFirstPage

: 1

ArticleLastPage

: 7

ArticleHistory

:

ArticleCopyright

Ruchala et al; licensee BioMed Central Ltd.2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits : unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

RegistrationDate OnlineDate

: 2015–6–22 : 2015–6–22

Aff1

Department of Endocrinology, Metabolism and Internal Medicine, University of Medical Sciences, 49 Przybyszewskiego St, 60-355 Poznan, Poland Spring School of Thyroidology organized by the Polish Thyroid Association 2014: abstracts of invited lectures Spring School of Thyroidology organized by the Polish Thyroid Association 2014 Miedzyzdroje, Poland 23-24 May 2014 Publication of this supplement was funded by the Polish Thyroid Association. The Supplement Editors declare that they have no competing interests.

Meeting abstracts Andrzej Lewinski Mariusz Stasiolek

In recent decades, thyroid ultrasonography has become one of the most important procedures performed in daily endocrinological practice. This convenient, fast, non-invasive and cheap procedure benefits in many aspects on determination of thyroid morphology. The advantages of thyroid US include measurement of thyroid volume, evaluation of its echogenicity with visualization of parenchyma vascularisation. Also, thyroid ultrasonography is necessary for selection of so-called suspicious features of potential malignancy among thyroid lesions. According to numerous studies, combination of some specific sonographic features indicate higher risk of malignancy, and indicate necessity for fine needle aspiration biopsy (FNAB). Sonographic features of the lesion, that rise the suspision of malignancy include: decreased echogenicity; irregular, diffused boarders; microcalcifications; local limphadenopathy; taller than wide orientation in parenchyma; increased vascular pattern in the center; documented, rapid growth of the lesion [1–3]. However, according to a recent meta-analysis by Brito et al., evaluating predictive values of different combination of those features, ultrasonography does not benefit in satisfactory values of sensitivity and specificity (table 1) [4]. Table 1 The main characteristics of studies included in the meta analysis. Author

Year Patients

Mean age

Azizi et al. [6]

2012 706

women – 48.5, men – 912 47.7

86

Bojunga et al. [7]

2012 99 women, 39 men

52.0

158

21

Rossi et al. [8]

2012 1439 women, 417 52 men

2421

233

Trimboli et al. [9]