电影片段在常规甲状腺超声波中增加了甲状腺金字塔叶的检测
Yi Yan1,2, Xiaoou He1, Kai Hu3,4
1Department of Radiology, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Ultrasound (Leeds, England)
|August 5, 2024
概括
识别甲状腺金字塔叶对于甲状腺癌手术至关重要. 使用cine-loops的新超声波协议显著提高了检测率,有助于完全去除甲状腺并防止复发.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 甲状腺金字塔叶是一种解剖学变异,在甲状腺癌手术期间需要识别和切除.
- 如果不能切除金字塔叶,则可能导致剩余甲状腺组织的间隔癌症.
研究的目的:
- 为了确定甲状腺金字塔叶的患病率在以前甲状腺切除术和没有甲状腺切除术的患者.
- 优化超声波协议,在例行检查期间识别甲状腺金字塔叶.
主要方法:
- 一项前性研究招募了1579名接受常规甲状腺超声波检查的患者.
- 建立了一个专门的扫描协议,包括静态图像和从峡谷到舌骨的横向电影循环.
- 甲状腺金字塔叶的存在和特征被评估和比较.
主要成果:
- 在没有甲状腺切除术的患者中,甲状腺金字塔叶的检测率从39.5%增加到49.7%,增加了cine-loop成像.
- 电影环在检测从主要叶区分开的金字塔叶或在甲状腺切除术后的患者中特别有效.
- 增强的协议还确定了甲状腺金字塔叶的病理,包括良性和恶性结节和哈西莫托甲状腺炎伪结节.
结论:
- 使用 cine-loop 的动态评估显著提高了甲状腺金字塔叶的检测率.
- 在手术前的超声波成像中,注意甲状腺金字塔叶可以防止在甲状腺切除术期间不完全切除甲状腺.
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