Diagnostic Performance of Multiple Sound Touch Elastography for Differentiating Benign and Malignant Thyroid Nodules

This study evaluated the ability of Sound Touch Elastography (STE) to distinguish malignant from benign thyroid nodules by quantifying tumor stiffness using the elastic ratio (EI) and shear modulus (G). Eighty-six patients with 86 nodules were enrolled in this study. There were 24/86 (27.90%) thyroi...

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Main Authors: Lei Zhang (Author), Zhimin Ding (Author), Fajin Dong (Author), Huaiyu Wu (Author), Weiyu Liang (Author), Hongtian Tian (Author), Xiuqin Ye (Author), Hui Luo (Author), Jinfeng Xu (Author)
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Published: Frontiers Media S.A., 2018-11-01T00:00:00Z.
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100 1 0 |a Lei Zhang  |e author 
700 1 0 |a Lei Zhang  |e author 
700 1 0 |a Zhimin Ding  |e author 
700 1 0 |a Zhimin Ding  |e author 
700 1 0 |a Fajin Dong  |e author 
700 1 0 |a Fajin Dong  |e author 
700 1 0 |a Fajin Dong  |e author 
700 1 0 |a Huaiyu Wu  |e author 
700 1 0 |a Huaiyu Wu  |e author 
700 1 0 |a Weiyu Liang  |e author 
700 1 0 |a Weiyu Liang  |e author 
700 1 0 |a Hongtian Tian  |e author 
700 1 0 |a Hongtian Tian  |e author 
700 1 0 |a Xiuqin Ye  |e author 
700 1 0 |a Xiuqin Ye  |e author 
700 1 0 |a Hui Luo  |e author 
700 1 0 |a Hui Luo  |e author 
700 1 0 |a Jinfeng Xu  |e author 
700 1 0 |a Jinfeng Xu  |e author 
245 0 0 |a Diagnostic Performance of Multiple Sound Touch Elastography for Differentiating Benign and Malignant Thyroid Nodules 
260 |b Frontiers Media S.A.,   |c 2018-11-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2018.01359 
520 |a This study evaluated the ability of Sound Touch Elastography (STE) to distinguish malignant from benign thyroid nodules by quantifying tumor stiffness using the elastic ratio (EI) and shear modulus (G). Eighty-six patients with 86 nodules were enrolled in this study. There were 24/86 (27.90%) thyroid papillary carcinomas (TPC) and 62/86 (72.10%) benign nodules. The mean EI was significantly lower in TPCs than in benign nodules. The EI area under the receiver operating characteristic curve (ROC) was 80%. The EI cutoff value for TPCs was 0.215%. The sensitivity (Sen), specificity (Spe), positive likelihood ratio (LR+), and negative likelihood ratio (LR-) were 71%, 73%, 2.58, and 0.40, respectively. Gmax, Gmean, and Gsd were significantly higher in TPCs than in benign nodules. There were no significant differences in Gmin. Compared with other G parameters, Gmax with an optimal cutoff value of 15.82 kPa had the highest AUROC value (84%). The Sen, Spe, LR+, and LR- were 79.17%, 79.03%, 3.776, and 0.261, respectively. We pooled the EI, Gmax, Gmean, and Gsd and the pooled-Sen, Spe, LR+, LR-, diagnostic odds ratio and odds ratio, and area under the summary ROC were 79%, 71%, 2.73, 0.29, 2.23, 9.29, and 82%, respectively. STE could be a new ultrasound diagnostic method for evaluating benign and malignant thyroid nodules. 
546 |a EN 
690 |a Sound Touch Elastography 
690 |a thyroid cancer 
690 |a shear modulus 
690 |a summary receiver operating characteristic curve 
690 |a diagnosis 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 9 (2018) 
787 0 |n https://www.frontiersin.org/article/10.3389/fphar.2018.01359/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/ee72fedbf74a4a78b8fe1ed5cb451e8c  |z Connect to this object online.