Predictive value of CEUS parameters for cervical lymph node metastasis of thyroid carcinoma

GUO Xiaobo; GAO Hongkai

PDF(927 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2023, Vol. 34 ›› Issue (2) : 128-130.

Predictive value of CEUS parameters for cervical lymph node metastasis of thyroid carcinoma

GUO Xiaobo¹, GAO Hongkai²

Author information +

History +

Abstract

Objective To analyze the predictive value of contrast-enhanced ultrasound (CEUS) parameters for cervical lymph node metastasis of thyroid cancer.Methods A total of 193 patients with thyroid disease and neck lymphadenopathy who were treated in Beijing Fengtai Hospital from January 2019 to December 2021 were selected and divided into a metastasis group and a non-metastasis group according to pathological examination; all subjects underwent ultrasound examination to record the time to peak (TTP), peak intensity (PI) and mean transit time (MTT) to investigate the diagnostic accuracy of contrast-enhanced ultrasonography in thyroid cancer lateral cervical lymph node metastasis.Results The levels of PI, TTP and MTT in the metastatic group were significantly lower than those in the non-metastatic group, and the difference was statistically significant (P<0.05). The AUC of PI, TTP and MTT in predicting cervical lymph node metastasis of thyroid cancer was significantly higher than 0.90, which has high clinical application value.Conclusions The use of CEUS parameters can effectively predict the lateral neck lymph node metastasis of thyroid cancer, and also provide important basis for clinical diagnosis and treatment.

Key words

contrast-enhanced ultrasound parameters / lateral neck lymph node metastasis of thyroid cancer / predictive value

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

GUO Xiaobo, GAO Hongkai. Predictive value of CEUS parameters for cervical lymph node metastasis of thyroid carcinoma[J]. Medical Journal of the Chinese People Armed Police Forces. 2023, 34(2): 128-130

References

[1] Wang Z,Xiang J,Gui Z, et al. Unilateral tnm T₁ and T₂ papillary thyroid carcinoma with lateral cervical lymph node metastasis: total thyroidectomy or lobectomy?[J]. Endocr Pract, 2020, 26(10):1085-1092.
[2] Park V Y,Han K,Kim H J,et al. Radiomics signature for prediction of lateral lymph node metastasis in conventional papillary thyroid carcinoma[J]. PLoS One, 2020, 15(1):e0227315.
[3] 陈名正, 符尚宏, 王雪峰,等. 单发乳头状甲状腺癌患者侧颈淋巴结转移风险影响因素及与术前超声关系[J]. 临床军医杂志, 2021, 49(2):2.
[4] Oruh A G,Uzun A,Kul M,et al. The impact of arterial phase on the detection of cervical lymph node metastasis from papillary thyroid carcinoma: a quantitative evaluation on multiphasic computed tomography[J]. J Comput Assist Tomo, 2020, 44(2):262-268.
[5] Feng J W, Qin A C, Ye J, et al. Predictive factors for lateral lymph node metastasis and skip metastasis in papillary thyroid carcinoma[J]. Endocr Pathol, 2020, 31(13):1-10.
[6] 陈福灯, 刘小华. 甲状腺腺叶切除术对单侧甲状腺肿块患者甲状腺功能及复发的影响[J]. 中外医学研究, 2020, 18(34):4.
[7] Han Z Y,Dou J P,Cheng Z G,et al. Efficacy and safety of percutaneous ultrasound-guided microwave ablation for cervical metastatic lymph nodes from papillary thyroid carcinoma[J]. Int J Hyperther, 2020, 37(1):971-975.
[8] Su G Y, Xu X Q, Zhou Y, et al. Texture analysis of dual-phase contrast-enhanced CT in the diagnosis of cervical lymph node metastasis in patients with papillary thyroid cancer[J]. Acta Radiologica, 2020, 62(7):890-896.
[9] Huang J, Gu F, Ji T, et al. Pelvic bone marrow sparing intensity modulated radiotherapy reduces the incidence of the hematologic toxicity of patients with cervical cancer receiving concurrent chemoradiotherapy: a single-center prospective randomized controlled trial[J]. Radiat Oncol, 2020, 15(1):1-9.
[10] 董学理, 孙凤兰. 多模式超声在甲状腺癌诊断中的应用进展[J]. 医学综述, 2021, 27(24):5.
[11] Fang S M, Ying Z M, Huang L, et al. Nomogram to assess the risk of central cervical lymph node metastasis in patients with clinical N0 papillary thyroid carcinoma[J]. Endocr Pract, 2021, 27(12):1175-1182.
[12] 王炫凯,李贤勇,林观毛,等.甲状腺全切除术对原发性甲状腺功能亢进合并甲状腺癌患者甲状旁腺激素、血钙水平的影响[J].中国当代医药,2020,27(30):106-109.
[13] Pawowicz P, Dabrowska M, Bartkowiak R, et al. The role of sentinel node mapping with indocyanine green and endoscopic near-infrared fluorescence imaging in endometrial and cervical cancer[J]. Eur J Gynaecol Oncol, 2020, 38(3):441-443.