Diagnostic value of contrast-enhanced ultrasound in thyroid nodules with calcification

• Published in: The Kaohsiung journal of medical sciences 2015-03, Vol.31 (3), p.138-144
• Main Authors: Jiang, Jue, Shang, Xu, Wang, Hua, Xu, Yong-Bo, Gao, Ya, Zhou, Qi
• Format: Article
• Language: English
• Subjects: Adenoma - diagnostic imaging; Adolescent; Adult; Aged; Calcification; Calcinosis - diagnostic imaging; Contrast Media; Contrast-enhanced ultrasound; Female; Goiter, Nodular - diagnostic imaging; Humans; Internal Medicine; Male; Middle Aged; Phospholipids; ROC Curve; Sulfur Hexafluoride; Thyroid Nodule - diagnostic imaging; Thyroid nodules; Ultrasonography; Young Adult
• ISSN: 1607-551X; 2410-8650
• DOI: 10.1016/j.kjms.2014.12.001

Abstract The aim of this study was to investigate the diagnostic values of conventional ultrasound and contrast-enhanced ultrasound (CEUS) in benign and malignant thyroid nodules with calcification. Conventional ultrasound and CEUS were performed in 122 patients with thyroid nodules with calcification. The thyroid nodules were characterized as benign or malignant by pathological diagnosis. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accordance rate of the two imaging methods were determined. The area under the receiver operating characteristics curve (AUC) was used to assess the diagnostic values of the two imaging methods. In 122 cases of thyroid nodules with calcification, 73 benign nodules and 49 malignant nodules were verified by pathological diagnosis. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accordance rate of conventional ultrasound were 50%, 77%, 59%, 69%, and 66%, respectively, and those of CEUS were 90%, 92%, 88%, 93%, and 91%, respectively. There were significant differences between the two imaging methods. AUCs of conventional ultrasound and CEUS were 0.628 ± 0.052 and 0.908 ± 0.031, suggesting low and high diagnostic values, respectively. CEUS has high diagnostic values, being significantly greater than those of conventional ultrasound, in differential diagnosis of benign and malignant thyroid nodules with calcification.