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Original Research

Advanced Ultrasound Application – Impact on Presurgical Risk Stratification of the Thyroid Nodules

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Pages 21-30 | Published online: 21 Jan 2020

Figures & data

Table 1 Proposed Risk Classification Model

Figure 1 (A) Low intra- and peri-nodular vascularisation pattern observed on 2D examination. (B) Low intra- and peri-nodular vascularisation observed on 3D examination (same thyroid nodule).

Figure 1 (A) Low intra- and peri-nodular vascularisation pattern observed on 2D examination. (B) Low intra- and peri-nodular vascularisation observed on 3D examination (same thyroid nodule).

Figure 2 (A) Low intra- and peri-nodular vascularisation observed in 2D examination. (B) Increased intra- and peri-nodular vascularisation observed in 3D examination (same nodule).

Figure 2 (A) Low intra- and peri-nodular vascularisation observed in 2D examination. (B) Increased intra- and peri-nodular vascularisation observed in 3D examination (same nodule).

Table 2 Low Intermediate and High-Risk Categories, According to the Conventional, Conventional + Elastography Respectively Conventional + Elastography + Volumetric Characteristics

Figure 3 2B Intermediate risk nodule with normal volumetric aspect (B) and normal stiffness (A) (ES color map 1 and 2 code) is reconsidered as a low-risk lesion.

Figure 3 2B Intermediate risk nodule with normal volumetric aspect (B) and normal stiffness (A) (ES color map 1 and 2 code) is reconsidered as a low-risk lesion.

Figure 4 Low-risk nodules (A) with increased stiffness (B) and increased vascularization in volumetric evaluation (C) versus color Doppler (D) were reconsidered as intermediate risk lesions.

Figure 4 Low-risk nodules (A) with increased stiffness (B) and increased vascularization in volumetric evaluation (C) versus color Doppler (D) were reconsidered as intermediate risk lesions.

Figure 5 Intermediate risk case (A) with increased stiffness (C) was reconsidered as high risk, regardless of color Doppler (B) or volumetric aspect (D).

Figure 5 Intermediate risk case (A) with increased stiffness (C) was reconsidered as high risk, regardless of color Doppler (B) or volumetric aspect (D).

Figure 6 Intermediate risk case (A) was reconsidered as high risk, in the presence of high-risk volumetric characteristics (B) despite intermediate stiffness (C).

Figure 6 Intermediate risk case (A) was reconsidered as high risk, in the presence of high-risk volumetric characteristics (B) despite intermediate stiffness (C).

Table 3 Comparison of Diagnostic Quality (Sensitivity, Specificity, Accuracy) for Risk Category Assessment by Means of US Only, US+SE and US+SE+V Models

Table 4 Diagnostic Values of Different Risk Stratification Models According to the Nodule Diameter