Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland
Thyroid cancer is a tumour with a steadily increasing incidence. It accounts for 7% to 15% of focal lesions detected by ultrasound, depending on age, gender and other factors affecting its occurrence. Fine-needle aspiration biopsy is an essential method to establish the diagnosis but, in view of its...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2022-04-01
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| Series: | Journal of Ultrasonography |
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| Online Access: | https://doi.org/10.15557/JoU.2022.0021 |
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| author | Dobruch-Sobczak Katarzyna Adamczewski Zbigniew Dedecjus Marek Lewiński Andrzej Migda Bartosz Ruchała Marek Skowrońska-Szcześniak Anna Szczepanek-Parulska Ewelina Zajkowska Klaudia Żyłka Agnieszka |
| author_facet | Dobruch-Sobczak Katarzyna Adamczewski Zbigniew Dedecjus Marek Lewiński Andrzej Migda Bartosz Ruchała Marek Skowrońska-Szcześniak Anna Szczepanek-Parulska Ewelina Zajkowska Klaudia Żyłka Agnieszka |
| author_sort | Dobruch-Sobczak Katarzyna |
| collection | DOAJ |
| description | Thyroid cancer is a tumour with a steadily increasing incidence. It accounts for 7% to 15% of focal lesions detected by ultrasound, depending on age, gender and other factors affecting its occurrence. Fine-needle aspiration biopsy is an essential method to establish the diagnosis but, in view of its limitations, sonoelastography is seen as a non-invasive technique useful in differentiating the nature of lesions and monitoring them after fine-needle aspiration biopsy. This paper presents a literature review on the role of both sonoelastographic techniques (relative strain sonoelastography, shear wave sonoelastography) to assess the deformability of focal thyroid lesions. Ultrasound examination is a relatively subjective method of thyroid imaging, depending on the skills of the examiner, the experience of the centre, and the quality of equipment used. As a consequence, there are inconsistencies between the results obtained by different examiners (inter-observer variability) and by the same examiner (intra-observer variability). In this paper, the authors present a review of the literature on inter-observer and intra-observer variability in the assessment of individual features of ultrasound imaging of focal lesions in the thyroid. In addition, the authors report on an analysis of cut-off thresholds for the size of lesions constituting the basis for fine-needle aspiration biopsy eligibility assessment. The need to diagnose carcinomas up to 10 mm in diameter is highlighted, however a more liberal approach is recommended in terms of indications for biopsy in lesions associated with a low risk of malignancy, where, based on consultations with patients, active ultrasound surveillance might even be considered. |
| first_indexed | 2024-04-14T07:34:39Z |
| format | Article |
| id | doaj.art-47d9b44d7766464cbdcccb14176d7dc0 |
| institution | Directory Open Access Journal |
| issn | 2451-070X |
| language | English |
| last_indexed | 2024-04-14T07:34:39Z |
| publishDate | 2022-04-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-47d9b44d7766464cbdcccb14176d7dc02022-12-22T02:05:43ZengSciendoJournal of Ultrasonography2451-070X2022-04-01228913013510.15557/JoU.2022.0021Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid glandDobruch-Sobczak Katarzyna0Adamczewski Zbigniew1Dedecjus Marek2Lewiński Andrzej3Migda Bartosz4Ruchała Marek5Skowrońska-Szcześniak Anna6Szczepanek-Parulska Ewelina7Zajkowska Klaudia8Żyłka Agnieszka9Department of Radiology II, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, PolandDepartment of Nuclear Medicine, Medical University of Lodz, Lodz, PolandDepartment of Oncological Endocrinology and Nuclear Medicine, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, PolandDepartment of Endocrinology and Metabolic Diseases, Polish Mother’s Memorial Hospital – Research Institute, Lodz, PolandUltrasound Diagnostics Laboratory, Department of Paediatric Radiology, Faculty of Medicine, Medical University of Warsaw, Warsaw, PolandDepartment of Endocrinology, Metabolism and Internal Diseases, Poznan University of Medical Sciences, Poznan, PolandDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Warsaw, PolandDepartment of Endocrinology, Metabolism and Internal Diseases, Poznan University of Medical Sciences, Poznan, PolandDepartment of Oncological Endocrinology and Nuclear Medicine, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, PolandDepartment of Oncological Endocrinology and Nuclear Medicine, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, PolandThyroid cancer is a tumour with a steadily increasing incidence. It accounts for 7% to 15% of focal lesions detected by ultrasound, depending on age, gender and other factors affecting its occurrence. Fine-needle aspiration biopsy is an essential method to establish the diagnosis but, in view of its limitations, sonoelastography is seen as a non-invasive technique useful in differentiating the nature of lesions and monitoring them after fine-needle aspiration biopsy. This paper presents a literature review on the role of both sonoelastographic techniques (relative strain sonoelastography, shear wave sonoelastography) to assess the deformability of focal thyroid lesions. Ultrasound examination is a relatively subjective method of thyroid imaging, depending on the skills of the examiner, the experience of the centre, and the quality of equipment used. As a consequence, there are inconsistencies between the results obtained by different examiners (inter-observer variability) and by the same examiner (intra-observer variability). In this paper, the authors present a review of the literature on inter-observer and intra-observer variability in the assessment of individual features of ultrasound imaging of focal lesions in the thyroid. In addition, the authors report on an analysis of cut-off thresholds for the size of lesions constituting the basis for fine-needle aspiration biopsy eligibility assessment. The need to diagnose carcinomas up to 10 mm in diameter is highlighted, however a more liberal approach is recommended in terms of indications for biopsy in lesions associated with a low risk of malignancy, where, based on consultations with patients, active ultrasound surveillance might even be considered.https://doi.org/10.15557/JoU.2022.0021thyroid cancerthyroid ultrasoundrelative strain sonoelastographyshear wave sonoelastographyinternal examiner compliance |
| spellingShingle | Dobruch-Sobczak Katarzyna Adamczewski Zbigniew Dedecjus Marek Lewiński Andrzej Migda Bartosz Ruchała Marek Skowrońska-Szcześniak Anna Szczepanek-Parulska Ewelina Zajkowska Klaudia Żyłka Agnieszka Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland Journal of Ultrasonography thyroid cancer thyroid ultrasound relative strain sonoelastography shear wave sonoelastography internal examiner compliance |
| title | Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland |
| title_full | Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland |
| title_fullStr | Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland |
| title_full_unstemmed | Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland |
| title_short | Summary of meta-analyses of studies considering lesion size cut-off thresholds for the assessment of eligibility for FNAB and sonoelastography and inter- and intra-observer agreement in estimating the malignant potential of focal lesions of the thyroid gland |
| title_sort | summary of meta analyses of studies considering lesion size cut off thresholds for the assessment of eligibility for fnab and sonoelastography and inter and intra observer agreement in estimating the malignant potential of focal lesions of the thyroid gland |
| topic | thyroid cancer thyroid ultrasound relative strain sonoelastography shear wave sonoelastography internal examiner compliance |
| url | https://doi.org/10.15557/JoU.2022.0021 |
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