Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis

PurposeThe aim of this study was to investigate the diagnostic efficacy of Acoustic Radiation Force Impulse (ARFI) for benign and malignant thyroid nodules in the presence and absence of non-papillary thyroid cancer (NPTC) and to determine the cut-off values of Shear Wave Velocity (SWV) for the high...

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Main Authors: Jun Li, Yu-Rui Zhang, Jia-Yu Ren, Qiao-Li Li, Pei-Shan Zhu, Ting-Ting Du, Xiao-Yan Ge, Ming Chen, Xin Wu Cui
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1007464/full
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author Jun Li
Jun Li
Yu-Rui Zhang
Jia-Yu Ren
Qiao-Li Li
Pei-Shan Zhu
Ting-Ting Du
Xiao-Yan Ge
Ming Chen
Xin Wu Cui
author_facet Jun Li
Jun Li
Yu-Rui Zhang
Jia-Yu Ren
Qiao-Li Li
Pei-Shan Zhu
Ting-Ting Du
Xiao-Yan Ge
Ming Chen
Xin Wu Cui
author_sort Jun Li
collection DOAJ
description PurposeThe aim of this study was to investigate the diagnostic efficacy of Acoustic Radiation Force Impulse (ARFI) for benign and malignant thyroid nodules in the presence and absence of non-papillary thyroid cancer (NPTC) and to determine the cut-off values of Shear Wave Velocity (SWV) for the highest diagnostic efficacy of Virtual Touch Quantification (VTQ) and Virtual Touch Tissue Imaging and Quantification (VTIQ).MethodsThe diagnostic accuracy of ARFI for benign and malignant thyroid nodules was assessed by pooling sensitivity, specificity and area under the curve (AUC) in each group in the presence and absence of both non-papillary thyroid glands, using histology and cytology as the gold standard. All included studies were divided into two groups according to VTQ and VTIQ, and each group was ranked according to the magnitude of the SWV cutoff value to determine the SWV cutoff interval with the highest diagnostic efficacy for VTQ and VTIQ.ResultsA total of 57 studies were collected on the evaluation of ARFI for the diagnosis of benign and malignant thyroid nodules. The results showed that the presence of non-papillary thyroid carcinoma led to differences in the specificity of VTIQ for the identification of benign and malignant thyroid nodules, and the differences were statistically significant. In addition, the diagnostic efficacy of VTQ was best when the cutoff value of SWV was in the interval of 2.48-2.55 m/s, and the diagnostic efficacy of VTIQ was best when the cutoff value of SWV was in the interval of 3.01-3.15 m/s.ConclusionVTQ and VTIQ have a high diagnostic value for benign and malignant thyroid nodules; however, when the malignant nodules in the study contain non-papillary thyroid carcinoma occupying the thyroid gland, the findings should be viewed in a comprehensive manner.
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spelling doaj.art-b856095a82d842e4ab047f845c1232742023-03-14T14:36:55ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-01-011310.3389/fonc.2023.10074641007464Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysisJun Li0Jun Li1Yu-Rui Zhang2Jia-Yu Ren3Qiao-Li Li4Pei-Shan Zhu5Ting-Ting Du6Xiao-Yan Ge7Ming Chen8Xin Wu Cui9Department of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaNHC Key Laboratory of Prevention and Treatment of Central Asia High Incidence Diseases, First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi, ChinaDepartment of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaDepartment of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaDepartment of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaDepartment of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaDepartment of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaDepartment of Ultrasound, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi, ChinaDepartment of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaPurposeThe aim of this study was to investigate the diagnostic efficacy of Acoustic Radiation Force Impulse (ARFI) for benign and malignant thyroid nodules in the presence and absence of non-papillary thyroid cancer (NPTC) and to determine the cut-off values of Shear Wave Velocity (SWV) for the highest diagnostic efficacy of Virtual Touch Quantification (VTQ) and Virtual Touch Tissue Imaging and Quantification (VTIQ).MethodsThe diagnostic accuracy of ARFI for benign and malignant thyroid nodules was assessed by pooling sensitivity, specificity and area under the curve (AUC) in each group in the presence and absence of both non-papillary thyroid glands, using histology and cytology as the gold standard. All included studies were divided into two groups according to VTQ and VTIQ, and each group was ranked according to the magnitude of the SWV cutoff value to determine the SWV cutoff interval with the highest diagnostic efficacy for VTQ and VTIQ.ResultsA total of 57 studies were collected on the evaluation of ARFI for the diagnosis of benign and malignant thyroid nodules. The results showed that the presence of non-papillary thyroid carcinoma led to differences in the specificity of VTIQ for the identification of benign and malignant thyroid nodules, and the differences were statistically significant. In addition, the diagnostic efficacy of VTQ was best when the cutoff value of SWV was in the interval of 2.48-2.55 m/s, and the diagnostic efficacy of VTIQ was best when the cutoff value of SWV was in the interval of 3.01-3.15 m/s.ConclusionVTQ and VTIQ have a high diagnostic value for benign and malignant thyroid nodules; however, when the malignant nodules in the study contain non-papillary thyroid carcinoma occupying the thyroid gland, the findings should be viewed in a comprehensive manner.https://www.frontiersin.org/articles/10.3389/fonc.2023.1007464/fullnon-papillary thyroid cancer (NPTC)virtual touch quantification (VTQ)virtual touch tissue imaging and quantification (VTIQ)shear wave velocity (SWV)meta-analysis
spellingShingle Jun Li
Jun Li
Yu-Rui Zhang
Jia-Yu Ren
Qiao-Li Li
Pei-Shan Zhu
Ting-Ting Du
Xiao-Yan Ge
Ming Chen
Xin Wu Cui
Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis
Frontiers in Oncology
non-papillary thyroid cancer (NPTC)
virtual touch quantification (VTQ)
virtual touch tissue imaging and quantification (VTIQ)
shear wave velocity (SWV)
meta-analysis
title Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis
title_full Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis
title_fullStr Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis
title_full_unstemmed Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis
title_short Association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non-papillary thyroid cancer: A meta-analysis
title_sort association between diagnostic efficacy of acoustic radiation force impulse for benign and malignant thyroid nodules and the presence or absence of non papillary thyroid cancer a meta analysis
topic non-papillary thyroid cancer (NPTC)
virtual touch quantification (VTQ)
virtual touch tissue imaging and quantification (VTIQ)
shear wave velocity (SWV)
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1007464/full
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