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Titolo:
THYROID PALPATION VERSUS HIGH-RESOLUTION THYROID ULTRASONOGRAPHY IN THE DETECTION OF NODULES
Autore:
WIEST PW; HARTSHORNE MF; INSKIP PD; CROOKS LA; VELA BS; TELEPAK RJ; WILLIAMSON MR; BLUMHARDT R; BAUMAN JM; TEKKEL M;
Indirizzi:
UNIV NEW MEXICO,SCH MED,VET AFFAIRS MED CTR,DEPT RADIOL,JOINT IMAGINGSERV 114,1501 SAN PEDRO SE ALBUQUERQUE NM 87108 UNIV NEW MEXICO,SCH MED,VET AFFAIRS MED CTR,DEPT RADIOL,JOINT IMAGINGSERV 114 ALBUQUERQUE NM 87108 UNIV NEW MEXICO,SCH MED,VET AFFAIRS MED CTR,DEPT PATHOL ALBUQUERQUE NM 87108 UNIV NEW MEXICO,SCH MED,VET AFFAIRS MED CTR,DEPT MED ALBUQUERQUE NM 87108 NCI,RADIAT EPIDEMIOL BRANCH,DIV CANC EPIDEMIOL & GENET ROCKVILLE MD 00000 UNIV TEXAS,HLTH SCI CTR,DEPT RADIOL SAN ANTONIO TX 78284 MADIGAN ARMY MED CTR,DEPT RADIOL TACOMA WA 98431 DEPT EPIDEMIOL & BIOSTAT,INST EXPT & CLIN MED TALLINN ESTONIA
Titolo Testata:
Journal of ultrasound in medicine
fascicolo: 8, volume: 17, anno: 1998,
pagine: 487 - 496
SICI:
0278-4297(1998)17:8<487:TPVHTU>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIATION; ULTRASOUND; GLAND; CHILDHOOD; FALLOUT; DISEASE; IRRADIATION; POPULATION; NEOPLASIA; CHILDREN;
Keywords:
THYROID, NODULES; NODULES, THYROID; HIGH-RESOLUTION ULTRASONOGRAPHY; PHYSICAL EXAMINATION; PALPATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
P.W. Wiest et al., "THYROID PALPATION VERSUS HIGH-RESOLUTION THYROID ULTRASONOGRAPHY IN THE DETECTION OF NODULES", Journal of ultrasound in medicine, 17(8), 1998, pp. 487-496

Abstract

Detection of thyroid nodules by physical examination and high-resolution ultrasonography was compared using small groups of blinded, experienced physician examiners working with a sample of 2441 persons from Estonia, most of whom were Chernobyl nuclear reactor clean-up workers. A random subsample of 113 (5%) persons was subjected to triple controlexaminations With both physical examination and high-resolution ultrasonography. Positive high resolution ultrasonographic findings were consider ably more reproducible among different observers than were positive physical examination findings. Agreement between methods was poor. Nodules were found in 169 (6.9%) subjects by physical examination and in 249 (10.2%) subjects by high-resolution ultrasonography. Physicalexamination found only 53 (21%) of the 249 nodules found by high-resolution ultrasonography. High-resolution ultrasonography did not confirm the existence of 115 (68%) of the 169 nodules found by physical examination. Only 6.6.4% of nodules less than 0.5 cm in diameter, as basedon high-resolution ultrasonographic results, were detected by physical examination. Physical examination detection improved with increasingnodule size but was still only 48.2% for nodules larger than 2 cm. Physical examination was relatively effective in detecting nodules in the isthmus of the thyroid gland but much less so for nodules in the upper pole of the gland. Clinical evaluation and epidemiologic studies ofnodular thyroid disease stand to benefit from the greater sensitivityand specificity of ultrasonographic examinations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 20:52:43