125300

Diffusion Weighted Magnetic Resonance Imaging in Differentiation of Benign and Malignant Thyroid Nodules

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Thyroid nodules are common; their clinical significance is mainly related to excluding malignancy. Re-gardless of the careful reporting of FNAC and frozen section biopsies, there is significant number of discordance with final histopathology reports, which leads to unnecessary thyroid-ectomies. DWI-MRI can help in the differentiation of benign and malignant thyroid nodules providing qualitative and quantitative information about the diffusion properties. Aim of Study: Is to determine the diagnostic accuracy of Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) mapping in differentiating benign from malignant thyroid nodules by taking histopathology as the gold standard. Patients and Methods: This study was performed on 32 cases who were diagnosed by ultrasonography to have thyroid nodules; in the General Naval Military Hospital. The patients were referred from the Surgery Department to the Radiology Department over a period of 18 months (January 2018-June 2018). Results: In this study the sensitivity of DWI and ADC mapping in differentiating benign from malignant thyroid nodules reached 100%. Conclusion: Quantitative DWI has a high sensitivity, and may be a reliable, non-invasive and non-radiative imaging modality for the detection of thyroid nodules. ADC values seem to be able to differentiate benign from malignant thyroid disease.

DOI

10.21608/mjcu.2020.125300

Keywords

DWI, ADC mapping, Thyroid nodules

Authors

First Name

MAHA A. EL-SHINNAWY, M.D.;

Last Name

MONA A.M. ALI NAGI, M.D.

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First Name

SHERIF A.

Last Name

EBRAHIM, M.Sc.

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Affiliation

The Department of Radio-Diagnosis, Faculty of Medicine, Ain Shams University* and General Naval Military Hospital**

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Volume

88

Article Issue

December

Related Issue

14148

Issue Date

2020-12-01

Receive Date

2020-09-24

Publish Date

2020-12-01

Page Start

2,183

Page End

2,191

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_125300.html

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https://mjcu.journals.ekb.eg/service?article_code=125300

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25

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Original Article

Type Code

263

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Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Diffusion Weighted Magnetic Resonance Imaging in Differentiation of Benign and Malignant Thyroid Nodules

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Article

Created At

22 Jan 2023