Title |
Hyperintense Thyroid Incidentaloma on Time of Flight Magnetic Resonance Angiography
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Published in |
Frontiers in endocrinology, July 2018
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DOI | 10.3389/fendo.2018.00417 |
Pubmed ID | |
Authors |
Soo Chin Kim, Inseon Ryoo, Hye Young Sun |
Abstract |
Background: The purpose of this study was to evaluate the clinical significance of thyroid incidentaloma with hypersignal intensity on the time of flight magnetic resonance (TOF-MR) angiography and correlation with ultrasound (US). Methods: We retrospectively reviewed 3,505 non-contrast TOF-MR angiography performed at our institution between September 2014 and May 2017. Two radiologists correlated the thyroid incidentalomas detected on TOF-MR angiography with US features that were obtained within a three-month interval between MR and US examinations in consensus. Results: The prevalence of hyperintense thyroid nodules incidentally detected by TOF-MR angiography was 1.2% (43/3,505 patients). Among these, 35 people (77.8%) underwent US examinations, and a total of 45 hyperintense thyroid nodules were detected by US studies. Of these 45 nodules, more than 70% were categorized as benign on US exams. Fine needle aspiration was performed on nine nodules according to indications recommended by the Korean Society of Thyroid Radiology. All except one high-suspicion thyroid nodule were confirmed as benign (Bethesda 2) on cytologic examination. The high-suspicion nodule on US showed a nondiagnostic result (Bethesda 1). However, this nodule collapsed after aspiration of thick colloid. Conclusions: Our study demonstrated that the most hyperintense thyroid nodules detected on TOF-MR angiography were benign. Therefore, if a hyperintense incidentaloma is found on TOF-MR angiography, the thyroid nodule is more likely to be benign. We believe that these findings could offer additional information for further clinical management. |
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Geographical breakdown
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Switzerland | 1 | 100% |
Demographic breakdown
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Members of the public | 1 | 100% |