Poster électronique

Apport de l’élastographie quantitative dans l’analyse des nodules thyroïdiens : résultats préliminaires
C. Auder, D. Gaye, J. Bernard, F. Laurent - Pessac - France
Congrès 2011
Résumé
Objectifs
Apport diagnostique de l’élastographie par onde de cisaillement des nodules thyroïdiens et corrélation cytologique pour évaluer l’apport diagnostique de ce nouveau critère d’analyse.
Matériels et méthodes
Réalisation sur un échographe Siemens S2000 d’une échographie mode B ,doppler couleur et d’une élastographie quantitative. Cytoponction échoguidée. Recueil des données cytologiques en 6 classes selon les recommendations de la conférence de Bethesda. Confrontation aux données histologiques pour les nodules opérés suspects de malignité.
Résultats
165 nodules ont été analysés. La moyenne des vitesses de cisaillement dans le groupe des nodules dystrophiques bénins (90) est évaluée à 1,57 cm/s et à 3,06 cm/s pour les nodules suspects de malignité (10). Différence significative avec p=0,008. Elle est de 3,8 cm/s pour les nodules présentant une confirmation histologique de malignité (5, les autres n’ont pas encore été pris en charge).
Conclusion
L’élastographie quantitative paraît être un outil prometteur dans la caractérisation des nodules thyroïdiens. Une étude prospective avec un effectif plus important est nécessaire pour évaluer sa spécificité et sa sensibilité.
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2017-08-29 16.34 :
Ann Perez

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2012-08-11 21.36 :
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