期刊论文详细信息
BMC Medical Imaging
In vivo thyroid vibro-acoustography: a pilot study
Mostafa Fatemi1  James F Greenleaf1  Randall R Kinnick1  Carl C Reading2  John C Morris3  Matthew W Urban1  Azra Alizad4 
[1] Department of Physiology and Biomedical Engineering, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA;Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA;Division of Endocrinology, Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA;Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
关键词: Imaging;    Ultrasound;    Thyroid nodule;    Thyroid neoplasm;    Vibro-acoustography;    Elasticity imaging techniques;   
Others  :  1091205
DOI  :  10.1186/1471-2342-13-12
 received in 2012-11-14, accepted in 2013-03-21,  发布年份 2013
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【 摘 要 】

Background

The purpose of this study was to evaluate the utility of a noninvasive ultrasound-based method, vibro-acoustography (VA), for thyroid imaging and determine the feasibility and challenges of VA in detecting nodules in thyroid.

Methods

Our study included two parts. First, in an in vitro study, experiments were conducted on a number of excised thyroid specimens randomly taken from autopsy. Three types of images were acquired from most of the specimens: X-ray, B-mode ultrasound, and vibro-acoustography. The second and main part of the study includes results from performing VA and B-mode ultrasound imaging on 24 human subjects with thyroid nodules. The results were evaluated and compared qualitatively.

Results

In vitro vibro-acoustography images displayed soft tissue structures, microcalcifications, cysts and nodules with high contrast and no speckle. In this group, all of US proven nodules and all of X-ray proven calcifications of thyroid tissues were detected by VA. In vivo results showed 100% of US proven calcifications and 91% of the US detected nodules were identified by VA, however, some artifacts were present in some cases.

Conclusions

In vitro and in vivo VA images show promising results for delineating the detailed structure of the thyroid, finding nodules and in particular calcifications with greater clarity compare to US. Our findings suggest that, with further development, VA may be a suitable imaging modality for clinical thyroid imaging.

【 授权许可】

   
2013 Alizad et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Davies LWH: Increasing incidence of thyroid cancer in the united states, 1973–2002. JAMA 2006, 295(18):2164-2167.
  • [2]Papini E, Guglielmi R, Bianchini A, Crescenzi A, Taccogna S, Nardi F, Panunzi C, Rinaldi R, Toscano V, Pacella CM: Risk of malignancy in nonpalpable thyroid nodules: Predictive value of ultrasound and color-Doppler features. J ClinEndocrinol Metab 2002, 87(5):1941-1946.
  • [3]Castro MR, Gharib H: Continuing controversies in the management of thyroid nodules. Ann Intern Med 2005, 142(11):926-931.
  • [4]Gharib H, Goellner JR: Fine-needle aspiration biopsy of the thyroid: an appraisal. Ann Intern Med 1993, 118(4):282-289.
  • [5]Burch HB, Burman KD, Reed HL, Buckner L, Raber T, Ownbey JL: Fine needle aspiration of thyroid nodules. Determinants of insufficiency rate and malignancy yield at thyroidectomy. Acta Cytol 1996, 40(6):1176-1183.
  • [6]Goellner: Fine needle aspiration of the thyroid gland. Philadelphia: Lippincott-Raven Publishers; 1996.
  • [7]Alexander EK: Approach to the patient with a cytologically indeterminate thyroid nodule. J Clin Endocrinol Metab 2008, 93(11):4175-4182.
  • [8]Raab SS, Vrbin CM, Grzybicki DM, Sudilovsky D, Balassanian R, Zarbo RJ, Meier FA: Errors in thyroid gland fine-needle aspiration. Am J Clin Pathol 2006, 125(6):873-882.
  • [9]Hopkins CR, Reading CC: Thyroid and parathyroid imaging. Seminars in Ultrasound, CT and MRI 1995, 16(4):279-295.
  • [10]Imanishi Y, Ehara N, Mori J, Shimokawa M, Sakuyama K, Ishikawa T, Shinagawa T, Hirose C, Tsujino D: Measurement of thyroid iodine by CT. J Comput Assist Tomogr 1991, 15(2):287-290.
  • [11]Haas S, Trujillo A, Kunstle J: Fine needle aspiration of thyroid nodules in a rural setting. Am J Med 1993, 94(4):357-361.
  • [12]Cap J, Ryska A, Rehorkova P, Hovorkova E, Kerekes Z, Pohnetalova D: Sensitivity and specificity of the fine needle aspiration biopsy of the thyroid: clinical point of view. Clin Endocrinol (Oxf) 1999, 51(4):509-515.
  • [13]Bahn MM, Brennan MD, Bahn RS, Dean DS, Kugel JL, Ehman RL: Development and application of magnetic resonance elastography of the normal and pathological thyroid gland in vivo. J Magn Reson Imaging 2009, 30(5):1151-1154.
  • [14]Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M, Brill AB, Saga T, Togashi K: Elastic moduli of thyroid tissues under compression. Ultrason Imaging 2005, 27(2):101-110.
  • [15]Rago T, Santini F, Scutari M, Pinchera A, Vitti P: Elastography: new developments in ultrasound for predicting malignancy in thyroid nodules. J Clin Endocrinol Metab 2007, 92(8):2917-2922.
  • [16]Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Mai JJ, Pellot-Barakat C, Insana MF, Brill AB, Saga T: Thyroid gland tumor diagnosis at US elastography. Radiology 2005, 237(1):202-211.
  • [17]Bojunga J, Herrmann E, Meyer G, Weber S, Zeuzem S, Friedrich-Rust M: Real-time elastography for the differentiation of benign and malignant thyroid nodules: a meta-analysis. Thyroid 2010, 20(10):1145-1150.
  • [18]Xing P, Wu L, Zhang C, Li S, Liu C, Wu C: Differentiation of Benign From Malignant Thyroid Lesions Calculation of the Strain Ratio on Thyroid Sonoelastography. J Ultrasound Med 2011, 30(5):663-669.
  • [19]Hong Y, Liu X, Li Z, Zhang X, Chen M, Luo Z: Real-time ultrasound elastography in the differential diagnosis of benign and malignant thyroid nodules. J Ultrasound Med 2009, 28(7):861-867.
  • [20]Bae U, Dighe M, Dubinsky T, Minoshima S, Shamdasani V, Kim Y: Ultrasound thyroid elastography using carotid artery pulsation: preliminary study. J Ultrasound Med 2007, 26(6):797-805.
  • [21]Dighe M, Bae U, Richardson ML, Dubinsky TJ, Minoshima S, Kim Y: Differential diagnosis of thyroid nodules with US elastography using carotid artery pulsation. Radiology 2008, 248(2):662-669.
  • [22]Ragazzoni F, Deandrea M, Mormile A, Ramunni MJ, Garino F, Magliona G, Motta M, Torchio B, Garberoglio R, Limone P: High Diagnostic Accuracy and Interobserver Reliability of Real-Time Elastography in the Evaluation of Thyroid Nodules. Ultrasound Med Biol 2012.
  • [23]Lippolis PV, Tognini S, Materazzi G, Polini A, Mancini R, Ambrosini CE, Dardano A, Basolo F, Seccia M, Miccoli P: Is elastography actually useful in the presurgical selection of thyroid nodules with indeterminate cytology? J Clin Endocrinol Metab 2011, 96(11):E1826-1830.
  • [24]Friedrich-Rust M, Romenski O, Meyer G, Dauth N, Holzer K, Grünwald F, Kriener S, Herrmann E, Zeuzem S, Bojunga J: Acoustic Radiation Force Impulse-Imaging for the evaluation of the thyroid gland: a limited patient feasibility study. Ultrasonics 2012, 52(1):69-74.
  • [25]Bojunga J, Dauth N, Berner C, Meyer G, Holzer K, Voelkl L, Herrmann E, Schroeter H, Zeuzem S, Friedrich-Rust M: Acoustic radiation force impulse imaging for differentiation of thyroid nodules. PLoS One 2012, 7(8):e42735.
  • [26]Gu J, Du L, Bai M, Chen H, Jia X, Zhao J, Zhang X: Preliminary Study on the Diagnostic Value of Acoustic Radiation Force Impulse Technology for Differentiating Between Benign and Malignant Thyroid Nodules. Jl Ultrasound Med 2012, 31(5):763-771.
  • [27]Sebag F, Vaillant-Lombard J, Berbis J, Griset V, Henry J, Petit P, Oliver C: Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules. J Clin EndocrinolMetab 2010, 95(12):5281-5288.
  • [28]Ruchala M, Szczepanek-Parulska E, Zybek A, Moczko J, Czarnywojtek A, Kaminski G, Sowinski J: The role of sonoelastography in acute, subacute and chronic thyroiditis: a novel application of the method. Eur J Endocrinol 2012, 166(3):425-432.
  • [29]Bercoff J, Tanter M, Fink M: Supersonic shear imaging: a new technique for soft tissue elasticity mapping. IEEE Trans Ultrason Ferroelectr Freq Control 2004, 51(4):396-409.
  • [30]Arda K, Ciledag N, Aktas E, Aribas BK, Kose K: Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. Am J Roentgenol 2011, 197(3):532-536.
  • [31]Slapa RZ, Piwowonski A, Jakubowski WS, Bierca J, Szopinski KT, Slowinska-Srzednicka J, Migda B, Mlosek RK: Shear Wave Elastography May Add a New Dimension to Ultrasound Evaluation of Thyroid Nodules: Case Series with Comparative Evaluation. J Thyroid Res 2012.
  • [32]Sebag F, Vaillant-Lombard J, Berbis J, Griset V, Henry JF, Petit P, Oliver C: Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules. J Clin Endocrinol Metab 2010, 95(12):5281-5288.
  • [33]Fatemi M, Greenleaf JF: Ultrasound-stimulated vibro-acoustic spectrography. Science 1998, 280(5360):82-85.
  • [34]Fatemi M, Greenleaf JF: Vibro-acoustography: An imaging modality based on ultrasound-stimulated acoustic emission. Proc Natl Acad SciUSA 1999, 96(12):6603-6608.
  • [35]Alizad A: Breast vibro-acoustography. In Emerging Technologies in Breast Imaging and Mammography. Volume 1. 2008 edition. Edited by Suri RR. Valencia, California: American Scientific Publishers; 2006:197-205.
  • [36]Urban MW, Alizad A, Aquino W, Greenleaf JF, Fatemi M: A Review of Vibro-acoustography and its Applications in Medicine. Current medical imaging reviews 2011, 7(4):350-359.
  • [37]Alizad A, Fatemi M, Nishimura RA, Kinnick RR, Rambod E, Greenleaf JF: Detection of calcium deposits on heart valve leaflets by vibro-acoustography: An in vitro study. J Am Soc Echocardiogr 2002, 15(11):1391-1395.
  • [38]Fatemi M, Greenleaf JF: Probing the dynamics of tissue at low frequencies with the radiation force of ultrasound. Phys Med Biol 2000, 45(6):1449-1464.
  • [39]Pislaru C, Kantor B, Kinnick RR, Anderson JL, Aubry MC, Urban MW, Fatemi M, Greenleaf JF: In vivo vibroacoustography of large peripheral arteries. Invest Radiol 2008, 43(4):243-252.
  • [40]Fatemi M, Wold LE, Alizad A, Greenleaf JF: Vibro-acoustic tissue mammography. IEEE Trans Med Imaging 2002, 21(1):1-8.
  • [41]Alizad A, Fatemi M, Wold LE, Greenleaf JF: Performance of vibro-acoustography in detecting microcalcifications in excised human breast tissue: A study of 74 tissue samples. IEEE Trans Med Imaging 2004, 23(3):307-312.
  • [42]Alizad A, Wold LE, Greenleaf JF, Fatemi M: Imaging mass lesions by vibro-acoustography: modeling and experiments. IEEE Trans Med Imaging 2004, 23(9):1087-1093.
  • [43]Alizad A, Walch M, Greenleaf JF, Fatemi M: Vibrational characteristics of bone fracture and fracture repair: application to excised rat femur. J Biomech Eng 2006, 128(3):300-308.
  • [44]Alizad A, Whaley D, Greenleaf J, Fatemi M: Potential applications of vibro-acoustography in breast imaging. Technol Cancer Res Treat 2005, 4(2):151-157.
  • [45]Alizad A, Whaley DH, Greenleaf JF, Fatemi M: Critical issues in breast imaging by vibro-acoustography. Ultrasonics 2006, 44:e217-e220.
  • [46]Alizad A, Whaley DH, Urban MW, Carter RE, Kinnick RR, Greenleaf JF, Fatemi M: Breast vibro-acoustography: initial results show promise. Breast Cancer Re 2012, 14(5):R128. BioMed Central Full Text
  • [47]Mitri FG, Davis BJ, Urban MW, Alizad A, Greenleaf JF, Lischer GH, Wilson TM, Fatemi M: Vibro-acoustography imaging of permanent prostate brachytherapy seeds in an excised human prostate–preliminary results and technical feasibility. Ultrasonics 2009, 49(3):389-394.
  • [48]Mitri FG, Davis BJ, Alizad A, Greenleaf JF, Wilson TM, Mynderse LA, Fatemi M: Prostate cryotherapy monitoring using vibroacoustography: preliminary results of an ex vivo study and technical feasibility. IEEE Trans Biomed Eng 2008, 55(11):2584-2592.
  • [49]Urban MW, Chalek C, Kinnick RR, Kinter TM, Haider B, Greenleaf JF, Thomenius KE, Fatemi M: Implementation of vibro-acoustography on a clinical ultrasound system. IEEE TransUltrason, Ferroelectr, FreqControl 2011, 58(6):1169-1181.
  • [50]Reading CC, Charboneau JW, Hay ID, Sebo TJ: Sonography of thyroid nodules: a “classic pattern” diagnostic approach. Ultrasound Q 2005, 21(3):157-165.
  • [51]Khoo MLC, Asa SL, Witterick IJ, Freeman JL: Thyroid calcification and its association with thyroid carcinoma. Head Neck 2002, 24(7):651-655.
  • [52]Yoon DY, Lee JW, Chang SK, Choi CS, Yun EJ, Seo YL, Kim KH, Hwang HS: Peripheral Calcification in Thyroid Nodules Ultrasonographic Features and Prediction of Malignancy. J Ultrasound Med 2007, 26(10):1349-1355.
  • [53]Moon WJ, Jung SL, Lee JH, Na DG, Baek JH, Lee YH, Kim J, Kim HS, Byun JS, Lee DH: Benign and Malignant Thyroid Nodules: US Differentiation—Multicenter Retrospective Study1. Radiology 2008, 247(3):762-770.
  • [54]Taki S, Terahata S, Yamashita R, Kinuya K, Nobata K, Kakuda K, Kodama Y, Yamamoto I: Thyroid calcifications: sonographic patterns and incidence of cancer. ClinImaging 2004, 28(5):368-371.
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