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Q-Elastography in the Presurgical Diagnosis of Thyroid Nodules with Indeterminate Cytology

Overview of attention for article published in PLOS ONE, November 2012
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Title
Q-Elastography in the Presurgical Diagnosis of Thyroid Nodules with Indeterminate Cytology
Published in
PLOS ONE, November 2012
DOI 10.1371/journal.pone.0050725
Pubmed ID
Authors

Vito Cantisani, Salvatore Ulisse, Eleonora Guaitoli, Corrado De Vito, Riccardo Caruso, Renzo Mocini, Vito D’Andrea, Valeria Ascoli, Alfredo Antonaci, Carlo Catalano, Francesco Nardi, Adriano Redler, Paolo Ricci, Enrico De Antoni, Salvatore Sorrenti

Abstract

Quantitative ultrasound (US) elastography (Q-USE), able to evaluate tissue stiffness has been indicated as a new diagnostic tool to differentiate benign from malignant thyroid lesions. Aim of this prospective study, conducted at the Department of Surgical Sciences, of the "Sapienza" University of Rome, was to evaluate the diagnostic accuracy of Q-USE, compared with US parameters, in thyroid nodules with indeterminate cytology (Thy3).The case study included 140 nodules from 140 consecutive patients. Patient's thyroid nodules were evaluated by Q-USE, measuring the strain ratio (SR) of stiffness between nodular and surrounding normal thyroid tissue, and conventional US parameters prior fine-needle aspiration cytology. Those with Thy3 diagnosis were included in the study. Forty of the nodules analyzed harbored a malignant lesion. Q-USE demonstrated that malignant nodules have a significant higher stiffness with respect to benign one and an optimun SR cut-off value of 2.05 was individuated following ROC analysis. Univariate analysis showed that hypoechogenicity, irregular margins and SR >2.05 associated with malignancy, with an accuracy of 67.2%, 81,0% and 89.8%, respectively. Data were unaffected by nodule size or thyroiditis. These findings were confirmed in multivariate analysis demonstrating a significant association of the SR and the irregular margins with thyroid nodule's malignancy. In conclusion, we demonstrated the diagnostic utility of Q-USE in the differential diagnosis of thyroid nodules with indeterminate cytology that, if confirmed, could be of major clinical utility in patients' presurgical selection.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
France 1 3%
Italy 1 3%
Unknown 29 94%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 23%
Other 4 13%
Student > Ph. D. Student 4 13%
Student > Doctoral Student 3 10%
Student > Postgraduate 3 10%
Other 4 13%
Unknown 6 19%
Readers by discipline Count As %
Medicine and Dentistry 16 52%
Agricultural and Biological Sciences 3 10%
Psychology 2 6%
Biochemistry, Genetics and Molecular Biology 1 3%
Nursing and Health Professions 1 3%
Other 3 10%
Unknown 5 16%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 November 2012.
All research outputs
#15,256,901
of 22,687,320 outputs
Outputs from PLOS ONE
#129,945
of 193,653 outputs
Outputs of similar age
#178,844
of 277,026 outputs
Outputs of similar age from PLOS ONE
#2,891
of 4,740 outputs
Altmetric has tracked 22,687,320 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 193,653 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.0. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 277,026 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 4,740 others from the same source and published within six weeks on either side of this one. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.