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Table 1 US features of thyroid nodules based on pathological subtypes

From: A computer-aided diagnosing system in the evaluation of thyroid nodules—experience in a specialized thyroid center

US features

 

Pathological subtypes

P value

 

PTC *$

FTC*#

FTA*#

Goiter

Cyst

Thyroiditis

 

Size (Mean ± SD, mm)

P = 0.001*

   

P = 0.003#

 

0.003

 

9.41 ± 6.98

15.56 ± 4.76

14.61 ± 8.86

9.68 ± 6.65

11.03 ± 6.46

5.30 ± 2.49

 

Composition

      

0.280

 Solid

90 (98.9%)

4 (100.0%)

24 (96.0%)

45 (97.8%)

0 (0.0%)

4 (100.0%)

 

 Mainly solid

1 (1.1%)

0 (0.0%)

1 (4.0%)

1 (2.2%)

4 (40.0%)

0 (0.0%)

 

 Mainly cyst

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

5 (50.0%)

0 (0.0%)

 

 Spongiform

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

1 (10.0%)

0 (0.0%)

 

Echogenicity

    

P = 0.018$

 

0.038

 Hyper

2 (2.2%)

0 (0.0%)

2 (8.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

 

 Iso

5 (5.5%)

0 (0.0%)

7 (28.0%)

9 (19.6%)

0 (0.0%)

1 (25.0%)

 

 Hypo

60 (65.9%)

3 (75.0%)

12 (48.0%)

31 (67.4%)

0 (0.0%)

3 (75.0%)

 

 Markedly

4 (4.4%)

1 (25.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

 

 Anechoic

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

10 (100.0%)

0 (0.0%)

 

 Heterogenous

20 (22.0%)

0 (0.0%)

4 (16.0%)

6 (13.0%)

0 (0.0%)

0 (0.0%)

 

Margin

P = 0.000*

   

P = 0.002$

 

0.168

 Well-defined

5 (5.5%)

0 (0.0%)

13 (52.0%)

37 (80.4%)

10 (100.0%)

0 (0.0%)

 

 Lobulated

26 (28.6%)

0 (0.0%)

3 (12.0%)

2 (4.4%)

0 (0.0%)

0 (0.0%)

 

 Ill-defined

60 (65.9%)

4 (100.0%)

9 (36.0%)

7 (15.2%)

0 (0.0%)

4 (100.0%)

 

Calcification

      

0.277

 Micro

52 (57.1%)

0 (0.0%)

8 (32.0%)

17 (37.0%)

6 (60.0%)

0 (0.0%)

 

 Macro

7 (7.7%)

2 (50.0%)

0 (0.0%)

7 (15.2%)

0 (0.0%)

1 (25.0%)

 

 Eggshell

2 (2.2%)

0 (0.0%)

1 (4.0%)

3 (6.5%)

1 (10.0%)

0 (0.0%)

 

 Mixed

4 (4.4%)

0 (0.0%)

3 (12.0%)

2 (4.3%)

0 (0.0%)

0 (0.0%)

 

 None

26 (28.6%)

2 (50.0%)

13 (52.0%)

17 (37.0%)

3 (30.0%)

3 (75.0%)

 

Orientation

P = 0.002*

   

P = 0.000$

 

0.004

 Parallel

50 (54.9%)

4 (100.0%)

21 (84.0%)

39 (84.8%)

7 (70.0%)

4 (100.0%)

 

 Nonparallel

41 (45.1%)

0 (0.0%)

4 (16.0%)

7 (15.2%)

3 (30.0%)

0 (0.0%)

 

Shape

P = 0.000*

   

P = 0.001$

 

0.044

 Ovoid to round

12 (13.2%)

0 (0.0%)

15 (60.0%)

16 (34.8%)

10 (100.0%)

0 (0.0%)

 

 Irregular

79 (86.8%)

4 (100.0%)

10 (40.0%)

30 (65.2%)

0 (0.0%)

4 (100.0%)

 

Blood flow

P = 0.007*

     

0.852

 Without

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

9 (90.0%)

0 (0.0%)

 

 Low

76 (83.5%)

2 (50.0%)

14 (56.0%)

32 (71.1%)

1 (10.0%)

3 (75.0%)

 

 Medium

10 (11.0%)

1 (25.0%)

7 (28.0%)

7 (15.6%)

0 (0.0%)

1 (25.0%)

 

 High

5 (5.5%)

1 (25.0%)

4 (16.0%)

6 (13.3%)

0 (0.0%)

0 (0.0%)

 
  1. PTC papillary thyroid carcinoma, FTC follicullar thyroid carcinoma, FTA follicullar thyroid adenoma, US ultrasound
  2. *PTC vs FTC + FTA
  3. $PTC vs goiter, cyst, and thyroiditis
  4. #FTC + FTA vs goiter, cyst, and thyroiditis