|
|
Quantitative Assessment of the Risk of Goiter-Derived Airway Compression Based on Ultrasound Volumetric Imaging |
WANG Hailin, ZHU Xiaolan, FU Jian, et al |
Haian People's Hospital, Haian Jiangsu 226600, China |
|
|
Abstract Objective: To evaluate whether thyroid ultrasound volume imaging can quantitatively evaluate the risk of airway compression caused by goiter. Methods: The data of 84 subjects who underwent thyroid ultrasound volume imaging and airway (neck) CT imaging from January 2017 to December 2020 were collected retrospectively. The render surface mode was adopted in the three-dimensional ultrasonic image analysis. The thin layer imaging assisted multiplanar reconstruction (MPR), curved surface reconstruction (CPR), and volume reconstruction (VR) were used for airway CT imaging. Results: There was a significant difference in thyroid TV between the airway stenosis group and the non-stenosis group (t= 13.363,P<0.001), and it was significantly correlated with the degree of airway stenosis (r= 0.549,P<0.05). The differential efficacy of thyroid volume for airway compression was 0.679 (95%CI: 0.599-0.753,P<0.001), and the differential efficacy for tracheal stenosis was 0.658, 0.679, 0.702 and 0.787, respectively. The cut-off values were 19.69ml, 20.98ml, 23.85ml, and 29.37ml. Conclusion: Thyroid ultrasound imaging can accurately and quantitatively evaluate the risk of airway compression, which can be used as a reliable theoretical basis for the prevention and treatment of airway compression.
|
|
|
|
|
[1] Harada K,Fujikawa T.Giant adenomatous thyroid nodule compressing the trachea[J].Gen Fam Med,2018,19(6):219-220. [2] Stang MT,Armstrong MJ,Ogilvie JB,et al.Positional dyspnea and tracheal compression as indications for goiter resection[J].Arch Surg,2012,147(7):621-626. [3] Sorensen JR,Hegedus L,Kruse-Andersen S,et al.The impact of goitre and its treatment on the trachea,airflow,oesophagus and swallowing function.A systematic review[J].Best Pract Res Clin Endocrinol Metab,2014,28(4):481-494. [4] Lencu C,Alexescu T,Petrulea M,et al.Respiratory manifestations in endocrine diseases[J].Clujul Med,2016,89(4):459-463. [5] Wang X,Zhou Y,Li C,et al.Surgery for retrosternal goiter:cervical approach[J].Gland Surg,2020,9(2):392-400. [6] Menon SK,Jagtap VS,Sarathi V,et al.Prevalence of upper airway obstruction in patients with apparently asymptomatic euthyroid multi nodular goitre[J].Indian Endocrinol Metab,2011,15(Suppl 2):127-131. [7] Aygun N,Besler E,Yetkin G,et al.Complication risk in secondary thyroid surgery[J].Sisli Etfal Hastan Tip Bul,2018,52(1):19-25. [8] Chong A,Ha JM,Han YH,et al.Preoperative lymph node staging by FDG PET/CT with contrast enhancement for thyroid cancer:a multicenter study and comparison with neck CT[J].Clin Exp Otorhinolaryngol,2017,10(1):121-128. |
|
|
|