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• W2102941407 abstract "Background Microcalcifications (aggregated with psammoma bodies), detected by ultrasound (US), are the most specific feature of papillary thyroid cancer (PTC). Using B-flow imaging (BFI), we identified a new sign (the twinkling sign; BFI-TS) in ‘suspect’ PTC nodules, which appeared to be generated by microcalcifications. Objective To evaluate whether the BFI-TS was predictive of malignancy, we correlated the BFI-TS with the results of fine needle aspiration cytology and histology. Design Cross-sectional cohort study from September 2006 to April 2008. Setting Department of Radiology and Endocrinology, University of Naples Federico II, and Department of Endocrinology, Second University of Naples. Patients A total of 306 consecutive patients with 539 thyroid nodules >8 mm in diameter. Main outcome measure US and BFI examinations were performed with the Logiq 9 system (General Electric Company, Milan, Italy); all patients underwent cytological examination. Results Cytology revealed 455 (84.4%) benign nodules and 84 (15.6%) malignant nodules; the latter were confirmed by postsurgical histological examination (76 cases of PTC, 7 follicular carcinoma, and 1 Hürthle cell carcinoma). All suspect nodules, namely, nodules with potential predictors of thyroid malignancy (e.g., microcalcifications and intra-nodal vascularity), were analyzed by cytology or histology (or both). Of 84, 68 (80.9%) of malignant nodules had ≥4 or more BFI-TSs in at least one scan versus only 12 of 455 (2.6%) of benign lesions. Conclusions Our results indicate that the BFI-TS could be a reliable diagnostic technique in the management of suspect thyroid nodules." @default.
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• W2102941407 date "2008-10-01" @default.
• W2102941407 modified "2023-09-30" @default.
• W2102941407 title "Thyroid B-flow twinkling sign: a new feature of papillary cancer" @default.
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• W2102941407 doi "https://doi.org/10.1530/eje-07-0891" @default.
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