Table 2. Conventional US and SWS imagine features in predicting thyroid malignancy.
Parameter | Benign Nodules n = 216 (%) |
Malignant Nodules n = 106 (%) |
P value | Cut-off value |
SEN (%) |
SPE (%) |
PPV (%) |
NPV (%) |
ACU (%) |
AUC& |
---|---|---|---|---|---|---|---|---|---|---|
Solid Component | < 0.001 | 89.6 | 34.3 | 40.1 | 87.1 | 52.5 | 0.619 (0.564–0.673) | |||
Yes | 142 (65.7) | 95 (89.6) | ||||||||
No | 74 (34.3) | 11 (10.4) | ||||||||
Hypoechogenicity | < 0.001 | 70.8 | 52.3 | 42.1 | 78.5 | 58.4 | 0.615 (0.560–0.669) | |||
Yes | 103 (47.7) | 75 (70.7) | ||||||||
No | 113 (52.3) | 31 (29.3) | ||||||||
Taller-than-Wide Shape | < 0.001 | 43.4 | 81.0 | 52.9 | 74.5 | 68.6 | 0.622 (0.567–0.675) | |||
Yes | 41 (19.0) | 46 (43.4) | ||||||||
No | 175 (81.0) | 60 (56.6) | ||||||||
Microcalcification | < 0.001 | 62.3 | 75.0 | 55.0 | 80.2 | 70.8 | 0.686 (0.633–0.737) | |||
Yes | 54 (25.0) | 66 (62.3) | ||||||||
No | 162 (75.0) | 40 (37.7) | ||||||||
Poorly-defined Margin | < 0.001 | 82.1 | 69.4 | 56.9 | 88.8 | 73.6 | 0.758 (0.707–0.803) | |||
Yes | 66 (30.6) | 87 (82.1) | ||||||||
No | 150 (69.4) | 19 (17.9) | ||||||||
Halo sign | 0.092 | 17.0 | 74.5 | 24.7 | 64.7 | 55.6 | 0.542 (0.486–0.598) | |||
Yes | 55 (25.5) | 18 (17.0) | ||||||||
No | 161 (74.5) | 88 (83.0) | ||||||||
Vascularity | 0.448 | 34.9 | 69.4 | 35.9 | 68.5 | 58.1 | 0.522 (0.466–0.577) | |||
I–II | 150 (69.4) | 69 (65.1) | ||||||||
III–IV | 66 (30.6) | 37 (34.9) | ||||||||
SWS imagine(kpa) | ||||||||||
E-max | 29.18 ± 18.62 | 61.27 ± 36.31 | < 0.001 | 47.00 | 59.4 | 89.8 | 74.1 | 81.9 | 79.8 | 0.796 (0.748–0.839) |
E-mean | 15.85 ± 6.96 | 31.89 ± 19.11 | < 0.001 | 23.00 | 60.4 | 91.2 | 77.1 | 82.4 | 81.1 | 0.807 (0.760–0.849) |
SWS imagine(m/s) | ||||||||||
E-max | 2.98 ± 0.85 | 4.45 ± 1.49 | < 0.001 | 3.52 | 69.8 | 81.5 | 64.9 | 84.6 | 77.6 | 0.813 (0.766–0.854) (0.748–0.839) |
E-mean | 2.19 ± 0.42 | 3.26 ± 2.71 | < 0.001 | 2.46 | 67.9 | 83.3 | 66.7 | 84.1 | 78.3 | 0.800 (0.748–0.839) |
Note–numbers in parentheses are percentages
Data are means ± standard deviations
SWS imagine = shear wave speed imagine; E-max = the max value of shear wave speed imagine; E-mean = the mean value of shear wave speed imagine ;
N/A = not apply
& Note–numbers in parentheses are 95% confidence interval (CI)
AUC = area under receiver operating characteristic curve; ACU = accuracy; NPV = negative predictive value; PPV = positive predictive value; SEN = sensitivity; SPE = specificity