http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
나동규,백정환,정소령,김지훈,성진용,김규선,이정현,신정희,최윤정,하은주,임현경,김수진,한수연,이광희,최영준,윤인영,김영중,안혜신,류지화,백선미,심정석,정찬권,이준형,Korean Society of Thyroid Radiology,Korean Society of Radiology 대한영상의학회 2017 Korean Journal of Radiology Vol.18 No.1
Core needle biopsy (CNB) has been suggested as a complementary diagnostic method to fine-needle aspiration in patients with thyroid nodules. Many recent CNB studies have suggested a more advanced role for CNB, but there are still no guidelines on its use. Therefore, the Task Force Committee of the Korean Society of Thyroid Radiology has developed the present consensus statement and recommendations for the role of CNB in the diagnosis of thyroid nodules. These recommendations are based on evidence from the current literature and expert consensus.
신정희,백정환,정진,하은주,김지훈,이영흔,임현경,문원진,나동규,박정선,최윤정,한수연,전세정,정소령,김동욱,김은경,곽진영,이창윤,이희중,이정현,이준형,이광희,박선원,성진용,Korean Society of Thyroid Radiology,Korean Society of Radiology 대한영상의학회 2016 Korean Journal of Radiology Vol.17 No.3
The rate of detection of thyroid nodules and carcinomas has increased with the widespread use of ultrasonography (US), which is the mainstay for the detection and risk stratification of thyroid nodules as well as for providing guidance for their biopsy and nonsurgical treatment. The Korean Society of Thyroid Radiology (KSThR) published their first recommendations for the US-based diagnosis and management of thyroid nodules in 2011. These recommendations have been used as the standard guidelines for the past several years in Korea. Lately, the application of US has been further emphasized for the personalized management of patients with thyroid nodules. The Task Force on Thyroid Nodules of the KSThR has revised the recommendations for the ultrasound diagnosis and imaging-based management of thyroid nodules. The review and recommendations in this report have been based on a comprehensive analysis of the current literature and the consensus of experts.
2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology
김지훈,백정환,임현경,안혜신,백선미,최윤정,최영준,정새롬,하은주,한수연,정소령,김대식,김수진,김여군,이창윤,이정현,Kwang Hwi Lee,이영흔,박정선,박혜선,신정희,서종현,성진용,심정석,윤인영,Miyoung Choi,나동규,Korean Society of Thyroid Radiology (KSThR),Korean Society of Radiology 대한영상의학회 2018 Korean Journal of Radiology Vol.19 No.4
Thermal ablation using radiofrequency is a new, minimally invasive modality employed as an alternative to surgery in patients with benign thyroid nodules and recurrent thyroid cancers. The Task Force Committee of the Korean Society of Thyroid Radiology (KSThR) developed recommendations for the optimal use of radiofrequency ablation for thyroid tumors in 2012. As new meaningful evidences have accumulated, KSThR decided to revise the guidelines. The revised guideline is based on a comprehensive analysis of the current literature and expert consensus.
곽진영,정인경,백정환,백선미,최나미,최윤정,정소령,김은경,김정아,김지훈,김규순,이정현,이준형,문희정,문원진,박정선,류지화,신정희,손은주,성진용,나동규,Korean Society of Thyroid Radiology,대한영상의학회 대한영상의학회 2013 Korean Journal of Radiology Vol.14 No.1
Objective: The objective of this retrospective study was to develop and validate a simple diagnostic prediction model by using ultrasound (US) features of thyroid nodules obtained from multicenter retrospective data. Materials and Methods: Patient data were collected from 20 different institutions and the data included 2000 thyroid nodules from 1796 patients. For developing a diagnostic prediction model to estimate the malignant risk of thyroid nodules using suspicious malignant US features, we developed a training model in a subset of 1402 nodules from 1260 patients. Several suspicious malignant US features were evaluated to create the prediction model using a scoring tool. The scores for such US features were estimated by calculating odds ratios, and the risk score of malignancy for each thyroid nodule was defined as the sum of these individual scores. Later, we verified the usefulness of developed scoring system by applying into the remaining 598 nodules from 536 patients. Results: Among 2000 tumors, 1268 were benign and 732 were malignant. In our multiple regression analysis models, the following US features were statistically significant for malignant nodules when using the training data set: hypoechogenicity, marked hypoechogenicity, non-parallel orientation, microlobulated or spiculated margin, ill-defined margins, and microcalcifications. The malignancy rate was 7.3% in thyroid nodules that did not have suspicious-malignant features on US. Area under the receiver operating characteristic (ROC) curve was 0.867, which shows that the US risk score help predict thyroid malignancy well. In the test data set, the malignancy rates were 6.2% in thyroid nodules without malignant features on US. Area under the ROC curve of the test set was 0.872 when using the prediction model. Conclusion: The predictor model using suspicious malignant US features may be helpful in risk stratification of thyroid nodules.
이영흔,백정환,정소령,곽진영,김지훈,신정희,Korean Society of Thyroid Radiology (KSThR),Korean Society of Radiology 대한영상의학회 2015 Korean Journal of Radiology Vol.16 No.2
Ultrasound (US)-guided fine needle aspiration (US-FNA) has played a crucial role in managing patients with thyroid nodules, owing to its safety and accuracy. However, even with US guidance, nondiagnostic sampling and infrequent complications still occur after FNA. Accordingly, the Task Force on US-FNA of the Korean Society of Thyroid Radiology has provided consensus recommendations for the US-FNA technique and related issues to improve diagnostic yield. These detailed procedures are based on a comprehensive analysis of the current literature and from the consensus of experts.
하은주,임현경,윤정현,백정환,도경현,Miyoung Choi,Jin A Choi,Min Lee,나동규,Korean Society of Thyroid Radiology (KSThR),Korean Society of Radiology 대한영상의학회 2018 Korean Journal of Radiology Vol.19 No.4
The Korean Society of Radiology and the National Evidence-based Healthcare Collaborating Agency developed guidelines for primary imaging tests and appropriate biopsy methods for thyroid nodules. These guidelines were developed using an adaptation process by collaboration between the development committee and the working group. The development committee, composed of research methodology experts, established the overall plan and provided support about methodological strategies. The working group, composed of radiologist experts in thyroid imaging, wrote the proposals. The guidelines recommend neck ultrasound (US) as a first-line imaging modality for the diagnosis of thyroid nodules in patients with suspected nodules, and US-guided fine-needle aspiration as a primary method for histologic examination of thyroid nodules.
Min Ji Hong,이영흔,Kim Ji-Hoon,나동규,You Sung-Hye,Ji Eun Shin,김슬기,Yang Kyung Sook,Korean Society of Thyroid Radiology 대한초음파의학회 2023 ULTRASONOGRAPHY Vol.42 No.1
Purpose: Although the taller-than-wide (TTW) sign has been regarded as one of the most specific ultrasound (US) features of thyroid malignancy, uncertainty still exists regarding the US probe’s orientation when evaluating it. This study investigated which US plane would be optimal to identify the TTW sign based on malignancy risk stratification using a registry-based imaging dataset. Methods: A previous study by 17 academic radiologists retrospectively analyzed the US images of 5,601 thyroid nodules (≥1 cm, 1,089 malignant and 4,512 benign) collected in the webbased registry of Thyroid Imaging Network of Korea through the collaboration of 26 centers. The present study assessed the diagnostic performance of the TTW sign itself and fine needle aspiration (FNA) indications via a comparison of four international guidelines, depending on the orientation of the US probe (criterion 1, transverse plane; criterion 2, either transverse or longitudinal plane). Results: Overall, the TTW sign was more frequent in malignant than in benign thyroid nodules (25.3% vs. 4.6%). However, the statistical differences between criteria 1 and 2 were negligible for sensitivity, specificity, and area under the curve (AUC) based on the size effect (all P<0.05, Cohen’s d=0.19, 0.10, and 0.07, respectively). Moreover, the sensitivity, specificity, and AUC of the four FNA guidelines were similar between criteria 1 and 2 (all P>0.05, respectively). Conclusion: A longitudinal US probe orientation provided little additional diagnostic value over the transverse orientation in detecting the TTW sign of thyroid nodules.