Email this article 
Post a Comment Assessment of compression syndrome with increase in thyroid gland volume
- Authors: Zhirnova A.S.1, Abramzon O.M.1, Lyashchenko S.N.1
-
Affiliations:
- Orenburg State Medical University
- Issue: Vol 40, No 5 (2023)
- Pages: 30-37
- Section: Original studies
- URL: https://journal-vniispk.ru/PMJ/article/view/254804
- DOI: https://doi.org/10.17816/pmj40530-37
- ID: 254804
Cite item
Full Text
Abstract
Objective. To determine the criteria for compression syndrome with an increase in the volume of the thyroid gland according to magnetic resonance imaging (MRI) of the soft tissues of the neck.
Materials and methods. Magnetic resonance tomograms of 62 patients with normal thyroid volume (thyroid gland) (group 1) and 89 patients with thyromegaly (group 2) were analyzed. At the same time, the width, height, antero-posterior size of the lobes and isthmus of the thyroid gland, displacement of the trachea, esophagus, carotid artery, jugular vein and the distance between some neck structures were measured. The results obtained were compared in the groups. The differentiating informativeness of each parameter was characterized by a Kullback measure.
Results. On the basis of MRI of the soft tissues of the neck, quantitative compression criteria, diagnostic coefficients and thresholds for the probability of compression in patients with thyroid pathology were determined. Summing up the diagnostic coefficients of each parameter, it was possible to identify a compression syndrome with a given probability. With the sum of diagnostic coefficients 61 and higher, compression of the neck organs is diagnosed with a probability of 95 %, with – minus 32 points or less, compression is absent with a probability of 95 %. The interval of the diagnostic coefficient from 29 to 61 corresponds to the presence of compression syndrome with a probability of 94 % to 55 %, respectively. With a diagnostic coefficient in the range from 25 to -32, the probability of compression of the neck organs is from 5 % to 45 %. Patients with the sums of diagnostic coefficients from 26 to 28 are in the zone of "diagnostic uncertainty" that implies dynamic observation.
Conclusions. The use of the proposed method for assessing the compression syndrome with an increase in the thyroid gland allows you to objectively identify its presence or absence.
Full Text
##article.viewOnOriginalSite##About the authors
A. S. Zhirnova
Orenburg State Medical University
Author for correspondence.
Email: oringirl@mail.ru
Candidate of Medical Sciences, Associate Professor, Department of General Surgery
Russian Federation, OrenburgO. M. Abramzon
Orenburg State Medical University
Email: oringirl@mail.ru
MD, PhD, Professor, Department of General Surgery
Russian Federation, OrenburgS. N. Lyashchenko
Orenburg State Medical University
Email: oringirl@mail.ru
MD, PhD, Professor, Department of Operative Surgery and Clinical Anatomy
Russian Federation, OrenburgReferences
- Gostimsky A.V., Romanchishen A.F., Selikhanov B.A., Lisovsky O.V. Urgent surgery for diseases of the thyroid gland, complicated by compression of the neck and mediastinum. Bulletin of the Russian Military Medical Academy 2019; S1: 60–63 (in Russian).
- Zheng R., Rios-Diaz A.J., Thibault D.P., Crispo J.A.G., Willis A.W., Willis A.I. A contemporary analysis of goiters undergoing surgery in the United States. Am J Surg 2020; 220 (2): 341–348.
- Roman B.R., Randolph G.W., Kamani D. Conventional Thyroidectomy in the Treatment of Primary Thyroid Cancer. Endocrinol Metab Clin North Am. 2019; 48 (1): 125–141.
- Piksin N.I., Davydkin V.I., Vilkov A.V., Golubev A.G., Pryanikov I.R. Stratification of the severity of compression syndrome in patients with goiter. Bulletin of new medical technologies 2017; 3: 158–163 (in Russian).
- Piksin I.N., Lyubitsky A.V., Davydkin V.I., Vilkov A.V., Golubev A.G., Kechaikin A.N. Compression syndrome in diseases of the thyroid gland and methods of its correction. Medical almanac 2014; 3 (33): 143–145 (in Russian).
- Vysotsky A.G., Sidorenko Yu.A., Gyulmamedov S.I. et al. Criteria for assessing the syndrome of cervical-mediastinal compression in thyroid pathology. Ukrainian Journal of Surgery 2010; 1: 44–46 (in Russian).
- Binar M., Serindere M., Bozlar U., Karahatay S., Demirkapi S., Aydin U., Gokgoz M., Tasar M., Gerek M. Determining the Thyroid Gland Volume Causing Tracheal Compression: A Semiautomated 3D CT volumetry study. Medicine (Kaunas) 2019; 55 (5).
- Thusoo T.K., Gupta U., Kochhar K., Hira H.S. Upper airway obstruction in patients with goiter studies by flow volume loops and effect of thyroidectomy. World J Surg 2000; 24 (12): 1570–1572.
- Genkin A.A. New information technology for medical data analysis; OMIS software package. Saint Petersburg: Polytechnic 1999; 191 (in Russian).
- Gubler E.V., Genkin A.A. Application of nonparametric statistics criteria to assess differences between two groups of observations in biomedical research. Moscow: Medicine 1969; 29 (in Russian).
Supplementary files
