Lust With Life : Health Tips, Beauty Hacks, Medicine, Medical Question Bank, MBBS/ MD Questions General Conditions,MBBS/ MD - MS exam question Compare the diagnostic criteria of CT/MRI and ultrasound for the detection of secondaries in neck. What are the sensitivity and specificity of these imaging modalities in such conditions?

Compare the diagnostic criteria of CT/MRI and ultrasound for the detection of secondaries in neck. What are the sensitivity and specificity of these imaging modalities in such conditions?

Malignant lymphnodes

  • No echogenic eccentric hilum
  • Discolored colour Doppler
  • Rounded : RT < 1.5
  • Size usually >10 mm ∼7 mm in upper jugular chain and 6 mm  in ref.
  • Hypoechoeic and heterogeneous
  • Cystic or necrotic areas

Sensitivity: 84%

Specificity: 68%

Accuracy: 70%

  • Invasing surrounding tissue
  • ill depend margin
  • Calcification (PTC)
  • Absent of hilum (90%)
  • ↑ vascularity

Thyroid:

Sensitivity: 63-87%

Specificity: 81- 91%

Accuracy:80-94%

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