Jin Young Kwak
연세대학교 영상의학교실 · 의학
김영곽 교수의 연구실은 갑상선 결절의 악성 여부를 정밀하게 평가하기 위한 초음파 영상 기반 진단 전략을 핵심으로 연구를 진행하고 있습니다. 특히, 영상 소견을 바탕으로 한 TIRADS 시스템 개선, 반복 생검의 적응 기준, 그리고 갑상선 미세암에서의 외성 침윤 예측 등 임상적 실용성을 높이는 연구가 중심입니다. 또한, BRAF(V600E) 돌연변이와 초음파 elastography 기법의 임상적 활용 가능성에 대해서도 지속적으로 탐색하고 있습니다.
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
Risk stratification of thyroid malignancy by using the number of suspicious US features allows for a practical and convenient TIRADS.
The predictor model using suspicious malignant US features may be helpful in risk stratification of thyroid nodules.
Repeat FNAB should be performed for thyroid nodules that have suspicious US features, even if the initial cytologic results indicate that it is a benign lesion.
This study suggests that the presence and degree of contact between a PTMC and the adjacent capsule as found on preoperative US can provide an useful predictive information about an extrathyroidal extension.
The BRAF(V600E) mutation can be used as a potential prognostic factor in PTMC patients in a BRAF(V600E)-prevalent area. Future studies will be needed to determine how this information can be used to alter patient care.
Ultrasonography (US)-based elastography has been introduced as a noninvasive technique for evaluating thyroid nodules that encompasses a variety of approaches such as supersonic shear imaging and acoustic radiation force impulse imaging as well as real-time tissue elastography. However, the diagnostic performances for differentiating malignant thyroid nodules from benign ones with elastography as an adjunctive tool of gray-scale US is still under debate. In this review article, diagnostic perfor
