Determining the thyroid gland volume causing tracheal compression: a semiautomated 3D CT volumetry study

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dc.authoridSerdar Karahatay / 0000-0002-8391-4267
dc.authorscopusidSerdar Karahatay / 15820662300
dc.authorwosidSerdar Karahatay / DAT-0629-2022
dc.contributor.authorBinar, Murat
dc.contributor.authorSerindere, Mehmet
dc.contributor.authorBozlar, Uğur
dc.contributor.authorKarahatay, Serdar
dc.contributor.authorDemirkapı, Suat
dc.contributor.authorAydın, Ümit
dc.contributor.authorGökgöz, Mert
dc.contributor.authorTaşar, Mustafa
dc.contributor.authorGerek, Mustafa
dc.date.accessioned2020-08-30T20:06:49Z
dc.date.available2020-08-30T20:06:49Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground and objectives: Increased thyroid gland volume (TV) may bring about tracheal compression, which is one of the causes of respiratory distress. The aim of this study was to investigate the relationship between TV and the severity of tracheal compression independent of patients' symptoms using semiautomated three-dimensional (3D) volumetry (S3DV) reconstructed from computed tomography (CT) scans. Cut-off TVs leading to different levels of tracheal narrowing were evaluated. Materials and Methods: One hundred sixty-three contrast-enhanced head and neck CT examinations were retrospectively assessed. TVs were measured by S3DV. The degree of tracheal compression was measured at the point where the greatest percent reduction in the cross-sectional area of the trachea adjacent to the thyroid gland was observed. To determine the severity of compression, the tracheal compression ratio (TCR) was defined (TCR = A1 (the narrowest cross-sectional area of trachea)/A2 (the largest cross-sectional area of trachea)). Results: The mean tracheal narrowing was 15% (TCR = 0.85 +/- 0.15) in the study population. Patients with more than 15% tracheal compression had significantly higher TV values than those with less than 15% tracheal compression (p < 0.001). In addition, a significant correlation was found between TV and tracheal compression (p < 0.001). Moreover, the receiver operating characteristic (ROC) curve analysis revealed that the cut-off levels for TV that predict a tracheal narrowing of 10%, 20%, 30%, and 40% were 19.75 mL, 21.56 mL, 24.54 mL, and 30.29 mL, respectively (p < 0.05). Conclusions: This study objectively demonstrated that larger thyroid glands cause more severe compression on the trachea. The results may be helpful during the decision-making process for thyroidectomies to be performed due to compression symptoms.en_US
dc.identifier.citationBinar, M., Serindere, M., Bozlar, U., Karahatay, S., Demirkapi, S., Aydin, U., ... & Gerek, M. (2019). Determining the Thyroid Gland Volume Causing Tracheal Compression: A Semiautomated 3D CT Volumetry Study. Medicina, 55(5), 143.en_US
dc.identifier.doi10.3390/medicina55050143en_US
dc.identifier.issn1010-660Xen_US
dc.identifier.issn1648-9144en_US
dc.identifier.issue5en_US
dc.identifier.pmid31100834en_US
dc.identifier.scopus2-s2.0-85066278299en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/medicina55050143
dc.identifier.urihttps://hdl.handle.net/20.500.12713/628
dc.identifier.volume55en_US
dc.identifier.wosWOS:000472666200028en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKarahatay, Serdaren_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofMedicina-Lithuaniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDyspneaen_US
dc.subjectImagingen_US
dc.subjectThree-Dimensionalen_US
dc.subjectOrgan Sizeen_US
dc.subjectThyroid Glanden_US
dc.subjectTracheaen_US
dc.titleDetermining the thyroid gland volume causing tracheal compression: a semiautomated 3D CT volumetry studyen_US
dc.typeArticleen_US

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