Research Article

Homogeneity Parameter in Contrast-Enhanced Ultrasound Imaging Improves the Classification of Abnormal Cervical Lymph Node after Thyroidectomy in Patients with Papillary Thyroid Carcinoma

Table 2

Conventional US, CDFI, and CEUS indicators of ACLN (n = 86).

US featureBenignCLNM value
(n = 32)(n = 54)

Median size10 × 5 mm12 × 6 mm1.000
Shape0.171
 Round16 (18.6%)36 (41.9%)
 Oval16 (18.6%)18 (20.9%)
Fatty hilum0.101
 Absent18 (20.9%)40 (46.5%)
 Present14 (16.3%)14 (16.3%)
Echogenicity0.067
 Hyper8 (9.3%)25 (29.1%)
 Hypo24 (27.9%)29 (33.7%)
Cystic change or microcalcification0.004
 Present2 (2.3%)19 (22.1%)
 Absent30 (34.9%)35 (40.7%)
Position0.366
 Level II3 (3.5%)7 (8.1%)
 Level III8 (9.3%)11 (12.8%)
 Level IV19 (22.1%)29 (33.7%)
 Level V1 (1.2%)0 (0%)
 Level VI1 (1.2%)7 (8.1%)
CDFI patterns0.014
 Type I20 (23.3%)16 (18.6%)
 Type II3 (3.5%)7 (8.1%)
 Type III3 (3.5%)4 (4.7%)
 Type IV6 (7.0%)27 (31.4%)
Intensity at peak time≤0.001
 Hyperenhancement10 (11.6%)42 (48.8%)
 Hypoenhancement22 (25.6%)12 (14.0%)
Entrance mode0.142
 Centripetal6 (7.0%)19 (22.1%)
 Noncentripetal26 (30.2%)35 (40.7%)
Homogeneity≤0.001
 Heterogeneous4 (4.6%)44 (51.2%)
 Homogeneous28 (32.6%)10 (11.6%)