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英文誌(2004-)

Journal of Medical Ultrasonics

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1994 - Vol.21

Vol.21 No.02

Original Article(原著)

(0077 - 0083)

輝度分析による甲状腺結節性病変の境界の決定と境界明瞭度の定量化

Border Determination of Thyroid Nodules on Ultrasonic Echogram and Quantification of the Border Clarity by Brightness Analysis

佐々木 賀広1, 栗田 武彰2, 棟方 昭博1, 羽田 隆吉3, 遠藤 正章3, 加藤 智2

Yoshihiro SASAKI1, Takeaki KURITA2, Akihiro MUNAKATA1, Ryukichi HADA3, Masaaki ENDOH3, Satoru KATOH2

1弘前大学第1内科, 2弘前大学第2外科, 3木造成人病センター外科

1First Department of Internal Medicine Hirosaki University School of Medicine, 2Second Department of Surgery Hirosaki University School of Medicine, 3Department of Surgery, Kizukuri Adult Disease Center Hospital

キーワード : Thyroid nodules, Brightness analysis, Determination of the nodule border, Clarity of the nodule border

Using an image processor, we defined the border of a thyroid nodule on an ultrasonic image as a set of points, where the local brightness gradient (隆B) indicates a maximal value. The determined border line appeared to be compatible with the visual one. Furthermore, we introduced a clarity index (CI), defined as the ratio of the number of points indicating a high 隆B value to the number of points indicating a low 隆B value, in order to quantify border clarity. The CI exhibited a value of more than 5, 0.5 to 2, and 2.58 in thyroid nodules presenting a cystic pattern, solid pattern, and mixed pattern, respectively. The border determination process, which we call brightness analysis, can be extensively applied to estimate nodular lesions in other organs.