Thyroid Gland
Conditions
Keywords
F18-choline, Surgery, Indeterminate, Thyroid node
Brief summary
The purpose of the study is to investigate the contribution of PET-CT with F18-choline in the diagnosis of thyroid nodule with indeterminate cytology in order to guide the best indication of surgical resection.
Interventions
PET-CT with F18-choline examination will be performed before surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years * Patient with thyroid nodule ≥15 mm with an indeterminate cytology according to the Bethesda Classification 2008 (vesicular lesion of undetermined significance (Bethesda 3); follicular neoplasm or Hürthle cells (Bethesda 4); lesion suspicious for malignancy (Bethesda 5)), and to be operated on * Patient affiliated to a social security scheme * Informed consent and signed
Exclusion criteria
* Thyroid nodules \<15 mm * Coalescing nodules preventing proper individualization of targeted nodule; * Thyroid nodule with non-diagnostic cytology (Bethesda 1), benign cytology (Bethesda 2) or malignant cytology (Bethesda 6) * Hot thyroid nodule on the thyroid scan * Major subject to a measure of legal protection or unable to consent * Pregnant women / nursing * Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity | Up to 4 months | Sensitivity of 18F-choline PET to detect the cases of thyroid cancer among patients with thyroid nodule with an indeterminate cytology. |
| Specificity | Up to 4 months | Specificity of 18F-choline PET to detect the cases of thyroid cancer among patients with thyroid nodule with an indeterminate cytology. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Predictive diagnostic capabilities | Up to 4 months | Diagnostic capabilities of 18F-Choline PET in predicting thyroid cancer |
| Duration for acquisition | Up to 4 months | Determination of the optimal duration for the PET acquisition. |
Countries
France