TY - JOUR T1 - EValuation of the role of magnetic resonance spectroscopy in the diagnosis of follicular malignancies of thyroid AU - Gupta N, Goswami B, Chowdhury V, RaviShankar LL, Kakar A Y1 - 2011/02/01 N1 - 10.1001/archsurg.2010.345 JO - Archives of Surgery SP - 179 EP - 182 VL - 146 IS - 2 N2 - Objectives  To evaluate role of magnetic resonance spectroscopy in differentiating benign from malignant follicular nodules.Design  Prospective study.Setting  Department of Surgery in collaboration with Department of Radio Diagnosis, Maulana Azad Medical College, Delhi, India.Patients  Twenty-five patients with a solitary thyroid nodule with follicular etiology.Interventions  Magnetic resonance spectroscopy was carried out in all the cases, and its findings were compared with the final diagnosis based on histopathological examination of sample obtained at surgery.Main Outcome Measures  Choline peak detected on MRS.Results  There were 17 benign cases, 16 follicular adenomas, and 1 colloid goiter. Of the 17 benign cases, only 1 showed choline peak; however, all 8 follicular carcinoma cases showed prominent choline peak. Hence, the sensitivity is 100% while the specificity is 94.11%.Conclusion  Magnetic resonance spectroscopy may prove to be a sensitive diagnostic tool in differentiating follicular adenomas from carcinomas. SN - 0004-0010 M3 - doi: 10.1001/archsurg.2010.345 UR - http://dx.doi.org/10.1001/archsurg.2010.345 ER -