| 欧阳向柳,郑立春,刘晓玲,张晓明,张文军,王艳滨.剪切波弹性成像与99Tcm-MIBI SPECT显像对比诊断甲状腺癌[J].中国医学影像技术,2014,30(10):1486~1489 |
| 剪切波弹性成像与99Tcm-MIBI SPECT显像对比诊断甲状腺癌 |
| Comparation of shear wave elastography and 99Tcm-MIBI SPECT imaging in diagnosis of thyroid cancer |
| 投稿时间：2014-05-30 修订日期：2014-07-30 |
| DOI： |
| 中文关键词: 剪切波 弹性成像技术 超声检查 甲状腺结节 放射性核素显像 |
| 英文关键词:Shear wave Elastography imaging techniques Ultrasonography Thyroid nodules Radionuclide imaging |
| 基金项目: |
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| 中文摘要: |
| 目的 比较剪切波弹性成像与99Tcm-MIBI SPECT显像诊断甲状腺癌的价值。方法 以118个甲状腺结节作为研究对象，行剪切波弹性成像及99Tcm-MIBI SPECT显像。以病理为金标准，计算并比较两种方法对甲状腺癌结节的诊断敏感度（灵敏度）、特异度、准确度、阳性预测值及阴性预测值，并进行率的比较。结果 剪切波弹性成像与99Tcm-MIBI SPECT显像诊断甲状腺癌的敏感度（灵敏度）、特异度、准确率、阳性预测值及阴性预测值分别为88.57%（31/35）和62.86%（22/35）、89.16%（74/83）和65.06%（54/83）、88.98%（105/118）和64.41%（76/118）、77.50%（31/40）和43.14%（22/51）、94.87%（74/78）和80.60%（54/67），差异均有统计学意义（P<0.05）。结论 剪切波弹性成像对甲状腺癌的诊断效能优于99Tcm-MIBI SPECT显像。 |
| 英文摘要: |
| Objective To compare the diagnostic value of shear wave elastography and 99Tcm-MIBI SPECT in diagnosis of thyroid cancer. Methods Totally 118 thyroid nodules had enrolled, which were checked by shear wave elastography and 99Tcm-MIBI SPECT imaging. Taking pathology as gold standard, the sensitivity, specificity, accuracy, positive predictive value and negative predictive value in diagnosis of thyroid nodules were calculated and compared. Results The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of shear wave elastography and 99Tcm-MIBI SPECT imaging in diagnosis of thyroid cancer were 88.57% (31/35) and 62.86% (22/35), 89.16% (74/83) and 65.06% (54/83), 88.98% (105/118) and 64.41% (76/118), 77.50% (31/40) and 43.14% (22/51), 94.87% (74/78) and 80.60% (54/67), which had statistical difference between both methods (all P<0.05). Conclusion The diagnostic value of shear wave elastography of thyroid cancer is higher than those of 99Tcm-MIBI SPECT imaging. |
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