| 史策,彭格红,曹永政,谢娜.甲状腺超声征象报告和数据系统分级诊断甲状腺结节的应用[J].中国医学影像技术,2015,31(4):532~535 |
| 甲状腺超声征象报告和数据系统分级诊断甲状腺结节的应用 |
| Application of thyroid imaging reporting and data system ultrasonographic classification in diagnosing thyroid nodules |
| 投稿时间：2014-07-20 修订日期：2015-02-10 |
| DOI：10.13929/j.1003-3289.2015.04.013 |
| 中文关键词: 甲状腺肿瘤 数据系统 超声检查 |
| 英文关键词:Thyroid neoplasms Data system Ultrasonography |
| 基金项目: |
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| 摘要点击次数: 3194 |
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| 中文摘要: |
| 目的 探讨甲状腺超声征象报告和数据系统(TI-RADS)分级对甲状腺良恶性结节的诊断价值。方法 回顾性分析214例甲状腺结节患者共311个结节的声像图资料,采用TI-RADS分级进行评价,并与术后病理结果进行比较。结果 良性结节以TI-RADS 2~4a级为主,恶性结节以TI-RADS 4b~5级为主。应用TI-RADS分级诊断恶性甲状腺结节的准确率为87.14%,敏感度为84.21%,特异度为87.80%,ROC曲线下面积(AUC)为0.908(95%CI 0.866,0.949)。结论 超声诊断中应用TI-RADS分级对甲状腺结节进行定性具有较高诊断效能。 |
| 英文摘要: |
| Objective To explore the diagnostic value of thyroid imaging reporting and data system (TI-RADS) classification in identifying benign and malignant thyroid nodules. Methods Ultrasonographic imaging data of 214 patients with 311 thyroid nodules were retrospectively analized. The results of TI-RADS ultrasonographic classification were evaluated and compared with pathologic diagnosis. Results Majority of benign nodules were TI-RADS 2-4a grades. And malignant nodules were mostly TI-RADS 4b-5 grades. According to TI-RADS ultrasonographic classification, the diagnostic accuracy, sensitivity and specificity for identifying malignant thyroid nodules was 87.14%, 84.21% and 87.80%, respectively. The area under ROC curve (AUC) was 0.908 (95%CI 0.866, 0.949). Conclusion There is higher diagnostic efficiency of thyroid nodules for qualitative diagnosis using TI-RADS ultrasonographic classification. |
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