蔡文佳,何文,金占强,张红霞,宋海曼.新型实时剪切波弹性成像诊断甲状腺疾病[J].中国医学影像技术,2016,32(5):651~654
新型实时剪切波弹性成像诊断甲状腺疾病
Shear wave elastography in diagnosis of thyroid diseases
投稿时间:2016-01-03  修订日期:2016-03-20
DOI:10.13929/j.1003-3289.2016.05.003
中文关键词:  甲状腺  弹性成像技术  剪切波速度  弹性模量
英文关键词:Thyroid gland  Elasticity imaging techniques  Shear wave velocity  Elasticity index
基金项目:
作者单位E-mail
蔡文佳 首都医科大学附属北京天坛医院超声科, 北京 100050  
何文 首都医科大学附属北京天坛医院超声科, 北京 100050 hewen168@sohu.com 
金占强 首都医科大学附属北京天坛医院超声科, 北京 100050  
张红霞 首都医科大学附属北京天坛医院超声科, 北京 100050  
宋海曼 首都医科大学附属北京天坛医院超声科, 北京 100050  
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中文摘要:
      目的 探讨实时剪切波弹性成像技术(SWE)诊断甲状腺疾病的价值。方法 采用SWE技术对63例可疑甲状腺疾病患者进行检查,分别测量剪切波速度(SWV)及杨氏模量值(EI),分析不同病变弹性参数的差异。结果 恶性结节及炎性病变SWV及EI较正常腺体明显增大(P<0.05),良性结节SWV及EI与正常腺体比较差异无统计学意义(P>0.05);恶性结节SWV及EI较良性结节明显增大(P<0.05),恶性结节SWV及EI较炎性病变明显增大(P<0.05)。SWV及EI测值可重复性好。结论 SWE有助于甲状腺疾病的诊断及鉴别诊断。
英文摘要:
      Objective To investigate the value of shear wave elastography (SWE) in evaluation of thyroid diseases. Methods A total of 63 patients suspected thyroid disease underwent SWE examination. SWE parameters of shear wave velocity (SWV) and elasticity index (EI) were obtained, and difference of SWE parameters in different types lesions were analyzed. Results SWV and EI were higher in malignancy and thyroiditis than those in normal thyroid (P<0.05), while there was no statistical difference of SWV and EI between benign nodules and normal thyroid. SWV and EI were higher in malignancy than those in thyroiditis and benign nodules (P<0.05). The test-retest reliability of SWV and EI at different times of measurement was high. Conclusion SWE is helpful for the identification of thyroid diseases.
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