修订的甲状腺成像报告和数据系统 (TIRADS):模仿美国放射学院的TIRADS,这是一个单中心的回顾性研究
Fengping Liang1, Xiang Li1, Qiao Ji1
1Department of Medical Ultrasound, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
一个新的风险分层系统,修订的甲状腺成像报告和数据系统 (R-TIRADS),改善了甲状腺结节的诊断. 与ACR TIRADS和K-TIRADS相比,这种系统可以减少不必要的活检.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 甲状腺块的发病率增加需要改进的诊断工具.
- 大多数甲状腺结节活检都是良性的,导致不必要的手术的高率.
研究的目的:
- 使用五种超声波特征开发甲状腺瘤的实用风险分层系统.
- 评估修订的甲状腺成像报告和数据系统 (R-TIRADS) 在分层恶性瘤风险方面的有效性.
主要方法:
- 对来自999名患者的1236个甲状腺结节进行了回顾性分析.
- 结节的得分基于组成,回声性,形状,边缘和回声焦点.
- 与ACR TIRADS和K-TIRADS相比,R-TIRADS的性能进行比较.
主要成果:
- 在R-TIRADS中,各得分类别的恶性瘤发病率显著不同 (P<0.01).
- 与ACR TIRADS (28.7%) 和K-TIRADS (14.8%) 相比,R-TIRADS实现了较低的不必要活检率 (25.2%).
- 与ACR TIRADS和K-TIRADS相比,R-TIRADS显示出更高的诊断性能 (AUC 0.79) 和灵敏度 (0.746).
结论:
- 该R-TIRADS系统有助于放射科医生在有效的甲状腺结节诊断.
- 实施R-TIRADS可以显著减少不必要的精细针的愿望.
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