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Hiba-Allah Chatti¹, Ibtissem Oueslati¹, Aymen Azaiez²

¹Department of Endocrinology, La Rabta university hospital, Faculty of medicine, University of Tunis-El Manar, Tunis, Tunisia.

Endocrinology, diabetes & metabolism

|June 16, 2023

概括

美国放射学学院 (ACR) 和欧洲 (EU) 甲状腺成像报告和数据系统 (TI-RADS) 的分类在预测甲状腺结节恶性病症方面表现相似. 这两种系统都有效地分层风险,有助于对甲状腺结节的临床决策.

科学领域:

放射学放射学是一门学科.
在瘤学瘤学.
内分泌学在内分泌学.

背景情况:

甲状腺结节很常见,区分良性和恶性是非常重要的.
像ACR TI-RADS和EU TI-RADS这样的超声波评分系统有助于风险分层.
组织学确认仍然是诊断甲状腺结节的黄金标准.

研究的目的:

为了比较ACR TI-RADS和EU TI-RADS的诊断性能.
评估这些系统在预测甲状腺结节恶性瘤方面的准确性.
评估它们在治疗甲状腺结节的临床决策中的有用性.

主要方法:

追溯分析了来自156名患者的198个甲状腺结节 (99个恶性,99个良性).
将ACR TI-RADS和EU TI-RADS分类应用于所有结节.
使用组织学作为参考标准对诊断性能进行比较.

主要成果:

超声波的特征,如固体组成,低可热性和微化,与恶性瘤有关.
恶性瘤的患病率在两个系统的TI-RADS类别较高时增加.
对于5类结节,欧盟TI-RADS显示出比ACRTI-RADS更高的灵敏度 (60%) 和较低的特异性 (82%) (41%的灵敏度,96%的特异性).
组合的第4类和第5类显示了可比性能 (欧盟TI-RADS:89%的灵敏度;ACRTI-RADS:86%的灵敏度).
在ROC曲线下的面积是相似的 (欧盟TI-RADS:0.81;ACRTI-RADS:0.82).

结论:

欧盟TI-RADS和ACRTI-RADS都是评估甲状腺结节恶性瘤风险的有价值工具.
这些系统表现出可比的诊断性能,特别是在考虑组合较高风险类别时.
这些分类可以帮助临床医生管理甲状腺结节.

关键词:

诊断成像诊断成像的使用恶性瘤的风险甲状腺癌是甲状腺癌.甲状腺结节甲状腺结节超声波分类超声波分类

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