多模式美国与甲状腺成像报告和数据系统标准在推甲状腺结节细针吸收的甲状腺成像
Fan Xiao1, Jian-Ming Li1, Zhi-Yu Han1
1From the Department of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China (F.X., J.M.L., Z.Y.H., F.Y.L., J.Y., P.L.); Department of Cadet Corps, Chinese PLA Medical School, Beijing, China (F.X.); Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (M.X.X.); Department of Ultrasound, Third Xiangya Hospital, Central South University, Hunan, China (P.Z.); Department of Ultrasound, Aero-space Center Hospital, Beijing, China (L.L.); Department of Ultrasound, Tianjin Medical University General Hospital, Tianjin, China (G.M.Z.); Department of Ultrasound, The First Affiliated Hospital of Dalian Medical University, Dalian, China (Y.C.); Department of Ultrasound, Yantai Hospital of Shandong Wendeng Orthopaedics & Traumatology, Yantai, China (S.R.W.); Department of Ultrasound, Jinan Central Hospital, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China (C.L.); and Department of Ultrasound, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, China (Z.B.C.).
多模式超声显著提高了推精细针吸收 (FNA) 甲状腺结节的准确性,减少了与TI-RADS系统相比不必要的活检.
科学领域:
- 放射学 放射学是一门学科.
- 诊断成像 诊断成像 诊断成像
- 在瘤学瘤学.
背景情况:
- 传统的超声波 (美国) 是甲状腺结节风险分层的标准.
- 目前的指导方针经常建议精细针吸收 (FNA),即使是良性结节,导致不必要的程序.
研究的目的:
- 为了比较多模式US的诊断性能 (传统US,应变弹性学,对比增强US [CEUS]) 与美国放射学学院甲状腺成像报告和数据系统 (TI-RADS) 的诊断性能.
- 评估多模式US的能力,以减少对甲状腺结节的不必要的FNA建议.
主要方法:
- 对445名患有甲状腺结节的参与者的前性研究.
- 开发和内部验证多变量后勤回归模型,包括US,弹性图和CEUS特征.
- 使用接收器操作特征曲线 (AUC) 下面的面积,校准和决策曲线分析来评估诊断性能.
主要成果:
- 多模式美国获得了推FNA的最高AUC (0.85),明显超过TI-RADS (AUC 0.63).
- 美国的多式联络可以避免31%的FNA程序,而TI-RADS的15%,风险值为50%.
- 预测模型整合了参与者的年龄,结节的US特征,弹性图形硬度和CEUS血液体积.
结论:
- 多模式美国在指导甲状腺结节的FNA建议方面表现卓越.
- 这种方法有效地减少了不必要的活检,提高了诊断效率和患者管理.
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