甲状腺成像报告和数据系统标准的分析及其与病理结果的相关性
Vineel Sai Deepak Kallepalli1,2, Thirugnanasambandam Nelson1,3, Saravanan Sanniyasi1
1General Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|July 10, 2023
概括
甲状腺成像报告和数据系统 (TIRADS) 的分类有助于避免甲状腺结节的不必要的侵入性手术. 某些TIRADS标准,如结节形状和回声发作焦点,在预测恶性瘤方面更有效.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 甲状腺结节很常见,有4-8%通过触摸检测到.
- 准确的恶性瘤预测对于适当的患者管理至关重要.
研究的目的:
- 分析甲状腺成像报告和数据系统 (TIRADS) 的分类.
- 评估TIRADS个别标准在预测甲状腺结节恶性瘤方面的有效性.
主要方法:
- 对50名甲状腺胀患者进行前性观察性研究.
- 超声波 (USG) 部,然后进行细针吸入细胞学 (FNAC) 或甲状腺切除术.
- 对TIRADS分类和特定成像特征的分析.
主要成果:
- 在TIRADS 4结节中,恶性瘤的风险为56.2%.
- 结节形状 (高于宽) 对恶性瘤具有92.3%的特异性.
- 点状回声源焦点显示了50%的灵敏度和76.9%的特异性 (p=0.048).
结论:
- TIRADS评分有效地减少了对低风险结节的不必要的侵入性手术.
- 特定的标准,如回声发作焦点和结节形状,是恶性瘤的有价值的预测因素.
- 优先考虑某些TIRADS标准,可以提高诊断准确度.
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