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基于ACR TI-RADS的不同尺寸甲状腺结节的超声波的诊断价值

WeiMin Li¹, JunMin Chen², Feng Ye³

¹Departments of Ultrasonography, Affiliated Hospital of Jiangnan University, Wuxi, 214000, Jiangsu, PR China.

|September 1, 2023

概括

美国放射学学院 (ACR) 甲状腺成像报告和数据系统 (TI-RADS) 对于诊断较大的甲状腺结节 (>10mm) 更有效. 对于较小的结节,特别是微癌,其诊断价值是有限的,这表明减少查的潜力,以避免过度治疗.

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:

甲状腺结节是常见的内分泌疾病.
基于超声波的风险分类模型,如美国放射学学院 (ACR) 甲状腺成像报告和数据系统 (TI-RADS),被广泛使用.
甲状腺结节大小对超声波诊断准确性的影响尚不清楚.

研究的目的:

评估ACR TI-RADS在分类不同大小的甲状腺结节的诊断性能.
为了确定结节的大小是否会影响ACR TI-RADS系统的有效性.

主要方法:

对952名患者的1183个甲状腺结节进行了回顾性分析.
根据大小,结节被分为三个组:≤10mm,>10mm至<20mm,≥20mm.
应用了ACR TI-RADS评分和分类,并使用接收器操作特征 (ROC) 曲线来评估诊断效率.

主要成果:

在ACR TI-RADS中,所有大小组的恶性结节的得分和分类水平都较高 (p<0.05).
诊断效率 (曲线下的面积) 较高的结节>10mm (0.907和0.904) 与那些≤10mm (0.741) 相比.
较大的结节显示敏感性降低和积极的预测值,但增加的特异性和负的预测值与ACR TI-RADS.

结论:

ACR TI-RADS的诊断效果因甲状腺结节大小而异,在10毫米以上的结节中表现更好.
对于小结节,特别是甲状腺小癌,ACR TI-RADS的诊断价值有限.
应考虑省略微结节的评分和分类,以防止过度诊断和过度治疗.

关键词:

这就是ACR TI-RADS.大小尺寸尺寸尺寸尺寸甲状腺结节甲状腺结节超声波学超声波学超声波学

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