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虚拟触摸组织成像用于ACR TI-RADS 3-4类甲状腺结节的差异诊断:保守和积极的方法

Kai-Mei Lian¹, Teng Lin¹

¹Department of Ultrasound, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.

Clinical hemorheology and microcirculation

|September 18, 2023

概括

虚拟触摸组织成像 (VTI) 增强甲状腺成像报告和数据系统 (TI-RADS) 甲状腺结节. 积极的VTI方法可以提高诊断准确度,并减少TI-RADS类别3-4的不必要的活检.

科学领域:

放射学放射学是一门学科.
医疗成像医学成像
甲状腺诊断甲状腺诊断

背景情况:

甲状腺结节很常见,许多TI-RADS 3-4类结节是良性的.
准确地区分良性和恶性结节对于避免不必要的侵入性手术至关重要.

研究的目的:

评估虚拟触摸组织成像 (VTI) 结合甲状腺成像报告和数据系统 (TI-RADS) 的诊断性能.
将保守和积极的VTI整合方法与甲状腺结节的TI-RADS进行比较.
为了确定哪种VTI方法最好减少TI-RADS类别3-4结节的不必要活检.

主要方法:

在115名患者中对121名TI-RADS 3-4类甲状腺结节进行了回顾性分析 (2016年1月 - 2021年12月).
通过手术切除或活检进行病理诊断作为参考标准.
使用接收器操作特征 (ROC) 曲线和ROC曲线下的面积 (AUC) 评估诊断性能.

主要成果:

与单独的TI-RADS (AUC:0.598) 和保守的VTI方法 (AUC:0.755) 相比,积极的VTI方法显示出更高的诊断性能 (AUC:0.863).
积极的VTI方法成功将75.44%的错误阳性TI-RADS类别4节块降级为类别3.
这导致不必要的活检显著减少.

结论:

虚拟触摸组织成像显著提高了TI-RADS对甲状腺结节的诊断性能.
与TI-RADS的VTI的积极整合策略是有效的减少不必要的活检潜在的良性结节.

关键词:

超声波超声波是指超声波的使用.甲状腺成像报告和数据系统虚拟触摸组织成像 - 虚拟触摸组织成像

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