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对ACR TI-RADS与C-TIRADS对老年甲状腺癌评分和分类系统的诊断值的比较

Hu Huang¹, Ming-Jie Zhu¹, Qi Gao²

¹Department of Thyroid and Breast Surgery, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People's Republic of China.

International journal of general medicine

|October 5, 2023

概括

美国放射学学院 (ACR) 的TI-RADS和中国 (C-TIRADS) 的TI-RADS系统对老年人甲状腺癌的诊断价值很高. 评分系统的性能优于分类系统,但两者都有错误诊断的风险.

科学领域:

放射学放射学是一门学科.
在瘤学瘤学.
老年医学老年医学

背景情况:

甲状腺结节在老年人中很常见,需要准确的诊断工具.
目前的诊断系统包括美国放射学学院 (ACR) 的TI-RADS和中国的C-TIRADS.
将这些系统进行比较对于优化老年患者诊断至关重要.

研究的目的:

为了比较ACR TI-RADS和C-TIRADS对老年甲状腺癌的诊断性能.
评估每个系统的分数和分类方面.

主要方法:

从465名年龄≥60岁且病理确诊的患者获得的512个甲状腺结节的回顾性分析.
使用ACR TI-RADS和C-TIRADS对超声波特征进行独立评估.
接收器操作特征 (ROC) 曲线分析以确定诊断效率和最佳切断值.

主要成果:

无论是ACR TI-RADS还是C-TIRADS都显示出恶性结节的得分都更高 (P < 0.05).
曲线下的面积 (AUC) 值显示了两种系统的强大诊断性能,得分系统略高于分类系统 (ACR TI-RADS:0.861分,0.879分;C-TIRADS:0.897分,0.900分).
两种系统的灵敏度,特异性,PPV和NPV是可比的,在整体诊断疗效方面没有统计学上显著的差异.

结论:

在老年患者中,ACR TI-RADS和C-TIRADS对甲状腺结节具有显著的诊断价值.
无论是ACR TI-RADS还是C-TIRADS的评分系统,其诊断效率都高于各自的分类系统.
尽管具有很高的临床实用性,但这两种系统都有局限性和错过诊断的风险,这凸显了需要仔细解释的必要性.

关键词:

年长的老人老年人老年人.甲状腺成像报告和数据系统甲状腺结节的发生.超声波超声波是指超声波的使用.

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