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听力学家和病理学家对皮肤状甲状腺癌中的回声微焦点的看法

Adile Begüm Bahçecioğlu¹, Alptekin Gürsoy², Serpil Dizbay Sak³

¹1Department of Endocrinology and Metabolism, Ankara University, School of Medicine, Ankara, Turkey.

European thyroid journal

|November 22, 2023

概括

在乳头甲状腺癌 (PTC) 超声波中,点状回声发作焦点 (PEF) 与病理学上的psammoma体 (PB) 相对应. 标准化PEF分类可以提高这些微化的诊断一致性.

科学领域:

放射学放射学是一门学科.
病理学病理学病理学
在瘤学瘤学.

背景情况:

在超声波中,点状回声焦点 (PEF) 通常被认为是病理学上的psammoma体 (PB).
然而,关于乳头甲状腺癌 (PTC) 中各种超声波回声微焦点 (EMF) 的精确基因病理等价值,数据有限且相互矛盾.
对于EMF检测和分类的超声波测试人员之间的观察者间协议也尚不清楚.

研究的目的:

为了研究在乳头甲状腺癌 (PTC) 结核中观察到的不同类型的回声微焦点 (EMF) 的组织病理相关性.
评估超声波专家之间的观察者间协议,用于在PTC中检测和分类EMF.
确定超声波识别EMF和psammoma体 (PB) 之间的关系.

主要方法:

从两个主要的甲状腺中心收集PTC结节的超声视频记录.
由三位经验丰富的超声波学家独立对EMF进行盲目的解释,并将其分类为预先定义的类别.
由两名盲目的病理学家对结核进行组织病理学评估,以确定psammoma体 (PB) 和其他相关特征.

主要成果:

对于 PTC 结节中电磁场的总体存在,发现了大量的观察者间一致性 (科恩卡帕 = 0.775).
点点的回声源焦点 (PEF) 显示了实质性的一致性 (kappa = 0.658) 和强烈的正相关性 (r = 0.634) 与psammoma体 (PB) 在他的病理学上.
其他EMF类型仅表现出公平的协议 (kappa = 0.0520.296),这表明其病理学基础的异质性.

结论:

在PTC中在超声检测中观察到的点状回声焦点 (PEF) 主要表明在组织病理学中存在psammoma体 (PB).
虽然电磁场的超声波观测可能有所不同,但将电磁场分为子组,具体指定"PEF"用于真正的微化,可以提高诊断一致性.
电磁场的标准化分类可以提高超声波在评估PTC时的可靠性.

关键词:

皮囊甲状腺癌是什么?皮囊甲状腺癌是什么这种类型的psammoma是体型的.穿刺回声源的焦点.超声波学超声波学超声波学

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