美国放射学学院的诊断准确性甲状腺成像报告数据系统:一个单中心的截面研究
Pamela Ann Aribon1, Emmylou Teope2, Anna Lyn Egwolf2
1Center for Diabetes Thyroid and Endocrine Disorders, St. Luke's Medical Center, Global City, Taguig, Philippines.
Journal of the ASEAN Federation of Endocrine Societies
|June 12, 2024
概括
美国放射学学院甲状腺成像报告和数据系统 (ACR TI-RADS) 有效地分层了菲律宾人的甲状腺结节恶性瘤风险. 该系统有助于指导细针吸收活检决策,可能减少不必要的程序.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺结节很常见,准确的风险分层对于适当的管理至关重要.
- 美国放射学学院甲状腺成像报告和数据系统 (ACR TI-RADS) 是广泛用于分类甲状腺结节的工具.
- 评估其在特定人群的诊断准确性,如菲律宾人,是很重要的.
研究的目的:
- 评估ACR TI-RADS在识别需要精细针吸收活检 (FNAB) 的甲状腺结节方面的诊断准确性.
- 为了确定与菲律宾患者甲状腺恶性瘤相关的超声波特征.
- 评估ACR TI-RADS在指导FNAB在这个人口群体中的决策中的实用性.
主要方法:
- 从130名接受FNAB的菲律宾患者176个甲状腺结节的回顾性分析.
- 使用ACR TI-RADS分类系统评估和评分了超声波特征.
- ACR TI-RADS评分与最终细胞病理学结果的相关性.
主要成果:
- 与TI-RADS类别相关的恶性病发率有所增加:0% (TI-RADS 2),3.13% (TI-RADS 3),7.14% (TI-RADS 4) 和38.23% (TI-RADS 5) 的恶性病发率.
- ACR TI-RADS的灵敏度为89.5%,特异性为54%,准确度为58%.
- 该系统显示了高负预测值 (97.7%) 和低正预测值 (19.1%).
结论:
- 在菲律宾患者中,ACR TI-RADS为甲状腺结节提供了有效的恶性瘤风险分层.
- 该系统可以帮助指导精细针吸收活检的决策.
- 实施ACR TI-RADS可能会减少低风险结节中不必要的FNAB的数量.
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