在评估甲状腺结节时,ACR-TIRADS的性能不会因患者年龄而异
Andrea Leoncini1, Marco Curti1, Lorenzo Ruinelli2,3,4
1Servizio Di Radiologia E Radiologia Interventistica, Istituto Di Imaging Della Svizzera Italiana (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900, Lugano, Switzerland.
Hormones (Athens, Greece)
|July 19, 2024
概括
美国放射学学院甲状腺成像报告和数据系统 (ACR-TIRADS) 在所有患者年龄组中表现一致. 这项研究没有发现ACR-TIRADS性能,包括结节评估和诊断准确性的显著变化,无论患者的年龄.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 以前的研究表明,美国放射学学院甲状腺成像报告和数据系统 (ACR-TIRADS) 的性能存在与年龄相关的差异.
- 儿科,成人和老年人群之间的ACR-TIRADS性能变化需要进一步调查.
研究的目的:
- 评估患者年龄对ACR-TIRADS诊断性能的影响.
- 为了确定ACR-TIRADS风险分层是否在不同的年龄群体中有所不同.
主要方法:
- 用组织学作为黄金标准对甲状腺切除术患者的回顾性分析.
- 对超声波图像的审查和与ACR-TIRADS类别 (TR1-TR5) 的调整.
- 计算诊断性能指标,包括不必要的细针吸收率 (UN-FNAC) 和未执行的细针吸收率 (NNP-FNAC),跨年龄组.
主要成果:
- 分析包括114名患有220个结节 (46种癌症) 的患者.
- 总体而言,联合国-FNAC的比例为66.3%,在TR类别之间存在差异 (TR3: 93.1%,TR4: 82.1%,TR5: 31.4%).
- 年龄组之间没有观察到结节评估,癌症检测或FNAC率的显著差异;灵敏度和特异性保持一致.
结论:
- 患者的年龄不会显著影响ACR-TIRADS系统的性能.
- ACR-TIRADS在不同年龄群体中提供可靠的甲状腺结节风险分层.
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