评估甲状腺结核中的TI-RADS评分的诊断准确性和一致性:超声波和放射科医生的比较分析
Abdulrahman M Alfuraih1, Abdullah M Alotaibi2, Alanoud K Alshammari3
1Radiology and Medical Imaging Department, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Kharj, Saudi Arabia.
PloS one
|October 11, 2024
概括
超声波学家和放射学家在甲状腺成像报告和数据系统 (TI-RADS) 对甲状腺结节的评分上表现出中度一致,尽管边缘评估具有挑战性. 超声波学家 超声波学家
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 甲状腺成像报告和数据系统 (TI-RADS) 是基于超声波特征对甲状腺结节进行分类的标准化系统.
- 准确的甲状腺结节风险分层对于适当的患者管理和避免不必要的程序至关重要.
- 在TI-RADS评分中观察者之间的变化可能会影响诊断准确性和临床决策.
研究的目的:
- 为了比较TI-RADS分数的一致性,超声波和放射学家分配的分数.
- 为了评估两组TI-RADS评分的诊断性能,与组织学发现相比.
- 评估超声波仪分配的TI-RADS得分在识别可疑甲状腺结节的有用性.
主要方法:
- 168名怀疑甲状腺结节 (TR3及以上) 的患者的回顾性分析,由放射科医生进行分类.
- 超声波学家和放射学家对ACR TI-RADS评分进行独立的分配.
- 使用科恩的卡帕统计和评估诊断性能与贝塞斯达系统组织学之间的读者间协议的比较.
主要成果:
- 对于TI-RADS评分,超声波和放射科医生之间发现了中等的总体一致性 (κ = 0.504).
- 特别观察到对结节边缘评估的差异一致 (κ = 0.102).
- 超声波仪的TI-RADS得分与放射科医生 (29.3%) 相比,具有更高的特异性 (44.6%),两者都达到100%的灵敏度.
结论:
- 在超声波和放射科医生之间,在TI-RADS评分方面存在适度的协议,在边际评估可重现性方面存在挑战.
- 超声波仪的TI-RADS得分显示出略高的诊断性能,这表明初步评估的潜在好处.
- 需要进一步的研究来完善TI-RADS评分标准,并最大限度地减少可变性,以提高临床效用.
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