对美国放射学学院的甲状腺成像报告和数据系统和欧洲甲状腺成像报告和数据系统的甲状腺结分类的甲状腺结的额外价值
Lea Sollmann1, Maria Eveslage2, Moritz Fabian Danzer2
1Department of Nuclear Medicine, University of Münster and University Hospital Münster, 48149 Münster, Germany.
Cancers
|January 8, 2025
概括
将甲状腺光学图与甲状腺成像报告和数据系统 (TIRADS) 集成,可以适度提高甲状腺结节的诊断准确度. 这种多模式的方法可以提高管理,特别是在复杂的病例,如多模块.
科学领域:
- 内分泌学 在内分泌学.
- 核医学就是核医学.
- 放射学 放射学是一门学科.
背景情况:
- 甲状腺结节很常见,但诊断很困难.
- 目前的指导方针讨论甲状腺扫描在无甲状腺患者的有用性.
- 对TIRADS在多式联络方法中的光摄影的附加价值仍然没有得到评估.
研究的目的:
- 评估综合基纳酸光学对TIRADS准确性的影响.
- 评估结合光学和TIRADS的多式模式的诊断性能.
- 为了确定光学扫描能否改善甲状腺结节的特征.
主要方法:
- 在208名无甲状腺患者中,对322个甲状腺结节进行了回顾性分析.
- 对ACR-TIRADS,EU-TIRADS,光学和多式模式的诊断性能进行比较.
- 组织病理学作为参考标准;一般化估计方程被用于统计分析.
主要成果:
- 甲状腺扫描显示AUC值为0.6,ACR-TIRADS AUC值为0.83,EU-TIRADS AUC值为0.78. 这两种情况的AUC值均为0.78.
- 与ACR-TIRADS和EU-TIRADS相结合的光摄影提高了诊断准确度 (AUC分别为0.86和0.80).
- 多模式模型调整了TIRADS中级类别的恶性瘤概率,根据功能状态重新分类风险.
结论:
- 将甲状腺光学图与ACR-TIRADS或EU-TIRADS相结合,可以适度提高诊断性能.
- 这种多模式的方法可能有利于患者的管理,特别是在多节或不确定的细针吸收 (FNA) 的情况下.
- 需要进一步的研究来验证这些发现并探索临床影响.
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