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在结中的超声波的诊断性能 NIRADS 2类别 2类别
Richard Dagher1, Alexander Khalaf1, Susana Calle1
1From the Department of Neuroradiology (R.D., A.K., S.C., S.A.D., K.S., K.O.L.), The University of Texas MD Anderson Cancer Center, Houston, TX< USA. Department of Radiology (A.J.), Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA; Department of Radiology and Imaging Sciences (A.H.A.), Emory University School of Medicine, Atlanta, GA, USA.
AJNR. American journal of neuroradiology
|February 24, 2025
概括
超声波 (美国) 在NI-RADS 2节点中有效检测头癌复发,为昂贵的PET扫描提供了有价值的替代方案. 这项研究表明,美国对监视的准确性和NPV很高.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 头部和部癌症成像成像 头部和部癌症成像
背景情况:
- 部成像报告和数据系统 (NI-RADS) 标准化了头部和部癌症监测.
- 节点NI-RADS得分为2表明对比度增强CT (CECT) 复发的怀疑很低.
- 不确定的发现和对监视的轻微FDG吸收可能会导致患者焦虑并增加成本.
研究的目的:
- 评估超声波 (US) 的诊断性能,以检测CECT上的NI-RADS 2患者的结节复发.
- 评估美国作为一个有价值的工具在监视成像指南的头癌.
主要方法:
- 2019-2024年初级头癌 (甲状腺/黑色素瘤除外) 患者的回顾性评估.
- 被纳入的患者在监测CECT和随后的美国/美国指导细针吸收 (FNA) 中具有NI-RADS 2的单个索引结,在3个月内.
- 评估了美国/美国-FNA的结果,临床随访,管理变化和节点疾病状态长达1年.
主要成果:
- 在90名患者中,54人接受了US-FNA. 18 (33.3%) 个US-FNA对瘤呈阳性;36个US正常,没有FNA.
- 所有积极的US-FNA都导致了管理层的变化.
- 美国检测到恶性瘤的发生率为20%;美国/美国-FNA的灵敏度,准确性和NPV分别为81.8%,95.6%和94.4%.
结论:
- 超声波显示出在检测CECT上的NI-RADS 2病变中节点复发的良好诊断性能.
- 美国可以被视为头癌监视成像指南的替代工具.
- 美国可能会减少与不确定的发现相关的患者焦虑和医疗保健费用.
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