是否ACR TI-RADS可以提高甲状腺超声波的疗效?
S J C van der Burg1, M J Van Rietschoten1, N A 't Hart2
1Department of Surgery, Isala clinics, Dokter van Heesweg 2, 8025 AB Zwolle, the Netherlands.
Clinical imaging
|May 28, 2025
概括
美国放射学学院甲状腺成像结果和数据系统 (ACR TI-RADS) 减少了良性甲状腺结节的细针吸入细胞学 (FNAC). 这种风险分层系统很容易实施,并改善了准则的遵守.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 美国放射学学院甲状腺成像结果和数据系统 (ACR TI-RADS) 是甲状腺结节超声波的风险分层系统 (RSS).
- 评估ACR TI-RADS对良性甲状腺结节细针吸收细胞学 (FNAC) 率的影响至关重要.
研究的目的:
- 评估是否实施ACR TI-RADS可以降低对良性甲状腺结节进行FNAC的速度.
- 评估医生随访与ACR TI-RADS指南在实施后的一致性.
主要方法:
- 一项回顾性研究包括787名患有甲状腺结节的患者,他们在2018年1月至2020年2月期间接受了超声波检查.
- 在FNAC率和细胞学结果方面,I期 (ACR前TI-RADS) 和II期 (ACR后TI-RADS) 进行了比较.
- 在ACR TI-RADS实施后,对后续行动的指南一致性进行了分析.
主要成果:
- 导致FNAC的超声波比例显著下降,从第一期的51.6%降至第二期的43.6% (p=0.018).
- 良性细胞检查结果的比例也显著下降 (84.4%与73.6%,p=0.020).
- 在ACR TI-RADS实施后,医生遵守后续指南的比例为70.4%.
结论:
- 实施ACR TI-RADS导致良性甲状腺结节的FNAC显著下降.
- 在临床环境中,ACR TI-RADS风险分层系统很容易实现.
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