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自主运作的甲状腺结节的超声波风险分层:Cine Loop视频序列与静态图像捕获相比

Larissa Rosenbaum¹, Martin Freesmeyer¹, Tabea Nikola Schmidt¹

¹Clinic of Nuclear Medicine, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany.

Diagnostics (Basel, Switzerland)

|October 16, 2025

概括

电影环 (CL) 超声波视频序列与静态图像捕获 (SIC) 强烈相关,用于甲状腺结节风险评估. 虽然CL提供了更多的细节,但静态图像提供了更高的观察者信心和更少的文物,这表明需要改进CL技术.

科学领域:

放射学和成像学放射学和成像学
内分泌学在内分泌学.
在瘤学瘤学.

背景情况:

自主功能甲状腺结节 (AFTNs) 通常是良性的,但在超声波风险分层系统 (RSS) 中通常使用常规静态图像捕获 (SIC) 获得高风险得分.
目前的超声波文档依赖于静态图像,这些图像可能无法完全捕捉到与准确风险评估相关的结节特征.

研究的目的:

为了比较Cine Loop (CL) 视频序列与静态图像捕获 (SIC) 的诊断准确度和建议,用于AFTNs的超声波风险分层.
评估Kwak和美国放射学学院 (ACR) 甲状腺成像报告和数据系统 (TIRADS) 的性能,使用CL和SIC文件方法.

主要方法:

对407名患者的424个AFTN进行了回顾性分析,比较了记录的超声波CL和SIC.
评估超声波特征,Kwak和ACR TIRADS,ACR细针细胞学 (FNC) 建议,以及发现文物和评估困难.
使用Chi2测试和斯皮尔曼相关系数进行统计分析,以比较CL和SIC数据.

主要成果:

对于所有分析的超声波特征,RSS评级和ACR FNC建议,CL和SIC之间发现了强烈的相关性 (p < 0.001).
与ACR TIRADS相比,Kwak TIRADS与AFTNs的良性性质更好地保持一致.
与SIC相比,CL捕获了更多的回声焦点 (p < 0.001),但显示了显著更多的文物 (~40% vs ~15%,p < 0.05) 和较低的观察者信心.

结论:

电影环超声波提供了详细的信息,并显示了与风险分层和FNC建议的静态图像的强烈相关性.
夸克TIRADS比ACRTIRADS更准确地反映了AFTN的良性性质.
尽管通过操作员培训和人工智能提高图像质量的潜力,但当前的CL方法与增加的工件和减少观察者信心有关.

关键词:

这里是TIRADS.它可以自主运作,独立运作.电影圈子的电影圈子闪光摄影 (scintigraphy) 是一种光谱技术.甲状腺是什么?甲状腺是什么?甲状腺结节甲状腺结节超声波超声波是指超声波的使用.

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