关于多参数超声波甲状腺结节评估的EFSUMB指南:第一部分
Vito Cantisani1, Maija Radzina2,3, Christoph F Dietrich4
1Department of Radiology, "Sapienza" University of Rome, ROME, Italy.
Ultraschall in der Medizin (Stuttgart, Germany : 1980)
|December 2, 2025
概括
多参数超声波 (MPUS) 评估改善了甲状腺结节的特征,减少了不必要的程序. 本指南促进MPUS进行准确的诊断和适当的患者治疗,尽量减少过度治疗.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺结节很常见,但恶性瘤的发病率很低 (4-6.5%),导致频繁的侵入性诊断程序和过度治疗.
- 目前用于甲状腺结节的诊断方法通常是昂贵的,耗时的,并且可能导致不必要的干预.
研究的目的:
- 为识别和使用多参数超声波 (MPUS) 特征在甲状腺结节特征中提供指导方针.
- 通过增强的超声波评估,尽量减少不必要的干预,并指导甲状腺结节的适当治疗.
- 刺激常规临床实践采用MPUS进行甲状腺结节评估.
主要方法:
- 关于甲状腺结节多参数超声波的出版文献的综述.
- 欧洲医学和生物学超声波协会联合会 (EFSUMB) 的专家共识建议.
- 分析MPUS在特定场景中的应用,如不确定的结节,多节结节,淋巴结分期等.
主要成果:
- 综合了微血管流成像,弹性声学,对比增强超声波 (CEUS) 和人工智能 (AI) 等技术的MPUS,增强了甲状腺结节的特征.
- 在指导甲状腺活检/吸血和分期宫淋巴结方面,MPUS非常有价值.
- 基于证据的建议提供了MPUS在各种甲状腺结节情景中的使用.
结论:
- 多参数超声波评估对于准确的甲状腺结节特征和管理至关重要.
- 在常规临床实践中采用MPUS可以显著减少不必要的诊断程序和过度治疗.
- 本指南旨在标准化和促进MPUS在临床环境中的有效使用,以改善患者的治疗结果.
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