关于多参数超声波甲状腺结节评估的EFSUMB指南:第二部分
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进行更好的诊断和治疗,尽量减少临床实践中的过度治疗.
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.
- 目前用于甲状腺结节的诊断方法可能是昂贵的,耗时的,并导致过度治疗.
- 超声波的技术进步,包括多参数超声波 (MPUS) 功能,提供了改进的特征能力.
研究的目的:
- 为在甲状腺结节评估中识别和使用新的多参数超声波特征提供指导方针.
- 尽量减少不必要的诊断干预,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.
- 在特定场景中分析MPUS应用:不确定的结节,多节结节,甲状腺外延伸和淋巴结分期.
主要成果:
- 综合了诸如微血管流成像,弹性声学,对比增强超声波 (CEUS) 和人工智能 (AI) 等功能,MPUS增强了甲状腺结节的特征.
- MPUS有助于指导甲状腺活检/吸血和宫淋巴结的分期.
- 基于证据水平和专家共识,针对各种甲状腺结节情景提供了建议.
结论:
- 多参数超声波评估对于准确的甲状腺结节特征化至关重要,可以区分良性和恶性病例.
- 在日常实践中实施MPUS可以显著减少不必要的侵入性手术和过度治疗.
- 本指南旨在标准化MPUS的使用,提高诊断准确性和治疗甲状腺结节的患者管理.
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