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对中国甲状腺结节患者甲状腺风险分层系统的不同全球版本进行比较研究

Jia-Jia Wang¹, Hai-Qing Huang², Ruo-Ting Zheng³

¹Department of Interventional Ultrasound, Cancer Hospital of Shantou University Medical College, Shantou, China.

Quantitative imaging in medicine and surgery

|January 12, 2026

概括

在比较甲状腺结节风险分层系统时,中国甲状腺成像报告和数据系统 (C-TIRADS) 在中国显示出优异的细针吸收 (FNA) 性能. 在评估的系统中,ACR-TIRADS显示了最高的整体诊断准确度.

科学领域:

放射学放射学是指放射学
在瘤学瘤学.
内分泌学在内分泌学.

背景情况:

甲状腺结节风险分层在中国缺乏统一的共识.
现有的系统包括中国 (C-TIRADS),美国 (ACR-TIRADS),欧洲 (EU-TIRADS) 和韩国 (K-TIRADS).

研究的目的:

为了比较四个TIRADS系统在区分良性和恶性甲状腺结节的有效性.
评估他们在指导细针吸收 (FNA) 中的表现.

主要方法:

使用超声波特征分析了1174个甲状腺结节.
结节被根据C-TIRADS,ACR-TIRADS,EU-TIRADS和K-TIRADS进行分类.
通过使用接收器操作特征曲线 (AUROC) 下面的面积来评估诊断性能.

主要成果:

ACR-TIRADS 5 (AUC=0.882) 显示了最高的诊断性能,明显优于其他.
在C-TIRADS 4B,EU-TIRADS 5和K-TIRADS 5中,AUROCs是可以比较的.
基于C-TIRADS 4B的FNA建议显示诊断性能明显优于其他 (AUROC=0.658).

结论:

这四个TIRADS系统都表现出高的诊断性能.
由于诊断性能优越,C-TIRADS引导的FNA可能更适合中国患者.
在甲状腺结节风险分层方面,ACR-TIRADS提供了最好的整体准确性.

关键词:

甲状腺结节甲状腺结节精细针吸收 (FNA) 是一种方法.风险分层系统的风险分层系统.超声波的特点超声波的特点

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