预测性美国发现,用于区分恶性和良性甲状腺结节:根据TI-RADS的多普勒和微血管成像以及恶性瘤的病理亚型
Younghee Yim1, Hye Shin Ahn1, Min Ji Hong1,2
1Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Ultrasonography (Seoul, Korea)
|January 22, 2026
概括
彩色多普勒成像 (CDI) 和微流成像 (MFI) 可以帮助区分恶性和良性甲状腺结节. 血管性评估可以根据甲状腺成像报告和数据系统 (TI-RADS) 的类别进行定制,以提高诊断准确度.
科学领域:
- 放射学 放射学是指放射学
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 区分恶性和良性甲状腺结节对于适当的患者管理至关重要.
- 甲状腺成像报告和数据系统 (TI-RADS) 提供了超声波评估的标准化框架.
- 使用多普勒和微血管成像进行血管性评估可能提供额外的诊断信息.
研究的目的:
- 调查彩色多普勒成像 (CDI) 和微流成像 (MFI) 在区分恶性和良性甲状腺结节中的实用性.
- 为了将血管成像发现与甲状腺成像报告和数据系统 (TI-RADS) 类别和基因病学亚型相关联.
- 评估CDI和MFI的诊断性能与K-TIRADS分类相结合.
主要方法:
- 从103名确诊患者获得的113个甲状腺结节的回顾性审查.
- 两个放射科医生对超声波 (US) 发现的评估和使用CDI和MFI的血管分数的分配.
- 恶性和良性结节之间的血管分数的比较以及基于K-TIRADS模式和恶性瘤亚型的分析.
主要成果:
- 所有K-TIRADS词典的特征显著区分恶性和良性病变 (P≤0.008).
- 在恶性和良性结节之间,CDI得分显著不同 (P<0.001).
- 在高度怀疑的结节中,良性病变的CDI和MFI得分高于恶性病变. 经典的乳头状甲状腺癌的血管分数低于卵泡变体.
结论:
- CDI和MFI在区分恶性和良性甲状腺结节方面显示出潜力.
- 血管性评估可以根据K-TIRADS类别进行定制,以提高诊断准确度.
- 这些成像技术可能有助于改进甲状腺结节的诊断工作.
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