固体和主要是固体甲状腺结节的长期超声波监测揭示了两个不同的吸收模式
Yan Hu1, Wei Zhou1,2, Shangyan Xu1
1Department of Ultrasound, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, China, shsmu.edu.cn.
Radiology research and practice
|January 23, 2026
概括
良性甲状腺结节可以随着时间的推移显著缩小,其中一些显示快速吸收,而另一些则逐渐下降. 固体结节中的这种体积减小现象对于长期监测很重要.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 甲状腺结节很常见,在监视期间的行为需要理解.
- 经常使用超声波监测固体和主要是固体结节.
- 通常在囊性结节中看到的吸收现象,在固体结节中不那么明显.
研究的目的:
- 在长期超声监测期间,对良性固体和主要固体甲状腺结节的体积减少进行表征.
- 描述这些结节中的不同吸收模式随着时间的推移.
- 为了比较不同体积变化模式之间的临床和超声波特征.
主要方法:
- 对来自32名患者的34个固体/主要是固体甲状腺结核进行了回顾性研究.
- 在28个月的中位数内进行纵向超声监测.
- 一般化添加混合模型 (GAMMs) 和无监督集群来分析体积变化轨迹.
主要成果:
- 所有结节都显示出显著的体积减少 (中位数减少:85.6%).
- 发现了两个模式:快速吸收和缓慢吸收组.
- 缓慢吸收的结节更常见于下极,缺乏多普勒流;有些人随着时间的推移显示出回声性/硬度的变化.
结论:
- 固体甲状腺结节可以经历显著的体积减少,类似于囊性结节.
- 在固体结节中这种吸收现象可能被低估.
- 了解多样化的体积变化模式可以在随访期间更好地解释结节的演变.
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