围腔超声波粘弹性成像用于区分良性与恶性甲状腺结节:一项前性研究
Shubin Yao1, Tingyu Li1, Congyi Zhou2
1Department of Medical Ultrasound, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Ultrasound in medicine & biology
|February 22, 2026
概括
超声波粘弹性成像有效地区分良性和恶性甲状腺结节,特别是使用周围门参数. 将这些与TI-RADS相结合,可显著提高甲状腺结节的诊断准确度.
科学领域:
- 医疗成像医学成像
- 诊断性的超声波检查
- 甲状腺病理学 甲状腺病理学
背景情况:
- 甲状腺结节很常见,区分良性和恶性对于患者管理至关重要.
- 传统的超声波和TI-RADS在准确表征所有甲状腺结节方面存在局限性.
- 超声波粘弹性为组织特征提供了新的定量参数.
研究的目的:
- 评估和比较甲状腺结节差异化中的门内和门周区域超声波粘弹性参数的诊断值.
- 评估这些粘弹性参数与甲状腺成像报告和数据系统 (TI-RADS) 的联合诊断性能.
主要方法:
- 107名患有155个甲状腺结节的患者接受了传统的超声波和超声波粘弹性成像.
- 弹性和粘度参数被测量在内,周 (2毫米) 和组合区域.
- 用ROC曲线分析来评估诊断性能,其中基因病理学作为黄金标准.
主要成果:
- 在所有地区,恶性结节的弹性和粘度值明显高于良性结节 (p < 0.05).
- 与内或组合区域相比,周周粘弹性参数显示出更高的诊断性能 (p < 0.05).
- 结合粘弹性参数与TI-RADS相结合的模型显著优于单独的TI-RADS (p <0.05),周围基模型显示出最好的疗效.
结论:
- 在甲状腺结节分化方面,内,周围和结合区域的超声波粘弹性成像非常有价值.
- 周围口粘弹性参数提供了最高的诊断性能.
- 结合TI-RADS的最佳周周弹性和粘度参数,为甲状腺结节提供了最佳的诊断效果.
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