对应力和剪切波弹性学在区分甲状腺结节中的比较分析
Nikolaos Angelopoulos1, Dimitrios G Goulis2, Ioannis Chrisogonidis3
12nd Academic Department of Nuclear Medicine, School of Health Sciences, Faculty of Medicine, AHEPA University Hospital, Greece.
Ultrasound (Leeds, England)
|March 2, 2026
概括
应变弹性扫描 (SE) 和剪切波弹性扫描 (SWE) 在诊断甲状腺结节方面显示出类似的准确性,优于标准超声波. 在SE和SWE之间做出选择取决于甲状腺癌诊断的资源和专业知识.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 传统的超声波对诊断甲状腺恶性瘤的准确性有限.
- 应变弹性学 (SE) 是敏感的,但依赖于操作者.
- 剪波弹性学 (SWE) 提供了定量,可重复的刚度测量.
研究的目的:
- 直接比较SE和SWE的诊断准确性,以区分良性和恶性甲状腺结节.
- 根据细胞学或组织学结果评估SE和SWE的性能.
主要方法:
- 对281名患有甲状腺结节的患者的前性评估.
- 使用ACR-TIRADS标准分类的结节;88人接受了细针吸收 (FNA).
- 使用SE和SWE来量化结节硬度;进行了后勤回归和ROC分析.
主要成果:
- 在SE和SWE之间观察到强烈的相关性 (斯皮尔曼的r = 0.363,p < 0.001).
- 可比的诊断性能:SE (灵敏度80%,特异性93%) 和SWE (灵敏度80%,特异性96%).
- 在SE和SWE之间诊断准确度没有显著差异 (p = 0.552);联合AUC为0.906.
结论:
- 对于甲状腺结节,SE和SWE的诊断准确度相似,远远超过传统的超声波.
- 在SE和SWE之间做出选择可以基于资源的可用性和专业知识.
- 这两种方法都是有价值的工具,特别是当与甲状腺结节评估的ACR-TIRADS标准相结合时.
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