|
|
|
| Applicability of real-time tissue elastography combined with ACR TI-RADS classification in the diagnosis of benign and malignant thyroid nodules |
| XU Wen1, WANG Na2, MA Yan1, YAN Wei1, and XI Xiaoping1 |
1.Department of Specific Care,
2.The Third Department of Internal Medicine, Beijing Municipal Corps Hospital of Chinese People’s Armed Police Force,Beijing 100027,China |
|
|
|
|
Abstract Objective To explore the applicability of ultrasound real-time shear wave elastography combined with the American Radiological Society (ACR) thyroid imaging report and data system (TI-RADS) in the diagnosis of benign and malignant thyroid nodules.Methods A total of 277 patients with thyroid nodules admitted to our hospital between December 20, 2016 and December 5, 2018 were selected. All the patients underwent shear wave elastography in the Department of Ultrasound to obtain Young's modulus values and ultrasound images. TI-RADS classification was conducted. According to the biopsy or pathological results, the patients were divided into the benign group and malignant group. The Young’s modulus values and TI-RADS classification difference between benign and malignant thyroid nodules were compared. The Young’s modulus values, TI-RADS classification and joint diagnosis were analyzed. The values of benign and malignant thyroid nodules were determined.Results There were 75 cases of malignant thyroid nodules and 202 cases of benign ones. The elasticity score and SR value of thyroid nodules in the benign group were lower than those in the malignant group (P＜0.05). The correct rate of diagnosis of malignant thyroid nodules according to ACR TI-RADS classification criteria was 88.09% (244/277). ROC analysis showed that the combination of ACR TI-RADS classification and UE had the highest diagnostic efficiency for thyroid cancer. The area under curve (AUC) was 0.922 (95% CI: 0.853-0.991, P=0.000), and the sensitivity and specificity were 97.33% and 99.50% respectively.Conclusions UE combined with ACR TI-RADS classification can improve the diagnostic accuracy of benign and malignant thyroid nodules.
|
|
Received: 16 April 2019
|
|
|
|
|
|
| [1] |
徐 楣, 王 燕. 超声血流显像技术鉴别诊断甲状腺结节良恶性的研究进展[J]. 中国医学影像技术, 2017, 33(S1):105-108.
|
| [2] |
李 莹.超声实时弹性成像技术在甲状腺结节鉴别诊断中的价值[J]. 中国地方病防治杂志, 2016,11(6):16-19.
|
| [3] |
Tamhane S,Gharib H.Thyroid nodule update on diagnosis and management[J].Clin Diabetes Endocrinol,2016,2:17.
|
| [4] |
付 超,崔可飞,秦石成,等.实时剪切波弹性成像在甲状腺实性结节良恶性鉴别诊断中的临床应用[J].中华超声影像学杂志,2012,21(1):49-51.
|
| [5] |
王 涛,王学梅,张义侠,等.实时剪切波弹性成像鉴别甲状腺结节良恶性的定量分析[J].中国医学影像学杂志,2012,20(9):684-687.
|
| [6] |
顾雅佳,肖 勤.甲状腺X线报告规范化-BIRADS介绍[J].中国医学计算机成像杂志,2007,13:322-326.
|
| [7] |
王小燕, 陈雪雪, 凌 冰,等.超声造影及声辐射力脉冲成像技术对甲状腺结节的诊断价值[J].中国超声医学杂志, 2016, 32(8):673-676.
|
| [8] |
Sebag F,VaillantLnobard J,Berbis J,et al.Shear wave elastography:a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules[J].J Clin Endocrinol Metab,2010,95:5281-5288.
|
| [9] |
Sebag F, Vaillant-Lombard J, Berbis J, et al. Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules[J].J Clin Endocrinol Metab, 2010, 95(12): 5281-5288.
|
| [10] |
李小强,陈红娜,杨 智,等.剪切波弹性成像对甲状腺结节良恶性的鉴别诊断价值[J].临床超声医学杂志,2016,18(4):233-236.
|
| [11] |
Jin X Z,Lu W W,Zhang H F,etal.Comparative study on the diagnostic values of different ultrasound technologies for malignant thyroid nodules[J].Oncol Lett,2018,16(1):910-914.
|
| [12] |
Liu B,Liang J,Zheng Y,et al.Two-dimensional shear wave elastography as promising diagnostic tool for predicting malignant thyroid nodules:a prospective single-centre experience[J].Eur Radiol,2015,25(3):624-634.
|
| [13] |
刘 芳,肖 萤.超声弹性成像鉴别良恶性甲状腺结节[J].中国医学影像技术,2010,26:1028-1030.
|
| [14] |
张正顺,高翠霞,方耀武,等.TI-RADS分级在诊断甲状腺结节良恶性方面的应用研究[J].中国超声医学杂志,2013,29(8):751-754.
|
| [15] |
石 红,程 兰.TI-RADS分级在诊断甲状腺结节良恶性方面的应用研究[J].医药论坛杂志,2015,36(9):89-91.
|
| [1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(9): 802-803. |
|
|
|
|
2019, Vol. 30 
