中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2014年
10期
886-888
,共3页
欧阳向柳%郑立春%刘晓玲%王艳滨%张文军%王庆文%李桂红%张晓明
歐暘嚮柳%鄭立春%劉曉玲%王豔濱%張文軍%王慶文%李桂紅%張曉明
구양향류%정립춘%류효령%왕염빈%장문군%왕경문%리계홍%장효명
超声检查%甲状腺结节%正电子发射断层扫描及电脑断层扫描%剪切波弹性成像
超聲檢查%甲狀腺結節%正電子髮射斷層掃描及電腦斷層掃描%剪切波彈性成像
초성검사%갑상선결절%정전자발사단층소묘급전뇌단층소묘%전절파탄성성상
Ultrasonography%Thyroid nodules%Positron-emisson tomography and computed tomography%Shear wave elastography
目的 比较剪切波弹性成像与PET/CT 18 F-FDG显像两种检查方法及两者联合对甲状腺结节良恶性的诊断价值.方法 以106个甲状腺结节为研究对象,均行剪切波弹性成像及PET/CT18 F-FDG显像检查,以病理结果为标准,统计两种方法及两者联合对甲状腺结节良恶性诊断的灵敏性、特异性、准确性、阳性预测值及阴性预测值.结果 106个结节中74个为恶性结节,32个为良性结节,剪切波弹性成像的灵敏性、特异性、准确性、阳性预测值及阴性预测分别为87.8％、75.0％、84.0％、89.0％、72.7％,PET/CT18F-FDG显像分别为81.1％、65.6％、76.4％、84.5％、60.0％,两者联合分别为90.5％、84.4％、88.7％、93.1％、79.4％.结论 剪切波弹性成像对甲状腺结节良恶性的诊断价值与PET/CT 18 F-FDG显像相比无明显统计学意义,两种方法各有优势,将两者联合应用,可以提高甲状腺结节术前诊断准确性.
目的 比較剪切波彈性成像與PET/CT 18 F-FDG顯像兩種檢查方法及兩者聯閤對甲狀腺結節良噁性的診斷價值.方法 以106箇甲狀腺結節為研究對象,均行剪切波彈性成像及PET/CT18 F-FDG顯像檢查,以病理結果為標準,統計兩種方法及兩者聯閤對甲狀腺結節良噁性診斷的靈敏性、特異性、準確性、暘性預測值及陰性預測值.結果 106箇結節中74箇為噁性結節,32箇為良性結節,剪切波彈性成像的靈敏性、特異性、準確性、暘性預測值及陰性預測分彆為87.8％、75.0％、84.0％、89.0％、72.7％,PET/CT18F-FDG顯像分彆為81.1％、65.6％、76.4％、84.5％、60.0％,兩者聯閤分彆為90.5％、84.4％、88.7％、93.1％、79.4％.結論 剪切波彈性成像對甲狀腺結節良噁性的診斷價值與PET/CT 18 F-FDG顯像相比無明顯統計學意義,兩種方法各有優勢,將兩者聯閤應用,可以提高甲狀腺結節術前診斷準確性.
목적 비교전절파탄성성상여PET/CT 18 F-FDG현상량충검사방법급량자연합대갑상선결절량악성적진단개치.방법 이106개갑상선결절위연구대상,균행전절파탄성성상급PET/CT18 F-FDG현상검사,이병리결과위표준,통계량충방법급량자연합대갑상선결절량악성진단적령민성、특이성、준학성、양성예측치급음성예측치.결과 106개결절중74개위악성결절,32개위량성결절,전절파탄성성상적령민성、특이성、준학성、양성예측치급음성예측분별위87.8％、75.0％、84.0％、89.0％、72.7％,PET/CT18F-FDG현상분별위81.1％、65.6％、76.4％、84.5％、60.0％,량자연합분별위90.5％、84.4％、88.7％、93.1％、79.4％.결론 전절파탄성성상대갑상선결절량악성적진단개치여PET/CT 18 F-FDG현상상비무명현통계학의의,량충방법각유우세,장량자연합응용,가이제고갑상선결절술전진단준학성.
Objective To compare the diagnostic value of shear wave elastography and PET/CT 18F-FDG imaging for thyroid nodules and to study their combined diagnostic values.Methods 106 thyroid nodules were studied and they were characterized by shear wave elastography and PET/CT 18 F-FDG examination respectively.The results were confirmed by pathology and then the diagnostic sensitivity,specificity,accuracy,positive and negative predictive value were got by the statistics for the two methods and their combination on benign and malignant thyroid nodules.Results Of 106 nodules,74 were malignant nodules,32 were benign nodules.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of shear wave elastography was 87.8％,75.0％,84.0％,89.0％,72.7％,PET/CT was 81.1％,65.6％,76.4％,84.5％,60.0％,the combination of the two methods was 90.5％,84.4％,88.7％,93.1％,79.4％,respectively,conducted x2 test,P ＞0.05.Conclusions The diagnostic value of shear wave elastography and the value of PET/CT 18 F-FDG imaging for benign and malignant thyroid nodules showed no statistically significance.Both methods have advantages and the combination of the two applications can improve the accuracy of pre-operative diagnosis of thyroid nodules.
