中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2013年
2期
137-140
,共4页
倪佳娜%黄品同%张宏伟%苏楠%王明辉%王平%莫国强%潘敏强%闻卿
倪佳娜%黃品同%張宏偉%囌楠%王明輝%王平%莫國彊%潘敏彊%聞卿
예가나%황품동%장굉위%소남%왕명휘%왕평%막국강%반민강%문경
超声检查%甲状腺结节%诊断,鉴别%声触诊组织量化
超聲檢查%甲狀腺結節%診斷,鑒彆%聲觸診組織量化
초성검사%갑상선결절%진단,감별%성촉진조직양화
Ultrasonography%Thyroid nodules%Diagnosis differential%Virtual touch tissues quantification
目的 探讨声触诊组织量化(virtual touch tissues quantification,VTQ)技术鉴别甲状腺良恶性结节的可行性和应用价值.方法 应用VTQ技术对265例患者共275个可疑恶性的甲状腺结节进行检测,评价观察者内剪切波速度(shear wave velocity,SWV)的重复性;对照病理及穿刺细胞学结果,根据ROC曲线确定SWV诊断甲状腺癌的敏感性和特异性,并且比较良恶性结节的SWV.结果 甲状腺结节观察者内的SWV测值重复性好(ICC>0.75);甲状腺恶性结节SWV高于良性结节,差异有统计学意义(3.13 m/s对2.07 m/s,Z=12.17,P<0.05),由ROC曲线可知,当SWV截值=2.35 m/s(曲线下最大面积-0.946)时,其预测甲状腺恶性结节的敏感性和特异性分别为91.1%和82.3%.结论 VTQ技术具有无创、简便及重复性高的特点,有助于甲状腺良恶性结节的鉴别.
目的 探討聲觸診組織量化(virtual touch tissues quantification,VTQ)技術鑒彆甲狀腺良噁性結節的可行性和應用價值.方法 應用VTQ技術對265例患者共275箇可疑噁性的甲狀腺結節進行檢測,評價觀察者內剪切波速度(shear wave velocity,SWV)的重複性;對照病理及穿刺細胞學結果,根據ROC麯線確定SWV診斷甲狀腺癌的敏感性和特異性,併且比較良噁性結節的SWV.結果 甲狀腺結節觀察者內的SWV測值重複性好(ICC>0.75);甲狀腺噁性結節SWV高于良性結節,差異有統計學意義(3.13 m/s對2.07 m/s,Z=12.17,P<0.05),由ROC麯線可知,噹SWV截值=2.35 m/s(麯線下最大麵積-0.946)時,其預測甲狀腺噁性結節的敏感性和特異性分彆為91.1%和82.3%.結論 VTQ技術具有無創、簡便及重複性高的特點,有助于甲狀腺良噁性結節的鑒彆.
목적 탐토성촉진조직양화(virtual touch tissues quantification,VTQ)기술감별갑상선량악성결절적가행성화응용개치.방법 응용VTQ기술대265례환자공275개가의악성적갑상선결절진행검측,평개관찰자내전절파속도(shear wave velocity,SWV)적중복성;대조병리급천자세포학결과,근거ROC곡선학정SWV진단갑상선암적민감성화특이성,병차비교량악성결절적SWV.결과 갑상선결절관찰자내적SWV측치중복성호(ICC>0.75);갑상선악성결절SWV고우량성결절,차이유통계학의의(3.13 m/s대2.07 m/s,Z=12.17,P<0.05),유ROC곡선가지,당SWV절치=2.35 m/s(곡선하최대면적-0.946)시,기예측갑상선악성결절적민감성화특이성분별위91.1%화82.3%.결론 VTQ기술구유무창、간편급중복성고적특점,유조우갑상선량악성결절적감별.
Objective To explore the value of virtual touch tissue quantification (VTQ) in the differential diagnosis of thyroid solid lesions.Methods A total of 265 patients with 275 thyroid nodules were examined by means of VTQ technique.The inter-observer reproducibility of shear wave velocities (SWV) were analyzed with Bland-Altman plot.Compared with the pathologic findings or fine needle aspiration cytology diagnosis,SWV of thyroid nodules were compared by Nonparametric test.Results All VTQ value measured in thyroid nodules were with good reproducibility (ICC> 0.75).The SWV value of malignant nodules were significantly higher than benign nodules(3.13 m/s vs 2.07 m/s,Z =-12.17,P < 0.05).According to the area under the ROC curve,The sensitivity and specificity of SWV (area under ROC =0.946,cut-off value =2.35 m/s) in predicting thyroid cancer was 91.1 % and 82.3 % respectively.Conclusions It was stable for VTQ technique applying in thyroid leisions,which was a new quantitative and helpful method in evaluating benign and malignant thyroid nodules and therefore had good diagnostic value in clinical applications.