中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
Chinese Journal of Ultrasonography
2015年
10期
878-881
,共4页
郝莹%田家玮%刘微%刘铭%刘路颖%邹颖%王星%宫兆珏
郝瑩%田傢瑋%劉微%劉銘%劉路穎%鄒穎%王星%宮兆玨
학형%전가위%류미%류명%류로영%추영%왕성%궁조각
超声检查%甲状腺肿瘤%甲状腺影像学报告及数据系统
超聲檢查%甲狀腺腫瘤%甲狀腺影像學報告及數據繫統
초성검사%갑상선종류%갑상선영상학보고급수거계통
Ultrasonography%Thyroid neoplasms%Thyroid imaging reporting and date system
目的 探讨改良甲状腺影像学报告及数据系统(TI-RADS)对甲状腺癌的诊断价值.方法 回顾分析792例甲状腺结节的超声图像,应用传统TI-RADS对结节进行分级;通过对甲状腺结节的二维、彩色以及弹性特征评分,获得超声综合评分,依据此评分对TI-RADS改良,再应用改良系统对同样792例结节进行重新分级.应用组内相关系数(ICC)分析高年资与低年资医生对甲状腺结节分级的相关性.结果 ①792个结节包括良性438个(55.3％)和恶性结节354个(44.7％);②ROC曲线分析:超声综合评分对甲状腺良恶性结节鉴别诊断的曲线下面积为0.922,当截断值为9.5分,诊断甲状腺癌的敏感性为88.42％,特异性为84.14％;③改良TI-RADS分级对4级结节恶性风险评估较传统TI-RADS准确;④高年资与低年资医生对传统TI-RADS分级ICC为0.905,对改良TI-RADS分级的ICC为0.975.结论 改良TI-RADS分级可作为有效鉴别甲状腺良恶性结节的量化分级方法.
目的 探討改良甲狀腺影像學報告及數據繫統(TI-RADS)對甲狀腺癌的診斷價值.方法 迴顧分析792例甲狀腺結節的超聲圖像,應用傳統TI-RADS對結節進行分級;通過對甲狀腺結節的二維、綵色以及彈性特徵評分,穫得超聲綜閤評分,依據此評分對TI-RADS改良,再應用改良繫統對同樣792例結節進行重新分級.應用組內相關繫數(ICC)分析高年資與低年資醫生對甲狀腺結節分級的相關性.結果 ①792箇結節包括良性438箇(55.3％)和噁性結節354箇(44.7％);②ROC麯線分析:超聲綜閤評分對甲狀腺良噁性結節鑒彆診斷的麯線下麵積為0.922,噹截斷值為9.5分,診斷甲狀腺癌的敏感性為88.42％,特異性為84.14％;③改良TI-RADS分級對4級結節噁性風險評估較傳統TI-RADS準確;④高年資與低年資醫生對傳統TI-RADS分級ICC為0.905,對改良TI-RADS分級的ICC為0.975.結論 改良TI-RADS分級可作為有效鑒彆甲狀腺良噁性結節的量化分級方法.
목적 탐토개량갑상선영상학보고급수거계통(TI-RADS)대갑상선암적진단개치.방법 회고분석792례갑상선결절적초성도상,응용전통TI-RADS대결절진행분급;통과대갑상선결절적이유、채색이급탄성특정평분,획득초성종합평분,의거차평분대TI-RADS개량,재응용개량계통대동양792례결절진행중신분급.응용조내상관계수(ICC)분석고년자여저년자의생대갑상선결절분급적상관성.결과 ①792개결절포괄량성438개(55.3％)화악성결절354개(44.7％);②ROC곡선분석:초성종합평분대갑상선량악성결절감별진단적곡선하면적위0.922,당절단치위9.5분,진단갑상선암적민감성위88.42％,특이성위84.14％;③개량TI-RADS분급대4급결절악성풍험평고교전통TI-RADS준학;④고년자여저년자의생대전통TI-RADS분급ICC위0.905,대개량TI-RADS분급적ICC위0.975.결론 개량TI-RADS분급가작위유효감별갑상선량악성결절적양화분급방법.
Objective To evaluate the diagnostic value of improved thyroid imaging report and data system (TI-RADS) in the diagnosis of thyroid cancer.Methods A retrospective analysis of 792 cases of thyroid nodules with ultrasound images was performed.The traditional TI-RADS was applied to grade the thyroid nodules.Based on the ultrasonic score,which was obtained by the two-dimensional ultrasound,color Doppler sonography and elastography of thyroid nodules,the improved TI-RADS was established,and then applied to evaluate the same 792 cases of nodules.The intraclass correlation coefficient (ICC) was used to analyze the correlation in throid nodule grades from senior and junior doctors.Results ①Seven hundred and ninty-two nodules consisted of 438 benign (55.3％) and malignant nodules 354 (44.7％).②ROC curve analysis showed that the area under curve in diagnosing benign and malignant thyroid nodules by ultrasonic comprehensive score was 0.922.When the cutoff value was 9.5,the sensitivity and specificity in diagnosing thyroid cancer was 88.42％ and 84.14％,respectively.③ The improved TI-RADS was more acurrate than the traditional TI-RADS in grading 4 malignant nodules risk assessment.④ The ICC between senior and junior doctors for thyroid nodules was 0.905 by the traditional TI-RADS,while the ICC was 0.975 by the improved TI-RADS.Conclusions The improved TI-RADS classification can be used as an effective method for the differential diagnosis of benign and malignant thyroid nodules.
