首页|影像组学鉴别诊断甲状腺良恶性结节的Meta分析

影像组学鉴别诊断甲状腺良恶性结节的Meta分析

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目的:系统评价影像组学技术在甲状腺结节良恶性鉴别诊断中的应用价值.鉴于影像组学能从标准医学影像中提取大量微观特征,本研究意在评估其作为一种全面、快捷、无创的诊断方法的潜力.方法:检索中文和英文数据库中有关影像组学鉴别甲状腺结节的文献,检索时限为建库至2023年12月4日.按照纳入标准收集相关文献,采用QUADAS-2量表对纳人文献进行质量评价,提取作者信息、结节情况、分析软件等数据,并使用Meta-DiSc1.4和State16.0 SE软件进行Meta分析.结果:共纳入47篇文献,共9361例甲状腺结节.Meta分析结果显示影像组学的诊断指标,包括合并敏感性(sensitivity,Sen)0.87、特异性(specificity,Spe)0.82、阳性似然比(positive likelihood ratio,PLR)5.12、阴性似然比(negative likelihood ratio,NLR)0.17、诊断比值比(diagnos-tic odds ratio,DOR)32.51和SROC曲线下面积0.9174.结果表明,影像组学在甲状腺结节的良恶性鉴别诊断中具有高敏感性和特异性.结论:影像组学作为一种新兴的无创诊断工具,在甲状腺结节的鉴别诊断中展现出较高的准确性.未来,影像组学有望成为甲状腺结节精准治疗的重要辅助手段.然而,本研究存在一定的局限性,包括地域分布不均和研究异质性,未来研究应扩大样本量并进行多中心、前瞻性研究以进一步验证结果.
Radiomics in Differential Diagnosis between Benign and Malignant Thyroid Nodules:a Meta-analysis
Objective:Systematically assess the value of radiomics in distinguishing benign and malignant thyroid nodules.Given the large number of microscopic features that can be extracted from standard medical images,this study aims to evaluate the potential of radiomics as a comprehensive,fast,and non-invasive diagnostic method.Methods:Literature on identification of thyroid nodules by radiomics was searched from Chinese and English databases until December 4,2023.Relevant literature was collected according to inclusion criteria,quality evaluation was conducted using QUADAS-2 scale,author information,nodule status,analysis software and other data were extracted,and Meta-analysis was performed using Meta-DiSc1.4 and State16.0 SE software.Results:A total of 47 literatures were included,with 9361 cases of thyroid nodules.The results of meta-analysis showed the diagnostic indicators of imaging,including combined sensitivity(Sen)0.87,specificity(Spe)0.82,positive likelihood ratio(PLR)5.12,negative likelihood ratio(NLR)0.17,diagnostic odds ratio(DOR)32.51,and area under SROC curve 0.9174.The results show that radiomics has high sensitivity and specificity in the differential diagnosis of benign and malignant thyroid nodules.Conclusion:As a new non-invasive diagnostic tool,radiomics shows high accuracy in the differential diagnosis of thyroid nodules.In the future,radiomics is expected to become an important auxiliary means for the accurate treatment of thyroid nodules.However,this study has some limitations,including uneven geographical distribution and study heterogeneity.Future studies should expand the sample size and conduct multi-center,prospective studies to further verify the results.

radiomicthyroid cancerthyroid nodulesMeta-analysis

刘一帆、胡潇、张舒强、蒋逆立、韦金鼎、朱明洪

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重庆大学附属涪陵医院放射科,重庆 408000

影像组学 甲状腺癌 甲状腺结节 Meta分析

2025

影像科学与光化学
中国科学院理化技术研究所 中国感光学会

影像科学与光化学

影响因子:0.287
ISSN:1674-0475
年,卷(期):2025.43(1)