超声弹性成像联合S-Detect技术用于诊断TI-RADS4类甲状腺结节良恶性价值分析
Value of acoustic elastography combined with S-Detect technology in diagnosis of benign and malignant TI-RADS type 4 thyroid nodules
毛培 1郝真真 1吕会敏1
作者信息
- 1. 许昌市人民医院超声科,河南许昌 461000
- 折叠
摘要
目的 探讨超声弹性成像(acoustic elastography,AE)联合S-Detect技术用于诊断甲状腺影像报告和数据系统(TI-RADS)4类甲状腺结节良恶性的价值.方法 选取许昌市人民医院2021年6月至2023年6月期间80例TI-RADS分类为4类的甲状腺结节患者(96个结节)为研究对象,均行AE及S-Detect技术诊断,以病理诊断为金标准,评价各检查方式鉴别结节良恶性的诊断效能.结果 96个结节的手术病理学检查结果显示,恶性结节64个(66.67％),良性结节32个(33.33％);64个恶性结节的AE评分平均为(4.31±0.83)分,32个良性结节的AE评分平均为(2.16±1.25)分,恶性结节AE评分显著高于良性结节(t=10.069,P＜0.001);AE诊断结果与病理对照,共23个结节诊断存在差异,其中误诊8个,包括5个结节性甲状腺肿和3个滤泡性腺瘤,漏诊15个,包括9个乳头状甲状腺癌、5个滤泡型甲状腺癌和1个髓样癌;S-Detect技术诊断结果与病理对照,共15个结节存在差异,其中误诊5个,包括3个结节性甲状腺肿和2个滤泡性腺瘤,漏诊10个,包括6个乳头状甲状腺癌,3个滤泡型甲状腺癌和1个髓样癌;AE、S-Detect技术联合鉴别诊断TI-RADS 4类甲状腺结节良恶性的敏感度、特异度、准确度分别为95.31％、84.38％、91.67％,与病理诊断一致性检验Kappa值为0.81.结论 AE联合S-Detect技术在鉴别TI-RADS 4类甲状腺结节良恶性方面具有较高的效能,与病理诊断一致性良好.
Abstract
Objective To explore the value of acoustic elastography(AE)combined with S-Detect technology in the diagnosis of benign and malignant thyroid imaging reporting and data system(TI-RADS)type 4 thyroid nodules.Methods Totally 80 patients with TI-RADS type 4 thyroid nodules(96 nodules)who admitted to Xuchang People's Hospital from June 2021 to June 2023 were selected as the study subjects.AE and S-Detect technology were used for diagnosis,and pathological diagnosis was used as the gold standard to evaluate the diagnostic efficiency of each examina-tion method in differentiating benign and malignant nodules.Results Surgical pathological examination of 96 nodules showed 64 malignant nodules(66.67％)and 32 benign nodules(33.33％).The average AE score of 64 malignant nodules was(4.31±0.83)points,and that of 32 benign nodules was(2.16±1.25)points.The average AE score of malignant nodules was significantly higher than that of benign nodules(t=10.069,P＜0.001).There were differences between AE diagnosis and pathology in 23 nodules,of which 8 nodules were misdiagnosed,including 5 nodular goiter and 3 follicular adenoma,and 15 nodules were missed,including 9 papillary thyroid carcinoma,5 follicular thyroid car-cinoma and 1 medullary carcinoma.S-Detect technology diagnosis were different from pathology in 15 nodules,among which 5 nodules were misdiagnosed,including 3 nodular goiter and 2 follicular adenomas,and 10 nodules were missed,including 6 papillary thyroid carcinoma,3 follicular thyroid carcinoma and 1 medullary carcinoma.The sensitivity,spe-cificity and accuracy of AE combined with S-Detect technology were 95.31％,84.38％and 91.67％respectively in the differential diagnosis of TI-RADS type 4 thyroid nodules,and the Kappa value of consistency test with pathological diagnosis was 0.81.Conclusion AE combined with S-Detect technology has high efficiency in differentiating benign and malignant TI-RADS type 4 thyroid nodules,and it has good consistency with pathological diagnosis.
关键词
甲状腺结节/甲状腺影像报告和数据系统/超声弹性成像/S-Detect技术Key words
Thyroid nodules/Thyroid imaging reporting and data system/Acoustic elastography/S-Detect technology引用本文复制引用
出版年
2024
NETL
NSTL
万方数据