全科医学临床与教育2024,Vol.22Issue(10) :874-877.DOI:10.13558/j.cnki.issn1672-3686.2024.010.004

泪腺突出度联合磁共振脂肪定量分析在甲状腺相关性眼病诊断中的价值

The diagnostic value of lacrimal gland prominence combined with MRI fat quantitative analysis in thyroid-asso-ciated ophthalmopathy

黄红艳 王沁 黄继 温佶俐 华建军 潘江峰
全科医学临床与教育2024,Vol.22Issue(10) :874-877.DOI:10.13558/j.cnki.issn1672-3686.2024.010.004

泪腺突出度联合磁共振脂肪定量分析在甲状腺相关性眼病诊断中的价值

The diagnostic value of lacrimal gland prominence combined with MRI fat quantitative analysis in thyroid-asso-ciated ophthalmopathy

黄红艳 1王沁 2黄继 3温佶俐 4华建军 1潘江峰1
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作者信息

  • 1. 321000 浙江金华,金华市中心医院医学影像科
  • 2. 321000 浙江金华,金华市中心医院内分泌科
  • 3. 321000 浙江金华,金华市中心医院超声医学科
  • 4. 321000 浙江金华,金华市中心医院眼科
  • 折叠

摘要

目的 探讨泪腺突出度和磁共振脂肪定量分析(IDEAL-IQ)在甲状腺相关性眼病(TAO)诊断中的价值.方法 回顾性分析38 例TAO患者(TAO组)和38 例健康志愿者(对照组)的临床资料.通过测量泪腺突出度、脂肪分数(FF)及相对脂肪分数(rFF),比较组间的差异,并采用受试者工作特征(ROC)曲线分析泪腺突出度、FF、rFF单一检测和联合检测对TAO的诊断效能.结果 TAO组泪腺突出度、FF和rFF均大于对照组(t分别=8.18、6.10,Z=-5.66,P均<0.05),泪腺突出度联合FF诊断TAO时,AUC最大,为0.88,特异度90.80%,灵敏度73.70%.结论 TAO患者的泪腺突出度及脂肪含量大于对照组,泪腺突出度联合FF有助于TAO患者的诊断,具有较高的临床价值.

Abstract

Objective To investigate the value of lacrimal gland prominence and MRI fat quantitative analysis(IDE-AL-IQ)in the diagnosis of thyroid associated ophthalmopathy(TAO).Methods Clinical datas of 38 TAO patients(TAO group)and 38 healthy volunteers(control group)were retrospectively analyzed.Lacrimal gland prominence,fat fraction(FF)and relative fat fraction(rFF)were measured to analyze the differences between two groups.The receiver operating characteristic(ROC)curve was used to analyze the diagnostic efficacy of lacrimal gland protrusion,FF,rFF single and combined tests on TAO.Results The lacrimal gland prominence,FF and rFF in TAO group were higher than those in control group(t=8.18,6.10,Z=-5.66,P<0.05),The AUC of lacrimal gland prominence combined with FF for diagnosing TAO was 0.88,specificity was 90.80%,sensitivity was 73.70%.Conclusion The lacrimal gland prom-inence and FF of TAO patients are higher than those of control group.The combination of lacrimal gland prominence and FF is helpful for the diagnosis of TAO patients with high clinical value.

关键词

脂肪定量/脂肪分数/甲状腺相关性眼病/泪腺

Key words

fat quantification/fat fraction/thyroid associated ophthalmopathy/lacrimal gland

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基金项目

金华市科技局计划项目(2021-4-023)

浙江省医药卫生科技计划项目(2023KY1282)

出版年

2024
全科医学临床与教育
浙江大学

全科医学临床与教育

影响因子:0.63
ISSN:1672-3686
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