The diagnostic value of combining different ultrasound techniques in Hashimoto's thyroiditis with benign and malignant nodules
Objective:To explore the diagnostic value of different ultrasound techniques combined in Hashimoto's thyroiditis(HT)with benign and malignant nodules.Methods:A total of 62 nodules from 58 pa-tients with HT complicated with benign and malignant nodules in our hospital from May 2021 to June 2022 were included in the study.All patients underwent a combination of two-dimensional ultrasound,contrast-en-hanced ultrasound,and elastography,with pathological diagnosis as the gold standard.The efficacy and contrast enhancement of the two techniques were observed.Results:Among 58 patients with HT combined with benign and malignant nodules,62 nodules were found to have 16 malignant nodules and 46 benign nodules through pathological examination.The combined examination of contrast-enhanced ultrasound and elastography showed 14 malignant nodules and 48 benign nodules;Two dimensional ultrasound examination showed 10 malignant nodules and 52 benign nodules.The sensitivity and accuracy of the joint examination group were significantly higher than those of the two-dimensional ultrasound group(P<0.05).There was no statistically significant difference in specificity,negative predictive value,and positive predictive value between the joint examination group and the two-dimensional ultrasound group(P>0.05);The accuracy of benign and malignant contrast-enhanced examinations in the joint examination group was better than that of two-dimensional ultrasound(P<0.05).Conclusion:The diagnostic value of the combination of contrast-enhanced ultrasound and elastog-raphy in HT with benign and malignant nodules is higher than that of two-dimensional ultrasound alone.
Two dimensional ultrasoundContrast-enhanced ultrasoundElastic ultrasoundThyroidi-tisBenign and malignant nodules