首页|多模态超声及影像组学在绝经期及绝经前期甲状腺乳头状癌颈部淋巴结转移诊断中的应用价值

多模态超声及影像组学在绝经期及绝经前期甲状腺乳头状癌颈部淋巴结转移诊断中的应用价值

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目的 研究多模态超声及影像组学在绝经期及绝经前期甲状腺乳头状癌(PTC)颈部淋巴结转移诊断中的应用价值。方法 选取100例绝经期及绝经前期PTC患者为研究对象,根据多模态超声检查结果 提取结节病灶的影像特征,通过患者发生颈部淋巴结转移的独立危险因素分析构建临床预测模型,提取多模态影像学特征构建多模态超声影像组学预测模型。结果 多灶结节、被膜侵犯、微钙化、结节增强方式是患者颈部淋巴结转移的独立危险因素(P<0。05)。临床预测模型预测患者颈部淋巴结转移的敏感性为77。50%,特异性为86。67%,多模态影像组学模型依次为92。43%、88。57%。结论 多模态超声影像组学预测模型对绝经期及绝经前期PTC患者颈部淋巴结转移的预测效能高于基于独立危险因素构建的临床预测模型。
Study of the efficacy of multimodal ultrasound in the diagnosis of cervical lymph node metastasis in menopausal and premenopausal patients with papillary thyroid carcinoma
Objective To investigate the efficacy of multimodal ultrasound in the diagnosis of cervical lymph node metastasis in menopausal and premenopausal patients with papillary thyroid cancer.Methods 100 cases of menopausal and premenopausal PTC patients treated in our hospital were selected as the study objects.The image features of nodular lesions were extracted according to the results of multimodal ultrasound.The clinical prediction model was constructed by independent risk factor analysis,and the multimodal imaging features were extracted to construct the multimodal ultrasonic image omics prediction model.Results Multiple nodules,capsular invasion,microcalcification and nodule enhancement were independent risk factors for cervical lymph node metastasis(P<0.05).The sensitivity and specificity of clinical prediction model for cervical lymph node metastasis were 77.50%and 86.67%respectively,and the multimodal imaging model was 92.43%and 88.57%respectively.Conclusion The value of multimodal ultrasonography in predicting cervical lymph node movement in menopausal and premenopausal PTC patients is higher than that of the prediction framework based on independent risk factors.

Multi-mode ultrasoundImage grouping theoryThyroid papillary carcinomaLymph node movement in neck locationDiagnosis

李静、郭强

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复旦大学附属中山医院青浦分院 超声科,上海 201799

多模态超声 影像组学 甲状腺乳头状癌 颈部淋巴结转移 诊断

复旦大学附属中山医院青浦分院科研课题青浦区卫生健康委员会科研课题

QYM2022-09QWJ2023-19

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(19)