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超声TI-RADS分类对甲状腺结节的诊断价值

The Applicational Value of TI-RADS Ultrasonographic Stratification in Diagnosing Thyroid Nodules

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目的 探讨甲状腺超声影像和数据报告系统(TI-RADS)分类在诊断甲状腺结节中的应用价值.方法 对263例甲状腺结节患者的524个甲状腺结节进行TI-RADS分类,并与病理结果对照做诊断性分析.结果 甲状腺良性结节多见于TI-RADS 2、3、4A类结节,恶性结节则多见于TI-RADS 4B、5、6类结节.若以TI-RADS 2、3、4A类甲状腺结节为良性结节,以TI-RADS 4B、5、6类为恶性结节,进行统计学分析,两者诊断甲状腺结节良、恶性的差异具有统计学意义(x2 =298.49,P<0.01),其诊断甲状腺结节的准确性、灵敏性和特异性分别为93.3% (489/524),83.7%(67/80),95.0% (422/444).超声TI-RADS分类诊断的ROC曲线下面积为0.889.结论 TI-RADS分类方法可较好地应用于诊断甲状腺结节.
Objective To explore the applicational value of thyroid imaging reporting and data system(TI-RADS) ultrasonographic stratification in diagnosing thyroid nodules. Methods A total of 263 patients with 524 thyroid nodules were evaluated by using TI-RADS ultrasonographic stratification, and the results were compared with pathologic diagnostic analysis. Results Benign nodules almost belong to TI-RADS 2,3 and TI-RADS 4A, malignant nodules are more common in TI-RADS 4B,5 and 6 category nodules. If thyroid nodules of TI-RADS 2,3 and 4A category were prediction of benign nodules, and TI-RADS 4, 5 and 6 category were prediction of malignant nodules, they were statistically significant differences(χ2 =298. 49, P<0. 01), the accuracy, sensitivity and specificity of TI-RADS in diagnosis of benign and malignant thyroid lesions were 93. 3% (489/524), 83.7% (67/80), 95.0% (422/444). Conclusions TI-RADS can be well used in diagnosis of thyroid nodules. The area under ROC curve was 0. 889.

Thyroid 0nodule,Ultrasonography, TI-RADS

陈晓康、陈少华、吕国荣

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362000 福建省泉州市,福建医科大学附属第二医院超声科

甲状腺结节 超声检查 甲状腺影像和数据报告系统

2012

中国超声医学杂志
中国科学技术信息研究所(ISTIC) 中国超声医学工程学会

中国超声医学杂志

CSTPCDCSCD北大核心
影响因子:1.534
ISSN:1002-0101
年,卷(期):2012.28(12)
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