Analysis of Thyroid TI-RADS Classification Combined with Color Ultrasound for Differential Diagnosis of Benign and Malignant Thyroid Nodules
Objective:To explore the clinical value of Thyroid Imaging Reporting and Data System (TI-RADS) classification combined with color ultrasound in the differential diagnosis of benign and malignant thyroid nodules. Methods:85 patients with thyroid nodules attending Anxi County Traditional Chinese Medicine Hospital,Quanzhou City were selected for two-dimensional ultrasound and color ultrasound diagnosis,and TI-RADS classification was performed to analyze the diagnostic value of the benign and malignant nature of thyroid nodules guided by color ultrasound and TI-RADS classification,using surgical pathology or puncture pathology results as the gold standard. Results:85 patients were pathologically diagnosed as malignant nodules in 38 cases,papillary carcinoma in 36 cases,medullary carcinoma and adenocarcinoma in 1 case each;And benign in 47 cases,the diagnostic compliance rate of benign foci according to TI-RADS classification was 80.85％,and the diagnostic compliance rate of malignant foci was 78.95％,and there was a significant difference in the comparison of the percentage of benign and malignant foci according to the TI-RADS classification (P<0.05). According to the color ultrasound blood flow classification criteria,the diagnostic compliance rate for benign diagnosis was 85.11％,and the diagnostic compliance rate for malignant diagnosis was 81.58％,and there was a significant difference between benign and malignant foci in terms of blood flow classification (P<0.05). The TI-RADS score,PI,RI,and PSV of the malignant group were higher than those of the benign group (P<0.05). By the ROC curve,the area under the curve (AUC),sensitivity,and specificity of TI-RADS score combined with PI,RI,and PSV for the diagnosis of malignant thyroid nodules were higher than that of a single index (P<0.05). Conclusion:The use of thyroid TI-RADS classification combined with color ultrasound can effectively identify benign and malignant thyroid nodules and provide a reference basis for clinical diagnosis.
thyroid TI-RADS classificationcolor ultrasoundthyroid nodulesbenign and malignant
万方数据
维普
