TI-RADS对甲状腺结节的鉴别诊断价值

发布时间：2018-11-29 11:11

【摘要】：目的探讨在彩色多普勒条件下,各版本甲状腺影像学报告及数据系统(TI-RADS)鉴别甲状腺结节性质的价值。方法选取甲状腺结节拟行甲状腺肿物切除术的患者147例(共227个结节)。术前行甲状腺超声检查,记录结节位置、大小、纵横比、边缘、内部回声、钙化、内部血流及颈部淋巴结等情况,根据各版本TI-RADS对每个结节行恶性分级诊断,分析其与手术病理结果的一致性及诊断价值。结果 Horvath等和张正顺等的TI-RADS与病理结果诊断的一致性一般(Kappa值分别为0.285、0.343),而Park等、Kwak等及Russ等的TI-RADS与病理结果诊断一致性中等(Kappa值分别为0.445、0.559、0.501);Kwak等的TI-RADS对甲状腺定性诊断的准确性较高(AUC=0.902±0.026),Horvath等、Park等、Russ等和张正顺等的TI-RADS对甲状腺定性诊断的准确性中等(AUC分别为0.720±0.040、0.815±0.039、0.874±0.028、0.760±0.037)。结论 Kwak等的TI-RADS对甲状腺结节恶性风险评估结果准确性较高。
[Abstract]:Objective to study the value of thyroid imaging report and data system (TI-RADS) in distinguishing thyroid nodules under color Doppler. Methods 147 patients (227 nodule) with thyroid nodules were selected for thyroidectomy. Preoperative thyroid ultrasonography was performed to record the location, size, aspect ratio, edge, internal echo, calcification, internal blood flow and cervical lymph nodes of the nodules. Each node was diagnosed by malignant grade according to each version of TI-RADS. To analyze its consistency with surgical and pathological results and its diagnostic value. Results the TI-RADS of Horvath et al and Zhang Zhengshun were consistent with pathological results (Kappa = 0.285 0. 343, respectively), while Park et al. TI-RADS of Kwak et al and Russ et al were in good agreement with pathological results (Kappa = 0.445 0. 559 卤0. 501). TI-RADS of Kwak et al had higher accuracy in qualitative diagnosis of thyroid (AUC=0.902 卤0.026), Horvath et al., Park et al.) TI-RADS of Russ et al. And Zhang Zhengshun et al had moderate accuracy in the qualitative diagnosis of thyroid (AUC = 0.720 卤0.040) (AUC = 0.815 卤0.039 卤0.874 卤0.028 卤0.760 卤0.037). Conclusion TI-RADS of Kwak et al has higher accuracy in evaluating the malignant risk of thyroid nodules.
【作者单位】：保定市第一中心医院西院;
【分类号】：R581

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