超声造影技术在甲状腺影像报告和数据系统中的作用研究  

Value of Contrast-Enhanced Ultrasound in Thyroid Imaging Reporting and Data System

作　　者：汪航 朱云开[1] 钟芙蓉 管文斌[2] 陈亚青[1] Wang Hang;Zhu Yunkai;Zhong Furong;Guan Wenbin;Chen Yaqing(Department of Ultrasound,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Pathology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院超声科,上海200092 [2]上海交通大学医学院附属新华医院病理科,上海200092

出　　处：《肿瘤预防与治疗》2020年第11期855-859,共5页Journal of Cancer Control And Treatment

摘　　要：目的:探讨超声造影前后能否提高甲状腺影像报告和数据系统(thyroid image report and data system,TIRADS)诊断效能。方法:选择2017年12月至2019年5月行甲状腺超声结节造影的患者151例,共152个结节,分析152个结节造影前后的二维声像特征差异,比较造影前后TI-RADS分级诊断、造影过程联合造影后TI-RADS的诊断效能。结果:造影前及造影后二维声像图上甲状腺结节边缘、钙化有统计学差异(P<0.05),回声类型无统计学差异(P>0.05)。造影前后TI-RADS分级诊断的敏感性、特异性、准确率分别为83.51%、45.45%、69.73%和96.91%、40.00%、76.32%。造影过程联合造影后TI-RADS分级的敏感性、特异性、准确率分别为83.51%、63.64%、76.32%。造影后TI-RADS、造影过程联合造影后TI-RADS的受试者工作特征曲线下面积均高于造影前(P<0.05)。结论:超声造影技术能提高二维声像图甲状腺结节边缘、钙化特征判读的准确性,造影后TI-RADS分级具有更高的敏感性,造影过程联合造影后TI-RADS具有更高的特异性,超声造影技术能够提高TI-RADS分级的诊断效能。Objective:To explore whether the diagnosis based on thyroid imaging reporting and data system(TIRADS)can be more effective during and after contrast-enhanced ultrasound(CEUS).Methods:We selected 152 thyroid nodules from 151 patients undergoing CEUS in our hospital from December 2017 to May 2019,and characteristics of the 152 thyroid nodules before,during and after CEUS were analyzed.The diagnostic effects of TI-RADS before CEUS,TI-RADS after CEUS,and TI-RADS combined with CEUS were compared.Result:Margins and calcification were different before and after CEUS(P<0.05),and echogenicity was not(P>0.05).Sensitivity,specificity and accuracy of TI-RADS before CEUS were 83.51%,45.45%and 69.73%,respectively;those of TI-RADS after CEUS were 96.91%,40.00%and 76.32%,respectively;and those of TI-RADS combined with CEUS were 83.51%,63.64%and 76.32%,respectively.Area under the curve after CEUS and that during and after CEUS were larger than that before CEUS(P<0.05).Conclusion:CEUS can improve the accuracy of 2D ultrasonography in the diagnosis of margins and calcification of thyroid nodules.TI-RADS after CEUS is more sensitive than TI-RADS only.CEUS combined with TI-RADS is more specific than TI-RADS only.Therefore,CEUS can improve the diagnostic effect of TI-RADS.

关 键 词：甲状腺结节 超声造影 TIRADS 诊断 

分 类 号：R736.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]