TI-RADS联合S-Detect技术对甲状腺结节诊断价值的探讨  

Value of Thyroid Imaging Report and Data System Combined with S-DetectTechnique For Diagnosing Thyroid Nodule

作　　者：毕玉[1] 彭梅[1] 方明娣[1] Bi Yu;Peng Mei;Fang Mingdi(Department of Ultrasonic Diagnosis,the Second Affilated Hospital,Anbui Medical University,Heifei,Anhui 230601,China)

机构地区：[1]安徽医科大学第二附属医院超声诊断科,合肥市230601

出　　处：《中国超声医学杂志》2021年第4期364-366,共3页Chinese Journal of Ultrasound in Medicine

基　　金：安徽医科大学校科研基金(No.2019xkj045);安徽省重点研究与开发计划项目(No.201904a07020068)

摘　　要：目的探讨TI-RADS与S-Detect技术联合应用对甲状腺结节的诊断价值。方法回顾性分析125个结节的超声图像,行TI-RADS分类,并获取S-Detect结果,将每枚结节TI-RADS分类根据S-Detect结果进行联合诊断调整。以病理结果为金标准,比较TI-RADS及其联合S-Detect诊断甲状腺结节的效能。结果较TI-RADS单独诊断:CUT OFF值设为4a类时联合诊断后AUC、特异度、准确度均有上升(P<0.05),灵敏度改变无统计学意义(P>0.05);CUT OFF值设为4b类时联合诊断后特异度上升(P<0.05);AUC、准确度、灵敏度改变无统计学意义(P>0.05)。结论 TI-RADS与S-Detect技术联合可提高超声对于甲状腺结节的诊断价值,在减少非必要FNA、避免过度诊断方面有积极的作用。Objective To investigate the value of TI-RADS combined with S-Detect in the diagnosis of thyroid nodule. Methods The ultrasonic data of 125 thyroid nodules were analyzed retrospectively, their TI-RADS and S-Detect results were summarized, and each TI-RADS classification is adjusted according to the S-Detect result. The surgical pathology results were regarded as the gold standard to compare the diagnostic value of TI-RADS and its combination with S-Detect for thyroid nodule. Results Compared to the TI-RADS diagnosis alone: when the cut off value was set to 4 a, in the combined diagnosis, the specificity, AUC, and accuracy were increased(P<0.05) and yet the sensitivity was decreased with no statistical difference(P>0.05). when the cut off value was set to 4 b, in the combined diagnosis, the specificity was increased(P<0.05) and yet the sensitivity, AUC and accuracy were changed with no statistical difference(P>0.05). Conclusions TI-RADS combined with S-Detect can improve the diagnostic value of ultrasound for thyroid nodule.It has positive effect on reducing FNA and avoiding over-diagnosis.

关 键 词：甲状腺结节 甲状腺影像报告与数据系统 S-Detect技术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]