计算机辅助诊断系统与TI-RADS分级及超声评分法对甲状腺良恶性结节诊断价值的比较  

Comparison of computer aided diagnosis system with TI-RADS classification and ultrasound scoring method in diagnosis of benign and malignancy thyroid nodules

作　　者：赵艳娜 柳俊[2] 谢荣理[3] 张俊[3] 顾建华 费健[3] 付庄[5] ZHAO Yanna;LIU Jun;XIE Rongli;ZHANG Jun;GU Jianhua;FEI Jian;FU Zhuang(Department of Ultrasound,Shanghai Ruijin Rehabilitation Hospital,Shanghai 200023,China)

机构地区：[1]上海市瑞金康复医院超声科,上海200023 [2]上海交通大学医学院附属瑞金医院超声科,上海200023 [3]上海交通大学医学院附属瑞金医院普外科,上海200023 [4]上海市瑞金康复医院普外科,上海200023 [5]上海交通大学机械系统与振动国家重点实验室,上海200000

出　　处：《实用医学杂志》2021年第13期1746-1749,共4页The Journal of Practical Medicine

基　　金：上海市黄浦区科研项目(编号:HKQ201810);上海交通大学“交大之星”计划(编号:YG2019ZDA17);上海市转化医学协同创新中心项目(编号:TM201804)。

摘　　要：目的比较计算机辅助诊断(CAD)系统与TI-RADS及超声评分法在良恶性甲状腺结节诊断效能上的研究。方法回顾性分析经手术及细针穿刺病理证实的672个甲状腺结节。以病理结果为金标准构建ROC曲线,比较CAD系统、TI-RADS和超声评分法对甲状腺结节良恶性的诊断价值。结果 CAD系统、TI-RADS分级和超声评分法诊断甲状腺结节的ROC曲线下面积分别为0.889、0.848及0.844。CAD诊断的敏感度、特异度、阳性预测值、阴性预测值和准确性均高于TI-RADS分级和超声评分法诊断(P <0.05)。结论 CAD系统可以提供一种更客观、精准、快速的评估方式,有利于提高甲状腺结节的诊断效能,值得推广。Objective To compare the diagnostic value of computer aided diagnosis(CAD)system,TI-RADS classification and ultrasound scoring in the diagnosis of benign and malignant thyroid nodules.Methods Retrospective analysis was performed in 672 thyroid nodules confirmed by surgery and fine needle aspiration pathology.The ROC curve was constructed with pathological results as the gold standard,and the diagnostic value of CAD system,TI-RADS classification and ultrasound scoring method for benign and malignant thyroid nodules was compared.Results The area under the ROC curve of thyroid nodules diagnosed by CAD system,TI-RADS classification and ultrasound scoring method was 0.889,0.848 and 0.844,respectively.The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of CAD system were all higher than those of TI-RADS classification and ultrasound scoring method(P<0.05).Conclusion CAD system is an objective,accurate and rapid evaluation method,which is beneficial to improving the diagnostic efficiency of thyroid nodule,and is worthy of promotion.

关 键 词：计算机辅助诊断系统 TI-RADS分级 超声评分法 甲状腺结节 

分 类 号：R581[医药卫生—内分泌]