超微血管成像技术与彩色多普勒血流成像分别联合甲状腺影像报告与数据系统在甲状腺结节鉴别诊断中的应用  

Application of superb microvascular imaging and color Doppler flow imaging combined with Thyroid Image Report And Data System in the differential diagnosis of thyroid nodule

作　　者：杨艳 胡金花[1] 夏群[1] 解红娟 程扬眉 YANG Yan;HU Jinhua;XIA Qun;XIE Hongjuan;CHENG Yangmei(Department of Ultrasound Medicine,Anqing First People’s Hospital,Anhui Province,Anqing 246000,China)

机构地区：[1]安徽省安庆市第一人民医院超声医学科,安徽安庆246000

出　　处：《中国医药导报》2023年第7期165-168,共4页China Medical Herald

摘　　要：目的探讨超微血管成像技术(SMI)与彩色多普勒血流成像(CDFI)分别联合甲状腺影像报告与数据系统(TI-RADS)鉴别诊断甲状腺结节中的价值。方法选择2021年2月至2022年8月安徽省安庆市第一人民医院甲状腺结节患者76例。所有患者均应用SMI和CDFI进行影像学检查,并根据TI-RADS对所有结节进行分级,分析SMI联合TI-RADS与CDFI联合TI-RADS对恶性甲状腺结节的诊断价值。结果76例患者共检出结节92个,其中良性结节61个,恶性结节31个。SMI联合TI-RADS分级诊断与病理结果的Kappa值为0.901(P<0.01),一致性较好;CDFI联合TI-RADS分级诊断与病理结果的Kappa值为0.493(P<0.01),一致性一般。结论SMI与CDFI分别联合TI-RADS鉴别甲状腺结节可行。Objective To investigate the value of superb microvascular imaging(SMI)and color Doppler flow imaging(CDFI)combined with Thyroid Imaging Reporting and Data System(TI-RADS)in the diagnosis and differentiation of thyroid nodules.Methods A total of 76 patients with thyroid nodules who came Anqing First People’s Hospital,Anhui Province from February 2021 to August 2022 were selected.Imaging examinations were performed by SMI and CDFI in all patients,and all nodules were graded according to TI-RADS.the diagnostic value of SMI combined with TI-RADS and CDFI combined with TI-RADS in malignant thyroid nodules were analyzed.Results A total of 92 nodules were detected in 76 patients,including 61 benign nodules and 31 malignant nodules.The Kappa value of SMI combined with TI-RADS grading diagnosis and pathological results was 0.901(P<0.01),showing a good consistency;the Kappa value of CDFI combined with TI-RADS was 0.493(P<0.01),with general consistency.Conclusion It is feasible to differentiate thyroid nodules by SMI and CDFI combined with TI-RADS.

关 键 词：超微血管成像技术 彩色多普勒血流成像 甲状腺影像报告与数据系统 甲状腺结节 

分 类 号：R445.1[医药卫生—影像医学与核医学]