3种甲状腺影像报告和数据系统对桥本甲状腺炎背景下甲状腺结节的诊断价值  

Diagnostic Value of the Three Thyroid Imaging Reporting and Data System for Thyroid Nodules in Context of Hashimoto Thyroiditis

作　　者：赵永峰 杜杰[1] 胡峰[1] 赵丽荣[1] Zhao Yongfeng;Du Jie;Hu Feng;Zhao Lirong(Department of Electrodiagnosis,Diagnostic Ultrasound Center,First Hospital of Jilin University,Changchun,Jilin 130000,China)

机构地区：[1]吉林大学第一医院超声诊断中心电诊科,长春市130000

出　　处：《中国超声医学杂志》2023年第4期365-368,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 评估中国甲状腺影像报告和数据系统(C-TIRADS)、美国放射学会甲状腺影像报告和数据系统(ACR-TIRADS)与欧洲甲状腺影像报告和数据系统(EU-TIRADS)对桥本甲状腺炎背景下甲状腺结节的诊断效能。方法 回顾性收集经病理证实患有桥本甲状腺炎并伴有甲状腺结节患者88例(151个结节)。对所有结节分别进行C-TIRADS、ACR-TIRADS及EU-TIRADS分级,以病理结果为金标准,构建受试者工作特征(ROC)曲线,比较3种分级系统的曲线下面积(AUC)、灵敏度、特异度。结果 C-TIRADS、ACR-TIRADS及EU-TIRADS的AUC分别为0.93、0.90、0.85,C-TIRADS和ACR-TIRADS的AUC明显高于EU-TIRADS(P<0.001,P<0.01),3种危险程度分级的最佳诊断截点分别是C-TIRADS>4b类,ACR-TIRADS>4类,EU-TIRADS>4类,其对应的灵敏度分别为86.7%、88.0%、89.3%,特异度分别为85.5%、77.6%、77.6%。C-TIRADS的特异度高于ACR-TIRADS和EU-TIRADS(P<0.05)。结论 C-TIRADS和ACR-TIRADS对桥本甲状腺炎背景下甲状腺结节有着较好的诊断效能,两者均优于EU-TIRADS。C-TIRADS诊断桥本甲状腺炎背景下甲状腺结节的特异度最高。Objective To evaluate the diagnostic value of Chinese thyroid imaging reporting and data system(CTIRADS),American College of Radiology thyroid imaging reporting and data system(ACR-TIRADS)and European thyroid imaging reporting and data system(EU-TIRADS)for thyroid nodules in the context of Hashimoto thyroiditis.Methods 88 patients(151 nodules)with Hashimoto thyroiditis and thyroid nodules confirmed by pathology in our hospital were retrospectively collected.All nodules were graded by C-TIRADS,ACR-TIRADS and EU-TIRADS respectively.Taking the pathological results as the gold standard,the receiver operating characteristic(ROC)curve was constructed to compare the area under the curve(AUC),sensitivity and specificity of the three grading systems.Results The AUCs of C-TIRADS,ACR-TIRADS and EU-TIRADS were 0.93,0.90,0.85,respectively.The AUCs of C-TIRADS and ACR-TIRADS were significantly higher than those of EU-TIRADS(P<0.001,P<0.01).The optimal cut-off points of the three grading system were C-TIRADS>4b,ACR-TIRADS>4,EU-TIRADS>4 respectively,and the sensitivities were 86.7%,88.0%,and 89.3%respectively,and the specificities were 85.5%,77.6%,and 77.6%respectively.The specificity of C-TIRADS was higher than that of ACR-TIRADS and EUTIRADS(P<0.05).Conclusions C-TIRADS and ACR-TIRADS have better diagnostic performance for thyroid nodules in the context of Hashimoto thyroiditis,and both are better than EU-TIRADS.C-TIRADS has the highest specificity for diagnosing thyroid nodules in the context of Hashimoto thyroiditis.

关 键 词：甲状腺结节 甲状腺影像报告和数据系统 桥本甲状腺炎 诊断价值 

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]