超声弹性成像联合CT断层成像对甲状腺影像学报告及数据系统4~5类甲状腺良恶性钙化结节的诊断价值研究  

Study on diagnostic value of ultrasonic elastography combined with CT tomography on American College of Radiology thyroid imaging report and data system benign and malignant thyroid calcified nodules

作　　者：吕海香 钟周华 刘金生 LYU Haixiang;ZHONG Zhouhua;LIU Jinsheng(Department of Imaging,Ganzhou Municipal Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣州市立医院影像科,江西赣州341000

出　　处：《当代医学》2023年第18期79-82,共4页Contemporary Medicine

基　　金：赣州市指导性科技计划任务(GZ2020ZSF388)。

摘　　要：目的探究超声弹性成像(UE)联合CT断层成像对甲状腺影像学报告及数据系统(ACR TI-RADS)4~5类甲状腺良恶性钙化结节的诊断价值。方法回顾性分析2019年1月至2021年4月于本院行相关检查的66例甲状腺结节患者的临床资料,所有患者均进行常规超声检查、UE、CT断层成像检查。以组织病理学检查结果作为诊断金标准,分别评估常规超声、UE、UE联合CT断层成像检查在ACR TI-RADS 4~5类甲状腺钙化结节诊断中的效能。结果常规超声、UE、UE联合CT断层成像检查ACR TI-RADS 4类甲状腺钙化结节的灵敏度比较差异无统计学意义,特异度、准确率比较差异有统计学意义(P<0.05),且UE联合CT断层成像检查ACR TI-RADS 4类甲状腺钙化结节诊断的特异度高于常规超声,灵敏度高于UE,准确率高于UE、常规超声,差异有统计学意义(P<0.05);各检测方法其他灵敏度、特异度、准确率两两比较差异无统计学意义。常规超声、UE、UE联合CT断层成像检查ACR TI-RADS 5类甲状腺钙化结节的特异度比较差异无统计学意义,灵敏度、准确率比较差异有统计学意义(P<0.05),且UE联合CT断层成像检查ACR TI-RADS 5类甲状腺钙化结节诊断的灵敏度高于常规超声,准确率高于UE、常规超声,差异有统计学意义(P<0.05);各检测方法其他灵敏度、特异度、准确率两两比较差异无统计学意义。结论与常规超声检查及UE相比,UE联合CT断层成像诊断ACR TI-RADS 4~5类甲状腺钙化结节效能最佳,具有较高的临床应用价值。Objective To explore the diagnostic value of ultrasonic elastography(UE)combined with CT tomography on American College of Radiology thyroid imaging report and data system(ACR TI-RADS)types 4-5 benign and malignant thyroid calcified nodules.Methods The clinical data of 66 patients with thyroid nodules who underwent related examinations in the hospital from January 2019 to April 2021 were retrospectively analyzed.All patients underwent conventional ultrasound examination,UE and CT tomography examination,the histopathological examination result was taken as the diagnostic gold standard to evaluate the efficiency of routine ultrasound,UE and UE combined CT tomography in the diagnosis of ACR TI-RADS types 4-5 thyroid calcified nodules.Results There was no significant difference in the sensitivity of conventional ultrasound,UE,UE combined with CT tomography in the diagnosis of ACR TI-RADS 4 thyroid calcified nodules,there was significant difference in the specificity and accuracy(P<0.05).The specificity of UE combined with CT tomography in the diagnosis of ACR TI-RADS 4 thyroid calcified nodules was higher than that of conventional ultrasound,the sensitivity was higher than that of UE,and the accuracy was higher than that of UE and conventional ultrasound,the differences were statistically significant(P<0.05);there were no significant differences in other sensitivity,specificity and accuracy of each detection method.There was no significant difference in the specificity of conventional ultrasound,UE,UE combined with CT tomography in the diagnosis of ACR TI-RADS 5 thyroid calcified nodules,there was significant difference in sensitivity and accuracy(P<0.05).The sensitivity of UE combined with CT tomography in the diagnosis of ACR TI-RADS 5 thyroid calcified nodules was higher than that of conventional ultrasound,and the accuracy was higher than that of UE and conventional ultrasound,the differences were statistically significant(P<0.05);there were no significant differences in other sensitivity,specificity and accuracy

关 键 词：超声弹性成像 CT断层成像 甲状腺结节 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]