实时剪切波弹性成像参数联合甲状腺影像报告及数据系统在甲状腺结节性质判断中的价值  

Value of real-time shear wave elastography parameters combined with thyroid imaging reporting and data system in the identification of thyroid nodule properties

作　　者：谢娟 黄菊霞 夏群[1] 胡金花[1] XIE Juan;HUANG Juxia;XIA Qun;HU Jinhua(Department of Ultrasound Medicine,Anqing First People’s Hospital,Anhui Province,Anqing 246004,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246004

出　　处：《中国医药导报》2023年第22期145-149,共5页China Medical Herald

摘　　要：目的分析实时剪切波弹性成像(SWE)参数联合甲状腺影像报告及数据系统(TI-RADS)对甲状腺结节性质的诊断价值。方法回顾性分析2020年1月至2022年6月安徽省安庆市第一人民医院收治的经超声检查发现甲状腺结节并行手术治疗的78例患者(80个结节)的临床资料。采用SWE检测甲状腺结节的弹性模量值,并对结节进行TI-RADS分级。以术后病理结果为金标准,比较两种检查对甲状腺结节良恶性的诊断价值。结果术后病理结果显示,80个结节中,55个良性结节;25个恶性结节。SWE及TI-RADS分级与病理结果具有中度一致性(Kappa=0.554,0.432,P<0.05),SWE联合TI-RADS分级与病理结果具有高度一致性(Kappa=0.683,P<0.05)。SWE联合TI-RADS分级诊断甲状腺结节的灵敏度、特异度及准确度均较单一检测更高。结论SWE参数联合TI-RADS对甲状腺结节性质具有较高的诊断价值。Objective To analyze the diagnostic value of real-time shear wave elastography(SWE)parameters combined with thyroid imaging reporting and data system(TI-RADS)in thyroid nodule properties.Methods The clinical data of 78 patients(80 nodules)with thyroid nodules detected by ultrasonography and treated by operation in Anqing First People’s Hospital,Anhui Province from January 2020 to June 2022 were retrospectively analyzed.The values of elastic modulus of thyroid nodules were detected by SWE,and the nodules were graded by TI-RADS.With postoperative pathological results as the gold standard,the diagnostic value of two kinds of examinations for benign and malignant thyroid nodules were compared.Results Postoperative pathological results showed that among 80 nodules,55 benign nodules;25 malignant nodules.There was moderate consistency between TI-RADS grading,SWE and pathological results(Kappa=0.554,0.432,P<0.05),and high consistency between SWE combined with TI-RADS grading and pathological results(Kappa=0.683,P<0.05).The sensitivity,specificity,and accuracy of SWE combined with TI-RADS grading in the diagnosis of thyroid nodules were higher than that of single detection.Conclusion SWE combined with TI-RADS has high diagnostic value for thyroid nodules properties.

关 键 词：甲状腺结节 实时剪切波弹性成像 甲状腺影像报告及数据系统 鉴别诊断 

分 类 号：R736.1[医药卫生—肿瘤]