TI-RADS分级联合SPECT诊断甲状腺良恶性结节的价值分析  

Value analysis of TI-RADS grading combined with SPECT in the diagnosis of benign and malignant thyroid nodules

作　　者：亢常笑 Kang-Chang-xiao(Department of Nuclear Medicine,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院核医学科,河南洛阳471000

出　　处：《四川生理科学杂志》2024年第3期526-529,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:分析甲状腺影像报告和数据系统(Thyroid Imaging Reporting and Data System,TI-RADS)分级联合单光子发射计算机断层成像术(Single-photon Emission Computed Tomography,SPECT)对甲状腺良恶性结节的诊断价值.方法:选取2021年1月至2022年12月我院82例甲状腺结节患者,分析TI-RADS分级、SPECT诊断及联合诊断结果,并对甲状腺结节良恶性的诊断价值采用受试者工作特征(Receiver Operating Characteristic,ROC)曲线进行分析.结果:TI-RADS分级联合SPECT诊断结果中良、恶性结节分别为58个、24个.TI-RADS分级联合SPECT对甲状腺良恶性结节诊断的灵敏度、特异性、准确度高于TI-RADS分级和SPEC单独诊断(P<0.05).TI-RADS分级联合SPECT诊断甲状腺良恶性结节的曲线下面积(Area Underthe Curve,AUC)最大为0.849.结论:TI-RADS分级联合SPECT能够提高对甲状腺良恶性结节的诊断效能和准确率.Objective:Thyroid Imaging Reporting and Data System(Thyroid Imaging Reporting and Data System,Value of TI-RADS) grading combined with Single-Photon Emission Computed Tomography(SPECT)in diagnosis of benign and malignant thyroid nodules.How:Eighty-two patients with thyroid nodules in our hospital from January 2021 to December 2022 were selected to analyze the results of TI-RADS grading,SPECT diagnosis and combined diagnosis.Receiver Operating Characteristic(ROC)curve was used to evaluate the diagnostic value of benign and malignant thyroid nodules.Results:There were 58 benign and 24 malignant nodules in TI-RADS grading combined with SPECT.The sensitivity,specificity and accuracy of TI-RADS grading combined with SPECT for benign and malignant thyroid nodules were higher than those of TI-RADS grading and SPEC alone(P<0.05).The maximum Area Underthe Curve(AUC)in the diagnosis of benign and malignant thyroid nodules by TI-RADS grading combined with SPECT was 0.849.Conclusion:TI-RADS grading combined with SPECT can improve the diagnostic efficiency and accuracy of benign and malignant thyroid nodules.

关 键 词：甲状腺影像报告和数据系统 单光子发射计算机断层成像术 甲状腺 良恶性结节 

分 类 号：R736.1[医药卫生—肿瘤]