声辐射力成像法联合萤火虫技术在甲状腺结节诊断中的价值  

The Value of Acoustic Radiation Force Imaging Method Combined with Micropure on Diagnosis of Thyroid Nodules

作　　者：曹赤颖 敖梦[1] 王志刚[1] 

机构地区：[1]重庆医科大学超声影像学研究所及附属第二医院超声科 超声分子影像重庆市重点实验室,重庆市400010

出　　处：《中国超声医学杂志》2015年第5期391-393,共3页Chinese Journal of Ultrasound in Medicine

基　　金：国家自然科学基金重点项目(No.81130025);重庆高校创新团队建设计划(No.KJTD201303)

摘　　要：目的探讨声辐射力成像(ARFI)联合萤火虫成像(Micropure)在甲状腺恶性结节中的诊断价值。方法对62例甲状腺结节患者术行前二维超声、ARFI及Micropure检查,以术后病理结果为金标准,分别计算二维超声、ARFI、ARFI与Micropure技术联合对甲状腺结节良恶性诊断的灵敏度、特异度、阳性预测值(PPV)、阴性预测值(NPV)。结果二维超声诊断甲状腺恶性结节的灵敏度、特异度、阳性预测值、阴性预测值为73.68%、79.69%、51.58%、91.07%。ARFI诊断甲状腺恶性结节的灵敏度、特异度、阳性预测值、阴性预测值为84.21%、85.94%、64.00%、94.83%。ARFI与Micropure联合诊断甲状腺恶性结节的灵敏度、特异度、阳性预测值、阴性预测值别为94.74%、78.13%、54.55%、98.00%。结论 ARFI与Micropure技术联合应用对诊断甲状腺恶性结节有较高的临床应用价值。Objective To investigate the value of the acoustic radiation force imaging(ARFI) combined with Micropure technology used for diagnosis of benign and malignant thyroid nodules.Methods Sixty-two cases with thyroid nodules were examined with gray scale imaging,micropure technology and ARFI respectively before operation,taking pathological results as golden standard.Sensitivity and specificity,PPV,NPV of 2D ultrasound,ARFI,ARFI combined with Micropure method in diagnosing benign and malignant thyroid nodules were calculated respectively.Results The sensitivity,specificity,PPV,NPV for 2D ultrasound in diagnosing benign and malignant nodules were73.68%,79.69%,51.58%and 91.07%.ARFI were 84.21%,85.94%,64.00%,94.83%,and ARFI combined with Micropure were 94.74%,78.13%,54.55%,98.00%respectively.Conclusions ARFI combined with Micropure have highly clinical application value foe differentiation of benign and malignant thyroid nodules.

关 键 词：甲状腺结节 声辐射力成像 萤火虫 

分 类 号：R581[医药卫生—内分泌] R445[医药卫生—内科学]