ACR TI-RADS分类联合超声造影在甲状腺良恶性结节鉴别中的应用价值

doi:10.3969/j.issn.1671-7171.2019.12.016

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Abstract 【Objective】To explore the diagnostic value of American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) classification combined with contrast-enhanced ultrasound (CEUS) for benign and malignant thyroid nodules. 【Methods】The sonographic images and CEUS imaging data of 105 patients with thyroid nodules (153 nodules in total) were retrospectively analyzed. All thyroid nodules were classified into corresponding categories according to the criteria of ACR TI-RADS (version of year 2017). The diagnostic value of ACR TI-RADS classification combined with CEUS in benign and malignant thyroid nodules was evaluated based on the results of final surgical pathology examination. 【Results】The pathological results showed that there were 94 benign nodules and 59 malignant nodules among total 153 thyroid nodules. The sensitivity, specificity, accuracy, positive and negative predictive value of ACR TI-RADS combined with CEUS for thyroid cancer diagnosis were 93.22%,95.74%,94.77%,93.22%,and 95.74%, respectively, which were significantly higher than those of either ACR TI-RADS alone (71.19%,84.04%,79.08%,73.68% and 82.29%, respectively,) or CEUS alone (79.66%,86.17%,83.66%,78.33% and 87.1%, respectively). The differences were statistically significant (all P<0.05). 【Conclusion】The ACR TI-RADS classification combined with CEUS has a high diagnosis value for benign and malignant thyroid nodules. It is worthy of clinical application.

Key words： Thyroid Nodule/DI Echocardiography

Received: 06 June 2019

PACS:

R581.33

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2019.12.016 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2019/V36/I12/2336

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