Role of Thyroid Imaging Reporting and Data System category in ultrasonic diagnosis of thyroid cancer

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Role of Thyroid Imaging Reporting and Data System category in ultrasonic diagnosis of thyroid cancer

更新时间：2025-12-15

- Role of Thyroid Imaging Reporting and Data System category in ultrasonic diagnosis of thyroid cancer
- Vol. 25, Issue 3, Pages: 279-282(2016)
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- Published Online：02 November 2016，
  
  Published：02 November 2016
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顾士荣. 探讨甲状腺影像报告和数据系统分级在超声诊断甲状腺癌中的应用价值[J]. 肿瘤影像学, 2016, 25(3): 279-282
DOI：

顾士荣. 探讨甲状腺影像报告和数据系统分级在超声诊断甲状腺癌中的应用价值[J]. 肿瘤影像学, 2016, 25(3): 279-282 DOI：

摘要

目的：

探讨甲状腺影像报告和数据系统(Thyroid Imaging Reporting and Data System，TI-RADS)分级对诊断甲状腺癌中的应用价值。

方法：

选择甲状腺结节患者75例并进行外科手术或细针穿刺活检(fine needle aspiration，FNA)，应用高频彩色多普勒超声对双侧甲状腺进行扫查。根据TI-RADS对甲状腺结节分级，选择TI-RADS 3~5级的患者63例(81个病灶)，将甲状腺 TI-RADS 分级情况与病理切片结果进行比较和分析，评估 TI-RADS 分级对鉴别甲状腺癌的效能。

结果：

在63例患者(81个病灶)中，病理学活检结果显示，28个TI-RADS 3级病灶中，良性23个(82.14％)、恶性5个(17.86%)；32个TI-RADS 4级病灶中，良性5个(15.63％)、恶性27个(84.37％)；21个TI-RADS 5级病灶中，良性0个(0)、恶性21个(100%)。TI-RADS分级诊断甲状腺癌的灵敏度和特异度分别为88.67％和82.14％。TI-RADS 3~5级病灶的纵横比边缘、边界、钙化、血管充盈、血流阻力指数(resistance index，RI)值差异均有统计学意义(

0.01)。

结论：

TI-RADS分级诊断甲状腺癌的灵敏度和特异度较高。在高频超声检查甲状腺中，应用TI-RADS分级对诊断甲状腺癌具有重要临床意义。

Abstract

Objective:

To study the role of Thyroid Imaging Reporting and Data System (TI-RADS) category in ultrasonic diagnosis of thyroid cancer.

Methods:

A total of 75 patients with thyroid diseases who underwent surgery or fine needle aspiration (FNA) were selected. All the patients underwent thyroid examination with high-frequency color Doppler ultrasonography. According to TI-RADS category

63 patients (81 thyroid lesions) with TI-RADS grade 3-5 were r

ecruited. The characteristics of highfrequency color Doppler ultrasonography in diagnosis of thyroid lesions with different TI-RADS grades were compared with the histopathological results. Then the efficacy of TI-RADS category in the identification of thyroid cancer was assessed.

Results:

In all 63 patients (81 thyroid lesions) confirmed by histopathology

28 lesions were TI-RADS grade 3

in which 23 (82.14％) were benign

5 (17.86%) were malignant; 32 lesions were TI-RADS grade 4

and histopathology confirmed 5 (15.63％) were benign

27 (84.37％) were malignant; 21 lesions were TI-RADS grade 5

and all the lesions were malignant confirmed by histopathology (100％). The sensitivity and specificity were 88.67％ and 82.14％ respectively in the diagnosis of thyroid cancer by TI-RADS category. Statistical differences were found among thyroid lesions with TI-RADS grades 3

5 in A/T

margin

boundary

calcification

vascularity and blood flow and resistance index (RI).

Conclusion:

The sensitivity and specificity of TI-RADS category are high in diagnosing thyroid cancer by high-frequency color Doppler ultrasound.

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Related Institution

Department of Ultrasonic Diagnosis, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School

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Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

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