Application of elastic sonography scoring method in differential diagnosis of benign and malignant thyroid nodules

LUAN Yun; WU Yiyun; XU Huaning; SONG Xuguang; CAI Ting

您当前的位置：

首页 >

文章列表页 >

Application of elastic sonography scoring method in differential diagnosis of benign and malignant thyroid nodules

更新时间：2026-06-18

- Application of elastic sonography scoring method in differential diagnosis of benign and malignant thyroid nodules
- Vol. 26, Issue 6, Pages: 419-421(2017)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Online First：19 January 2018，
  
  Published：2017
- 稿件说明：
移动端阅览
栾云,吴意赟,许华宁,等. 声弹性评分法在鉴别甲状腺结节良恶性中的应用[J]. 肿瘤影像学, 2017, 26(6): 419-421
DOI：

栾云,吴意赟,许华宁,等. 声弹性评分法在鉴别甲状腺结节良恶性中的应用[J]. 肿瘤影像学, 2017, 26(6): 419-421 DOI：

摘要

目的：

探讨声弹性成像5分评分法在甲状腺结节良恶性鉴别诊断中的价值。

方法：

本次研究采用回顾性分析，共收集59例患者，总计85个甲状腺结节。根据手术病理结果，将这85个结节分为良性组[42例，共63个结节，男性∶女性=21∶42，年龄13~74岁，平均(53.1613.00)岁

]

和恶性组[17例，共22个结节，男性∶女性=5∶17；年龄24~68岁，平均(44.7711.51)岁

]

。分析弹性图像，评估组间弹性评分有无差异；勾画受试者工作特征曲线，获得弹性评分方法的鉴别诊断效能；并且计算截断点。

结果：

甲状腺良恶性结节组间弹性评分差异有统计学意义(非参数Mann-Whitney秩和检验，

=-9.517，

=0.000)；曲线下面积为0.886，鉴别诊断效能较高；弹性评分大于等于3分时(截断点=3)评判恶性甲状腺结节的特异度为78.0%，灵敏度为90.5%。

结论：

声弹性评分法可以有效提高甲状腺结节良恶性的鉴别诊断。

Abstract

Objective:

This study aimed to explore the diagnostic value of elastic sonography score method in the identification of benign and malignant thyroid nodules.

Methods:

A retrospective analysis was conducted in 59 cases (85 thyroid nodules). According to the pathological results

85 nodules were divided into benign group [n=42

63 nodules

male∶female =21∶42

13-74 years old

average (53.1613) years

]

and malignant group [

=17

22 nodules

male∶female=5∶17

24-68 years old

average (44.7711.51) years

]

. The elastic scores between groups were compared

and differential diagnosis ability of elasticity score was evaluated

by using receiver operating characteristic (ROC) curve. Through the calculation of the cut-off point

the diagnostic sensitivity and specificity of diagnosis of malignant thyroid nodules were improved by calculation the cut-off point..

Results:

The elastic scores of thyroid nodules between benign and malignant group were significantly different (non-parametric Mann-Whitney test

=-9.517

=0.000). The area under the ROC was 0.886. When the elastic score was greater than or equal to 3 points (cut-off point=3) the specificity for diagnosis of malignant thyroid nodules was 78.0%

the sensitivity was 90.5%.

Conclusion:

The elastic sonography scoring system could help to improve the differential diagnosis of benign and malignant thyroid nodules.

关键词

Keywords

references

Views

2002

下载量

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

Analysis of thyroid nodules by contrast-enhanced ultrasound

Application of ultrasound elasticity contrast index in differential diagnosis of thyroid nodules

Research progress on ultrasound-guided chemical ablation for thyroid cystic and cystic-solid nodules

Comparative study of C-TIRADS, shear-wave elastography, and artificial intelligence in size-stratified diagnosis of thyroid nodules

Multivariate analysis of ultrasonographic characteristics for differentiating benign and malignant BethesdaⅢ category thyroid nodules

Related Author

OU Shengsheng

LI Jie

WU Xinping

SUN Peixuan

TONG Yuyang

SU Lei

DU Xiaoying

GUO Jie

Related Institution

Department of Ultrasound, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University

Department of Function, The First Affiliated Hospital of Bengbu Medical College

Department of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Department of Ultrasound, Tangshan People’s Hospital

Department of Ultrasound, Jinling Clinical Medical College, Nanjing Medical University, General Hospital of the Eastern Theater of the Chinese People's Liberation Army

AI问答

⁰