Radiology:有了TI-RADS,甲状腺结节患者少挨刀!

2018-04-13 shaosai MedSci原创

本研究旨在比较应用美国放射学会(ACR)甲状腺成像报告和数据系统(TI-RADS)标准对甲状腺结节评价后甲状腺结节活检率和诊断准确率,并将结果发表在Radiology上。

本研究旨在比较应用美国放射学会(ACR)甲状腺成像报告和数据系统(TI-RADS)标准对甲状腺结节评价后甲状腺结节活检率和诊断准确率,并将结果发表在Radiology上。

本研究由8名3-32年甲状腺超声(US)诊断经验的医生分析100个甲状腺结节US特点,甲状腺结节均由细胞学或病理学证实。在不知ACT TI-RADS标准的情况下,根据自身临床经验评价甲状腺结节的US特征并归为5类,提供活检建议。另外3名影像专家作为影像结果权威性诊断观察者。然后8名US医生应用TI-RADS标准提供活检建议。比较活检率、敏感性、特异性和准确率。

结果为,15/100结节(15%)为恶性。基于自身的临床经验,8位US医生对甲状腺结节建议活检的平均数量为80 ± 16 (范围38-95个),应用ACR TI-RADS标准后为57 ± 11 (范围37-73个)。在无ACR TI-RADS标准的情况下,阅片者的整体敏感性、特异性和准确率分别为95% (95%CI: 83%, 99%)、 20% (95% CI: 16%, 25%)和28% (95% CI: 21%, 37%)。在应用ACR TI-RADS标准后,整体敏感性、特异性和准确率分别为92% (95% CI: 68%, 98%)、 44% (95% CI: 33%, 56%)、52% (95% CI: 40%, 63%)。在有ACR TI-RADS标准后,更少的恶性肿瘤被建议活检,大多数病变在随访中符合ACR TI-RADS标准。仅有3/120 (2.5%)恶性病变未给予随访或活检建议。应用ACR TI-RADS标准,专家对55/100结节建议活检。敏感性、特异性和准确性分别为87% (95% CI: 48%, 98%)、51% (95% CI: 40%, 62%)、56% (95% CI: 46%, 66%)。

本研究表明,ACR TI-RADS标准对减少甲状腺结节活检率很有价值,并且提高了甲状腺结节诊断率。

原始出处:


10.1148/radiol.2018172572

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    2019-02-15 sjzlzc019
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    2019-01-08 江川靖瑶
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    2018-04-19 yfjms

    学习

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    2018-04-17 121832a9m88暂无昵称

    学习了

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  6. [GetPortalCommentsPageByObjectIdResponse(id=1746583, encodeId=7d2d1e4658366, content=<a href='/topic/show?id=89431e42974' target=_blank style='color:#2F92EE;'>#TI-RADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17429, encryptionId=89431e42974, topicName=TI-RADS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6ca435789970, createdName=sjzlzc019, createdTime=Fri Feb 15 00:43:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1792981, encodeId=f8861e9298106, content=<a href='/topic/show?id=6d7e150911e' target=_blank style='color:#2F92EE;'>#RADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15091, encryptionId=6d7e150911e, topicName=RADS)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK17mLkWpia3T92NlEWTkEhrhZa7XPNic2JqQumEicZXGYFG6Ww5SCIl0Uq62bhhPnibAqIZDHtRva92A/132, createdBy=e0752500025, createdName=江川靖瑶, createdTime=Tue Jan 08 10:43:00 CST 2019, time=2019-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2029508, encodeId=8d96202950898, content=<a href='/topic/show?id=c4222014ff' target=_blank style='color:#2F92EE;'>#ADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2014, encryptionId=c4222014ff, topicName=ADS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=38232500109, createdName=1249898am15暂无昵称, createdTime=Thu Sep 06 15:43:00 CST 2018, time=2018-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=307193, encodeId=da6b30e1934c, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Thu Apr 19 07:23:01 CST 2018, time=2018-04-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=306502, encodeId=e265306502f3, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a8f22260741, createdName=121832a9m88暂无昵称, createdTime=Tue Apr 17 05:39:13 CST 2018, time=2018-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=305872, encodeId=4feb3058e24a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/18/9fba4e8a3782366829a5645367fdb658.jpg, createdBy=b5732293938, createdName=青山颖钰, createdTime=Sun Apr 15 05:30:27 CST 2018, time=2018-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=305536, encodeId=e9aa305536b8, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/27/6f2d63c799d68129300901eb0e962dd4.jpg, createdBy=ddf12178538, createdName=小贝熊, createdTime=Sat Apr 14 00:14:09 CST 2018, time=2018-04-14, status=1, ipAttribution=)]
    2018-04-15 青山颖钰

    学习了

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1746583, encodeId=7d2d1e4658366, content=<a href='/topic/show?id=89431e42974' target=_blank style='color:#2F92EE;'>#TI-RADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17429, encryptionId=89431e42974, topicName=TI-RADS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6ca435789970, createdName=sjzlzc019, createdTime=Fri Feb 15 00:43:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1792981, encodeId=f8861e9298106, content=<a href='/topic/show?id=6d7e150911e' target=_blank style='color:#2F92EE;'>#RADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15091, encryptionId=6d7e150911e, topicName=RADS)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK17mLkWpia3T92NlEWTkEhrhZa7XPNic2JqQumEicZXGYFG6Ww5SCIl0Uq62bhhPnibAqIZDHtRva92A/132, createdBy=e0752500025, createdName=江川靖瑶, createdTime=Tue Jan 08 10:43:00 CST 2019, time=2019-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2029508, encodeId=8d96202950898, content=<a href='/topic/show?id=c4222014ff' target=_blank style='color:#2F92EE;'>#ADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2014, encryptionId=c4222014ff, topicName=ADS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=38232500109, createdName=1249898am15暂无昵称, createdTime=Thu Sep 06 15:43:00 CST 2018, time=2018-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=307193, encodeId=da6b30e1934c, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Thu Apr 19 07:23:01 CST 2018, time=2018-04-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=306502, encodeId=e265306502f3, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a8f22260741, createdName=121832a9m88暂无昵称, createdTime=Tue Apr 17 05:39:13 CST 2018, time=2018-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=305872, encodeId=4feb3058e24a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/18/9fba4e8a3782366829a5645367fdb658.jpg, createdBy=b5732293938, createdName=青山颖钰, createdTime=Sun Apr 15 05:30:27 CST 2018, time=2018-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=305536, encodeId=e9aa305536b8, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/27/6f2d63c799d68129300901eb0e962dd4.jpg, createdBy=ddf12178538, createdName=小贝熊, createdTime=Sat Apr 14 00:14:09 CST 2018, time=2018-04-14, status=1, ipAttribution=)]
    2018-04-14 小贝熊

    学习学习学习

    0

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