TI-RADS对甲状腺良恶性结节的诊断效能及一致性分析

doi:DOI:10.12117/jccmi.2019.12.001

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Abstract Objective: To evaluate the diagnostic efficacy of TI-RADS in thyroid benign nodules and to evaluate the consistency between observers. Methods: We retrospectively analyzed clinical data and characteristics of preoperative ultrasound of 266 patients with thyroid nodules confirmed by surgery or FNA. All the characteristics of ultrasound were confirmed by two experienced ultrasound physicians, according to the currently accepted standards, including solid composition with low echo or extremely low echo, lobulated and irregular edge, microcalcifications, and aspect ratio>1. All the nodules were divided into 3, 4a, 4b, 4c, 5 classes with pathology as the gold standard. The detection rate of malignant tumor in each classification were analyzed. Results: Two ultrasound physicians were consistent in classification of TI-RADS in thyroid nodules. The detection rates of malignant tumor in TI-RADS 3, 4a, 4b, 4c and 5 were 0%, 5.3%, 33.9%, 52.2% and 100.0%, respectively. Conclusion: TI-RADS has an important guiding significance in ultrasonic evaluation of the benign and malignant thyroid nodules and clinical management.

Key words： Thyroid nodule Ultrasonography

Received: 12 February 2019

PACS:	Ｒ736.1
	Ｒ445.1

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	Articles by authors
	CHEN Zheng-lei
	LUO Ping
	WANG Quan-jiang
	ZHANG Yu-hua
	HE Yong-hui

Cite this article:

CHEN Zheng-lei,LUO Ping,WANG Quan-jiang, et al. The diagnostic efficacy and consistency analysis of TI-RADS for benign and malignant thyroid nodules[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(12): 837-839.

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http://www.jccmi.com.cn/EN/DOI:10.12117/jccmi.2019.12.001 OR http://www.jccmi.com.cn/EN/Y2019/V30/I12/837

[1]Aschebrook-Kilfoy B, Schechter RB, Shih YC, et al. The clinical and economic burden of a sustained increase in thyroid cancer incidence[J]. Cancer Epidemiol Biomarkers Prev, 2013, 22(7): 1252-1259. [2]Kwak JY, Han KH, Yoon JH, et al. Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk[J]. Radiology, 2011, 26(3): 892-899. [3]Kwak JY, Jung I, Baek JH, er al. Image reporting and characterization system for ultrasound features of thyroid nodules: multicentric Korean retrospective study[J]. Korean J Radiol, 2013, 14(1): 110-117. [4]杨玉萍，徐晓红. 甲状腺超声TI-RADS分类诊断标准的研究进展[J]. 医学理论与实践，2014，27（18）：2418-2419. [5]陈晓康，陈少华，吕国荣. 超声TI-RADS分类对甲状腺结节的诊断价值[J]. 中国超声医学杂志，2012，28（12）：1066-1068. [6]张正顺，高翠霞，方耀武. TI-RADS分类在诊断甲状腺结节良恶性方面的应用研究[J]. 中国超声医学杂志，2013，29（8）：751-754. [7]林学英，林礼务，薛恩生，等. 高频超声对结节性甲状腺肿合并甲状腺微小癌的诊断价值[J]. 中国医学影像学杂志，2012，20（8）：618-621. [8]阮健秋，徐辉雄，谢晓燕，等. 甲状腺结节超声误诊原因的分析——大宗病例临床报告[J]. 影像诊断与介入放射学，2010，19（2）：115-117. [9]金红. 彩色多普勒超声对甲状腺结节误诊原因分析[J]. 临床超声医学杂志，2013，15（5）：354-355. [10]钟敏莹，石小红，杨丽丽，等. TI-RADS分类系统对不同直径甲状腺结节的诊断价值[J]. 中国超声医学杂志，2016，32（4）：289-291. [11]薛杰，曹小丽，姜宏，等. 甲状腺影像报告与数据系统联合超声弹性成像对甲状腺良恶性结节的诊断价值[J]. 中国医学影像学杂志，2015，23（5）：351-355. [12]刘利平，张立，刘静静，等. TI-RADS分类结合弹性成像对甲状腺结节鉴别诊断及不同医师一致性研究[J]. 中国超声医学杂志，2015，31（6）：490-493. [13]黄巧燕，丰波，文妙云，等. 超声弹性成像对甲状腺结节TI-RADS分类的影响[J]. 中国超声医学杂志，2015，31（10）：865-867. [14]王琰，崔可飞，马笑. 超声造影评分对甲状腺TI-RADS 4级结节良恶性的诊断价值[J]. 中国超声医学杂志，2015，31（10）：880-883. [15]郑斌，詹维伟，倪晓枫，等. 超声引导下细针穿刺抽吸活检对TI-RADS 4级甲状腺结节的诊断价值[J]. 上海交通大学学报：医学版，2014，34（8）：1206-1209. [16]李媛，霍真，陈杰. 甲状腺癌病理诊断中的若干问题[J]. 中华病理学杂志，2014，43（5）：348-352.