声触诊组织成像和定量技术在不同直径的甲状腺
TI-RADS 4类结节中的诊断价值

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To assess the value of virtual touch tissue imaging quantification(VTIQ) in different diameter TI-RADS 4 thyroid nodules on ultrasound. Methods: 191 patients with 195 pathologically proven benign(86) and malignant(109) thyroid nodules underwent TI-RADS and VTIQ examinations, and all the nodules were identified as TI-RADS 4． The thyroid nodules of TI-RADS 4 were divided into two groups according to diameter(≤10 mm and >10 mm)． Shear wave velocity(SWV) were measured with VTIQ. To assess the diagnostic value of TI-RADS, VTIQ and their combination in each group, the receiver operating characteristic(ROC) curves of TI-RADS, VTIQ and their combination were drawn in two groups. Areas under the curve(AUC) were compared between the two groups． Results: The sensitivity, specificity, positive predictive value, negative predictive value, accuracy and AUC of TI-RADS, VTIQ and their combination for the group(diameter≤10 mm) were 70.00%, 95.24%, 94.50%, 72.72%, 81.52%, 0.826; 82.00%, 78.57%, 82.00%, 78.57%, 80.43%, 0.803 and 96.00%, 76.19%, 82.76%, 94.12%, 86.96%, 0.861. In another group(diameter>10 mm), the sensitivity, specificity, positive predictive value, negative predictive value, accuracy and AUC were 67.80%, 90.91%, 90.91%, 67.80%, 77.67%, 0.794; 79.66%, 79.55%, 83.93%, 74.47%, 79.61%, 0.796 and 91.53%, 75.00%, 83.08%, 86.84%, 84.87%, 0.833. Three methods compared between the two groups have no statistically difference. Conclusion: It’s of high value for VTIQ to differentiate benign and malignant ones in different diameter TI-RADS 4 thyroid nodules. The sensitivity of the combination method was better than that single method. Between two groups, it’s better for the group which diameter≤10 mm in using VTIQ and their combination.

Key words： Thyroid nodule Ultrasonography

Received: 07 February 2017

PACS:	Ｒ581
	Ｒ445.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Miao
	SHEN Yan
	FU Xiao-hong
	WU Shu
	HE Jie

Cite this article:

LIU Miao,SHEN Yan,FU Xiao-hong, et al. Value of virtual touch tissue imaging quantification in different diameter TI-RADS 4 thyroid nodules[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(11): 764-769.

URL:

http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2017/V28/I11/764

[1]Davies L, Welch HG. Current thyroid cancer trends in the United States[J]. JAMA Otolaryngol Head Neck Surg, 2014, 140(4): 317-322. [2]齐育彬，陈光喜．改进SPIHT图像压缩算法在弹性成像中的应用[J]．桂林电子科技大学学报，2011，31（3）：234-237． [3]Ianculescua V, Ciolovan LM, Dunant A, et al. Added value of Virtual Touch IQ shear wave elastography in the ultrasound assessment of breast lesions[J]. Eur J Radiol, 2014, 83(5): 773-777． [4]Golatta M, Schweitzer-Martin M, Harcos A, et al. Normal breast tissue stiffness measured by a new ultrasound technique: virtual touch tissue imaging quantification(VTIQ)[J]． Eur J Radiol, 2013, 82(11): e676-e679． [5]Golatta M, Schweitzer-Martin M, Harcos A, et al. Evaluation of virtual touch tissue imaging quantification, a new shear wave velocity imaging method, for breast lesion assessment by ultrasound [J]. Biomed Res Int, 2014, 2014: 960262． [6]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, 260(3): 892-899． [7]黄娴，邓莹远，黄蕾丹，等. 不同甲状腺影像报告和数据系统在甲状腺结节分类诊断中的应用比较[J]. 放射学实践，2016，31（6）：538-542. [8]李延芳，徐辉雄，张一峰，等．声触诊组织量化成像（VTIQ）技术对不同大小甲状腺实性结节良恶性鉴别的诊断价值[J]．影像诊断与介入放射学，2014，23（6）：511－515． [9]沈燕，徐辉雄，张一峰，等. 甲状腺影像报告和数据系统与声触诊组织量化成像技术在甲状腺微小癌的诊断价值[J]. 影像诊断与介入放射学，2015，24（6）：460-464. [10]武忠弼，杨光华．中华外科病理学[M]．北京：人民卫生出版社，2006：1778-1780． [11]纪小龙，吉米. 甲状腺病理诊断[M]. 北京：人民军医出版社，2011：132-133. [12]Passler C, Prager G, Scheuba C, et al. Follicular variant of papillary thyroid carcinoma: along-term follow-up[J]. Arch Surg, 2003, 138(12): 1362-1366． [13]Sebastian SO, Gonzalez JM, Paricio PP, et al. Papillary thyroid carcinoma: prognostic index for survival including the histological variety[J]. Arch Surg, 2000, 135(3): 272-277． [14]张晓燕，张波，姜玉新．甲状腺滤泡癌的超声诊断及进展[J]．中国介入影像与治疗学，2012，9（12）：885-888． [15]Vidal-Casariego A, López-González L, Jiménez-Pérez A, et al. Accuracy of ultrasound elastography in the diagnosis of thyroid cancer in a low-risk population[J]. Exp Clin Endocrinol Diabetes, 2012, 120(10): 635-638．