摘要
目的分析不同年资医师应用TI-RADS结合UE鉴别甲状腺良恶性结节价值。方法由两位不同年资医师分别对160例甲状腺结节进行TI-RADS分类及UE评分,以病理结果作为诊断标准,计算诊断准确率及一致性。结果不同年资医师应用TI-RADS诊断甲状腺良恶性结节一致性较好,Kappa值0.826。TI-RADS4类甲状腺结节诊断准确率相对较低,低、高年资医师分别为65.79%、74.07%。TIRADS 4类甲状腺结节结合UE,低、高年资医师诊断准确率分别提高至87.5%、90.63%。结论不同年资医师应用TI-RADS鉴别甲状腺良恶性结节有较高的一致性,TI-RADS 4类甲状腺结节结合UE,不同年资医师诊断准确率均提高。
Objective To investigate the value of different seniority physician application of TI-RADS combine with UE differential diagnosis for thyroid nodule.Methods 160 thyroid nodules were examined by junior and senior sonographer with TI-RADS and UE,TI-RADS 4 nodules were underwent elastography.Results According to TI-RADS classification,two sonographers diagnosed thyroid nodules as a good consistency.Kappa=0.826.Comparatively,TI-RADS 4 nodules were easily misdiagnosed,the accuracies for junior and senior sonographer were 65.79%,74.07% respectively.The accuracies of TI-RADS 4 nodules combining Elastography for junior and senior sonographer were 87.5%,90.63% respectively.Conclusion Using TI-RADS classification,junior and senior sonographer showed good consistency.Combining Elastography for TI-RADS 4 nodules,the diagnostic accuracy was improved.
出处
《中国继续医学教育》
2016年第10期44-45,共2页
China Continuing Medical Education
