C-TIRADS联合超声弹性成像在甲状腺结节良恶性鉴别中的应用价值

Application Value of C-tirads Combined with Ultrasonic Elastography in Differentiating Benign and Malignant Thyroid Nodules

目的分析C-TIRADS联合超声弹性成像在甲状腺结节良恶性鉴别中的应用价值。方法将我院2019年4月~2021年5月的240例甲状腺结节患者,根据超声图像按照C-TIRADS、Kwak TI-RADS、TI-RADS三种不同TI-RADS分类标准对本组患者的结节进行分级,评估甲状腺结节的良恶性,评估结果以病理诊断结果为金标准,对比分析与弹性成像前后各组组内诊断效能情况。结果C-TIRADS分级越高,结节恶性率也更高,两者成正相关关系(P<0.05);在开展独立预测的时候,C-TIRADS曲线面积值为最高,而与另外两种方式相比差异不显著(P>0.05);本次研究中开展联合弹性成像之后AUC最高的为C-TIRADS,灵敏度与另外两者相比显著更高,特异度等诊断效能也明显提升(P<0.05)。结论C-TIRADS联合超声弹性成像能够较为准确的预测甲状腺结节良恶性,在鉴别甲状腺良恶性结节具有非常重要的应用价值。

Objective To analyze the application value of c-tirads combined with ultrasonic elastography in the differentiation of benign and malignant thyroid nodules.Methods 240 patients with thyroid nodules in our hospital from April 2019 to May 2021,According to the ultrasonic images,the nodules of this group of patients were classified according to three different ti-rads classification standards:c-tirads,Kwak ti-rads,and ti-rads,Evaluate the benign and malignant thyroid nodules,The evaluation results are based on pathological diagnosis,The intra group diagnostic efficacy of each group before and after elastography was compared and analyzed.Results The higher the c-tirads rating,The malignant rate of nodules is also higher,There was a positive correlation between them(P<0.05);When making independent forecasts,The area value of c-tirads curve is the highest,Compared with the other two methods,the difference was not significant(P>0.05);C-tirads is the highest AUC after joint elastography in this study,The sensitivity is significantly higher than the other two,The diagnostic efficacy such as specificity was also significantly improved(P<0.05).Conclusion C-tirads combined with ultrasound elastography can accurately predict the benign and malignant thyroid nodules,It has very important application value in differentiating benign and malignant thyroid nodules.