THE DIAGNOSTIC VALUE OF THE AMERICAN COLLEGE OF RADIOLOGY THYROID IMAGING REPORTING AND DATA SYSTEM CLASSIFICATION AND SHEAR-WAVE ELASTOGRAPHY FOR THE DIFFERENTIATION OF THYROID NODULES

被引：14

作者：

Makal, Gul Bora ^{[1
]}

Aslan, Aydin ^{[2
]}

机构：

[1] Yuksek Ihtisas Univ, Fac Med, Dept Gen Surg, Ankara, Turkey

[2] Yuksek Ihtisas Univ, Fac Med, Dept Radiol, Ankara, Turkey

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2021年 / 47卷 / 05期

关键词：

Shear-wave elastography; American College of Radiology Thyroid Imaging Reporting and Data System; Thyroid nodule; Thyroidectomy; CONTRAST-ENHANCED ULTRASONOGRAPHY; FINE-NEEDLE-ASPIRATION; TI-RADS; CONVENTIONAL ULTRASONOGRAPHY; ASSOCIATION GUIDELINES; RISK STRATIFICATION; MALIGNANCY RISK; BETHESDA SYSTEM; WHITE PAPER; BENIGN;

D O I：

10.1016/j.ultrasmedbio.2021.01.023

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

This study aimed to determine the diagnostic accuracy of the American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) classification and shear-wave elastography (SWE) for the diagnosis of benign and malignant thyroid nodules. This retrospective study enrolled 141 patients (18-84 y of age) undergoing thyroidectomy between January 2015 and August 2020. All statistical analysis was based on pathologic results of patients. The cut-off value was found as category 4 for ACR TI-RADS classification and 5 m/s for shear-wave velocity (Vs) by the receiver operator characteristic curve analysis (area under the curve [AUC] = 0.684, p = 0.020 and AUC = 0.715, p = 0.005, respectively). SWE has higher diagnostic accuracy than the ACR TI-RADS classification system and can improve thyroid nodule discrimination in all sizes of the nodules. Also, the diagnostic performance decreases when the nodule diameter increases. (C) 2021 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

引用

页码：1227 / 1234

页数：8

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