Zhang Mingbo, Zhang Yan, Fu Shuai, Lv Faqin, Tang Jie
Department of Ultrasound, General Hospital of Chinese PLA, No.28, Fuxing Road, Haidian District, Beijing, China, (100853).
Clin Imaging. 2014 Jul-Aug;38(4):434-438. doi: 10.1016/j.clinimag.2014.03.010. Epub 2014 Mar 27.
The aim of this study was to evaluate the value of core needle biopsy (CNB) in the diagnosis of sonographically suspicious thyroid nodules. We retrospectively reviewed 997 patients with sonographically suspicious thyroid nodules who underwent CNB using pathological results as gold standard. In our result, the accuracy of CNB was 98.0%, and its area under the receiver operating characteristic curve was 0.981. The inconclusive result was in 22 (6.0%) of CNBs. Therefore, CNB demonstrates high rates of conclusive and accurate diagnosis in sonographically suspicious thyroid nodules, which may reduce repeat fine needle aspiration, diagnostic surgery, and unnecessary follow-up.
本研究的目的是评估粗针穿刺活检（CNB）在超声检查可疑甲状腺结节诊断中的价值。我们回顾性分析了997例超声检查可疑甲状腺结节并接受CNB检查的患者，以病理结果作为金标准。结果显示，CNB的准确率为98.0%，其受试者工作特征曲线下面积为0.981。22例（6.0%）CNB结果不明确。因此，CNB在超声检查可疑甲状腺结节中显示出较高的确诊率和准确率，这可能会减少重复细针穿刺抽吸、诊断性手术和不必要的随访。
