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超声报告在甲状腺癌诊断和监测中的评估。

Evaluation of ultrasound reporting for thyroid cancer diagnosis and surveillance.

作者信息

Rowe Meghan E, Osorio Marcela, Likhterov Ilya, Urken Mark L

机构信息

Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York.

Department of Otolaryngology - Head and Neck Surgery, Mount Sinai Downtown, New York, New York.

出版信息

Head Neck. 2017 Sep;39(9):1756-1760. doi: 10.1002/hed.24825. Epub 2017 May 31.

Abstract

BACKGROUND

Despite the importance of ultrasound imaging in thyroid disease care, ultrasound reports vary greatly in the features described. It is essential that ultrasound reports contain and present all components necessary for a clinical decision in a reader-friendly format.

METHODS

One hundred ninety thyroid and neck ultrasound reports were scored using the universal ultrasound report template developed by Su et al, along with the American Thyroid Association (ATA) and the American Association of Clinical Endocrinologists/Associazione Medici Endocrinologi/European Thyroid Association (AACE/AME/ETA) guidelines. All ultrasounds were performed on patients seen between August and November 2015 by a single surgeon (M.L.U), and originated from a variety of physicians and institutions.

RESULTS

An average of 30.9% of Su et al's criteria was satisfactorily included in the reports. Similar results were reached when the ATA and the AACE/AME/ETA guidelines were applied as scoring templates.

CONCLUSION

Our results reveal the wide variation in ultrasound reporting. The standardization of ultrasound reporting would help to improve physicians' ability to properly diagnose and manage patients with thyroid disease.

摘要

背景

尽管超声成像在甲状腺疾病诊疗中至关重要,但超声报告所描述的特征差异很大。超声报告必须以读者友好的格式包含并呈现临床决策所需的所有要素。

方法

使用由苏等人开发的通用超声报告模板以及美国甲状腺协会(ATA)和美国临床内分泌医师协会/意大利内分泌医师协会/欧洲甲状腺协会(AACE/AME/ETA)指南,对190份甲状腺及颈部超声报告进行评分。所有超声检查均由同一位外科医生(M.L.U)于2015年8月至11月期间对患者进行,这些报告来自不同的医生和机构。

结果

报告中平均仅令人满意地包含了苏等人标准的30.9%。将ATA和AACE/AME/ETA指南用作评分模板时,也得出了类似结果。

结论

我们的结果揭示了超声报告存在广泛差异。超声报告的标准化将有助于提高医生对甲状腺疾病患者进行正确诊断和管理的能力。

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