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[超声造影定量参数在甲状腺良恶性结节诊断中的价值]

[Values of the Quantitative Parameters of Contrast-enhanced Ultrasound in the Diagnosis of Thyroid Benign and Malignant Nodules].

作者信息

Ma Jiao Jiao, Sun Mai, Tian Yan, Chen Jie, Cheng Jing Ning, Wang Xiu Hong, Zhang Bo

机构信息

Department of Ultrasound, China-Japan Friendship Hospital,Beijing 100029,China.

E.N.T.Department, China-Japan Friendship Hospital,Beijing 100029,China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2020 Feb 28;42(1):80-85. doi: 10.3881/j.issn.1000-503X.11269.

Abstract

To investigate the value of contrast-enhanced ultrasound(CEUS)quantitative parameters in the diagnosis of thyroid benign and malignant nodules. The CEUS features of 85 histopathologically confirmed thyroid nodules were quantitatively analyzed using five parameters including rising time(RT),time to peak(TTP),area under the curve(AUC),maximum intensity(Imax),and mean transit time(mTT).The dynamic vascular pattern(DVP)curves were also drawn. The Imax(=-7.08,=0.01)and AUC(=-2.03,=0.04)of thyroid malignant nodules were significantly smaller than those of thyroid tissue,and the Imax(=-1.35,=0.02)and AUC(=-0.21,=0.02)of thyroid benign nodules were significantly larger than those of thyroid tissue.There were significant differences between thyroid benign and malignant nodules in Imax(=-4.16,=0.00),AUC(=-3.01,=0.01),and DVP curve types(=0.00).RT(=-0.28,=0.62),TTP(=-0.10,=0.89),and mTT(=-0.79,=0.05)were not significantly different between thyroid benign and malignant nodules. The quantitative parameters of CEUS,especially Imax and AUC parameters,are valuable in the diagnosis of benign and malignant thyroid nodules.

摘要

探讨超声造影(CEUS)定量参数在甲状腺良恶性结节诊断中的价值。对85个经组织病理学证实的甲状腺结节的CEUS特征进行定量分析,采用包括上升时间(RT)、达峰时间(TTP)、曲线下面积(AUC)、最大强度(Imax)和平均通过时间(mTT)在内的5个参数。并绘制动态血管模式(DVP)曲线。甲状腺恶性结节的Imax(=-7.08,=0.01)和AUC(=-2.03,=0.04)显著小于甲状腺组织,甲状腺良性结节的Imax(=-1.35,=0.02)和AUC(=-0.21,=0.02)显著大于甲状腺组织。甲状腺良恶性结节在Imax(=-4.16,=0.00)、AUC(=-3.01,=0.01)和DVP曲线类型(=0.00)方面存在显著差异。RT(=-0.28,=0.62)、TTP(=-0.10,=0.89)和mTT(=-0.79,=0.05)在甲状腺良恶性结节之间无显著差异。CEUS定量参数,尤其是Imax和AUC参数,在甲状腺良恶性结节诊断中具有重要价值。

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