Image-Pro Plus 在辅助甲状腺结节声触诊组织成像技术诊断中的价值。

Value of image-pro plus for assisting virtual touch tissue imaging in the diagnosis of thyroid nodules.

机构信息

Department of Ultrasound, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, P.R. China.

出版信息

Clin Hemorheol Microcirc. 2021;77(2):143-151. doi: 10.3233/CH-200983.

DOI:10.3233/CH-200983

PMID:33185591

Abstract

PURPOSE

The value of virtual touch tissue imaging (VTI) with support of Image-Pro Plus (IPP) for diagnosing malignant thyroid tumors was assessed in the present study.

METHODS

In this retrospective study, we enrolled 160 patients with 198 thyroid nodules. TI-RADS, VTI grade, and VTI with support of IPP (VTI-IPP) were underwent for each nodule. With the pathological diagnosis as the gold standard, the receiver-operating characteristic curve (ROC) was drawn to evaluate the diagnostic performance of VTI-IPP, VTI, TI-RADS, VTI-IPP combinate with TI-RADS in thyroid carcinoma.

RESULTS

VTI-IPP score >2, VTI score >3, TI-RADS score >1, and VTI-IPP combine with TI-RADS score >4 expressed the highest diagnostic value for malignant thyroid nodules, the areas under the curve (AUC) were 0.939, 0.905, 0.925, and 0.967, respectively. The combination indicated the largest AUC, compared with VTI-IPP and TI-RADS, respectively (P = 0.0054 and 0.0009). The performance of VTI-IPP in diagnosing thyroid carcinomas was better than VTI (P = 0.0321).

CONCLUSION

Compare with VTI, VTI-IPP exhibited more excellent value in distinguishing between benign and malignant thyroid nodules. The value of malignant thyroid nodules diagnosis can be improved when VTI-IPP combines with TI-RADS.

摘要

目的

本研究旨在评估虚拟触诊组织成像（VTI）结合 Image-Pro Plus（IPP）在诊断甲状腺恶性肿瘤中的价值。

方法

在这项回顾性研究中，我们纳入了 160 名 198 个甲状腺结节患者。对每个结节进行 TI-RADS、VTI 分级和 VTI 结合 IPP（VTI-IPP）评估。以病理诊断为金标准，绘制受试者工作特征曲线（ROC）评估 VTI-IPP、VTI、TI-RADS 和 VTI-IPP 结合 TI-RADS 在甲状腺癌中的诊断性能。

结果

VTI-IPP 评分＞2、VTI 评分＞3、TI-RADS 评分＞1 和 VTI-IPP 结合 TI-RADS 评分＞4 对甲状腺恶性结节具有最高的诊断价值，曲线下面积（AUC）分别为 0.939、0.905、0.925 和 0.967。与 VTI-IPP 和 TI-RADS 相比，联合诊断的 AUC 最大（P=0.0054 和 0.0009）。VTI-IPP 诊断甲状腺癌的性能优于 VTI（P=0.0321）。