Naleini Farhad, Pirani Ali, Naseri Rozita, Karami Zahra, Shahpasandi Mohammad Hossein Rashidi, Kamangar Parisa Bahrami, Bakhtiari Negin
Department of Radiology, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah.
Department of Physical Medicine and Rehabilitation, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz.
Eur J Transl Myol. 2022 Jul 6;32(4):10635. doi: 10.4081/ejtm.2022.10635.
This descriptive study was performed on individuals who were referred to Imam Reza Hospital for fine needle aspiration biopsy (FNAB) based on the results of gray scale ultrasound and the decision of the referring physician. In addition to determining the gray scale characteristics of the nodules, shear wave elastography (SWE) was also performed and the results were recorded. These were also taken from the patients FNAB results. Finally, the findings of SWE and FNAB methods were compared and analyzed using SPSS software version 16. Based on the results presented herein, a significant relationship was observed between the results of SWE and FNA in the diagnosis of malignancy in solid thyroid nodules. This agreement was found to be higher in men (K = 0.866) than women (K = 0.849). Taken together, our data suggest that shear wave elastography can replace FNA in the diagnosis of malignancy in solid thyroid nodules.
本描述性研究针对的是那些根据灰阶超声检查结果及转诊医生的判断，被转至伊玛目礼萨医院进行细针穿刺活检（FNAB）的个体。除了确定结节的灰阶特征外，还进行了剪切波弹性成像（SWE）检查并记录结果。这些结果也取自患者的FNAB结果。最后，使用SPSS 16.0软件对SWE和FNAB方法的结果进行比较和分析。根据本文给出的结果，在实性甲状腺结节恶性肿瘤的诊断中，观察到SWE和FNA结果之间存在显著相关性。发现男性（K = 0.866）的一致性高于女性（K = 0.849）。综上所述，我们的数据表明，剪切波弹性成像在实性甲状腺结节恶性肿瘤的诊断中可以替代FNA。
