使用拉曼光谱诊断甲状腺肿瘤的临床研究。

Clinical study of the diagnosis of thyroid tumours using Raman spectroscopy.

作者信息

He Qingjian, Qin Lianjin, Yao Yongqiang, Wang WenJuan

机构信息

The First People's Hospital of Huzhou City, Department of Breast and Thyroid Surgery, Huzhou, China.

Zhong Shan Hospital of Dalian University, Department of Breast and Thyroid Surgery, Dalian, Liaoning, China.

出版信息

Braz J Otorhinolaryngol. 2025 Feb 28;91(3):101568. doi: 10.1016/j.bjorl.2025.101568.

Abstract

OBJECTIVE

The feasibility of the RS for the clinical diagnosis of thyroid tumours was explored.

METHODS

The tumour specimens from 30 benign patients and 30 malignant patients were collected. The collected specimens were subjected to RS and histopathological analysis. The Raman peak intensities of all the specimens were calculated, and the data were analysed using discriminant analysis.

RESULTS

(1) The prevalence rate of malignant tumours in females was as high as 76.7%. Central lymph node metastasis of malignant thyroid tumours accounted for 33.3% of cases, and lateral cervical lymph node metastasis accounted for only 6.7%. (2) The spectral intensity of malignant thyroid tumours was significantly greater than benign thyroid tumours at 1309 cm, which should be the characteristic peak of thyroid cancer. The accuracy, sensitivity, and specificity of the RS for differentiating benign from malignant thyroid tumours were 95%, 83.3% and 89.2%.

CONCLUSION

RS is feasible for the diagnosis of thyroid tumours. This study provides experimental and clinical support for the wider application of RS in the evaluation of thyroid tissue.

LEVELS OF EVIDENCE

Levels 4.

摘要

目的

探讨拉曼光谱(RS)用于甲状腺肿瘤临床诊断的可行性。

方法

收集30例良性患者和30例恶性患者的肿瘤标本。对收集的标本进行拉曼光谱分析和组织病理学分析。计算所有标本的拉曼峰强度,并采用判别分析对数据进行分析。

结果

(1)女性恶性肿瘤患病率高达76.7%。甲状腺恶性肿瘤中央淋巴结转移占病例的33.3%,颈侧淋巴结转移仅占6.7%。(2)在1309 cm处,甲状腺恶性肿瘤的光谱强度显著高于良性甲状腺肿瘤,该峰应为甲状腺癌的特征峰。拉曼光谱鉴别甲状腺良恶性肿瘤的准确性、敏感性和特异性分别为95%、83.3%和89.2%。

结论

拉曼光谱用于甲状腺肿瘤诊断是可行的。本研究为拉曼光谱在甲状腺组织评估中的更广泛应用提供了实验和临床支持。

证据级别

4级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8517/11914986/bdb685254aaf/gr1.jpg

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