中国超声甲状腺影像报告和数据系统与美国甲状腺协会超声模型对甲状腺结节诊断效能的比较研究

姜永玲; 胡彧

doi:10.7619/jcmp.20214598

中国超声甲状腺影像报告和数据系统与美国甲状腺协会超声模型对甲状腺结节诊断效能的比较研究

姜永玲,
胡彧

Comparison of efficacy of Chinese-Thyroid Imaging Reporting and Data System and American Thyroid Association ultrasound model in diagnosis of thyroid nodule

摘要

摘要:
目的比较中国超声甲状腺影像报告和数据系统（C-TIRADS）与美国甲状腺协会（ATA）超声模型对甲状腺结节良恶性的诊断价值。
方法回顾性分析经病理结果证实的245例甲状腺结节的常规超声声像图，分别使用C-TIRADS和ATA超声模型进行分类评价，比较两者对甲状腺结节良恶性的诊断效能。
结果 C-TIRADS和ATA超声模型对甲状腺结节诊断的受试者工作特征（ROC）曲线下面积分别为0.750、0.625。C-TIRADS诊断甲状腺结节良恶性的灵敏度为97.7%，特异度为52.2%，ATA超声模型诊断甲状腺结节良恶性的灵敏度为99.2%，特异度为25.7%。
结论 C-TIRADS较ATA超声模型诊断效能更高，特异度较高，可降低甲状腺良性结节的误诊率。

Abstract:
Objective To compare the diagnostic value of Chinese-Thyroid Imaging Reporting and Data System (C-TIRADS) and American Thyroid Association (ATA) ultrasonic model in benign and malignant thyroid nodules.
Methods The ultrasound images of 245 patients with thyroid nodules confirmed by pathological results were analyzed retrospectively. C-TIRADS and ATA ultrasound models were used for thyroid nodules classification, respectively. The diagnostic efficacy of the two diagnostic models was compared.
Results The areas under the receiver operating characteristic (ROC) curves of C-TIRADS and ATA ultrasound models were 0.750 and 0.625, respectively. The sensitivity and specificity of C-TIRADS in diagnosis of benign and malignant thyroid nodules were 97.7% and 52.2%, respectively. The sensitivity and specificity of ATA ultrasound model in diagnosis of benign and malignant thyroid nodules were 99.2% and 25.7%, respectively.
Conclusion C-TIRADS has higher diagnostic efficacy and specificity than ATA model in diagnosis of benign and malignant thyroid nodules, which can reduce the misdiagnosis rate of benign thyroid nodules of patients.

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