山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (7): 53-59.doi: 10.6040/j.issn.1671-7554.0.2019.1505
• • 上一篇
肖娟1,肖强2,丛伟3,李婷4,丁守銮1,张媛1,邵纯纯1,吴梅4,刘佳宁3,贾红英1
XIAO Juan1, XIAO Qiang2, CONG Wei3, LI Ting4, DING Shouluan1, ZHANG Yuan1, SHAO Chunchun1, WU Mei4, LIU Jianing3, JIA Hongying1
摘要: 目的 比较Kwak与ACR(2017)两种甲状腺影像报告和数据系统(TI-RADS)的诊断效能。 方法 回顾性收集2017年3月至2019年4月于山东大学第二医院行手术治疗的792例甲状腺结节患者资料,以1 940个甲状腺结节为研究对象开展研究。由2名从事甲状腺超声专业的高年资医师,分别采用两种TI-RADS评估标准对结节进行回顾性判读并进行统计学评价和比较。 结果 Kwak TI-RADS最佳诊断分界点为≥4a 级,其灵敏度、特异度分别为82.71%、76.06%;ACR(2017)TI-RADS最佳诊断分界点为TR5级,其灵敏度、特异度分别为68.67%、85.46%。Kwak TI-RADS的灵敏度高于ACR(2017)TI-RADS(P<0.001),而ACR(2017)TI-RADS的特异度高于Kwak TI-RADS(P<0.001)。Kwak TI-RADS的受试者工作曲线下面积(AUC)为0.826,高于ACR(2017)TI-RADS的0.810(P=0.024)。在≥1 cm结节中,两种TI-RADS体系的AUC差异无统计学意义(P=0.918);在<1 cm结节中,两种TI-RADS体系的AUC均较低,且Kwak高于ACR(2017)(P<0.001)。 结论 Kwak TI-RADS诊断效能略优于ACR(2017)TI-RADS,Kwak TI-RADS的灵敏度较高,而ACR(2017)TI-RADS的特异度较高。
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