Usefulness of combined use of contrast-enhanced ultrasound and TI-RADS classification for the differentiation of benign from malignant lesions of thyroid nodules.
Purpose: To study the thyroid image reporting and data system (TI-RADS) classification and the contrast-enhanced ultrasound (CEUS) enhancement pattern of thyroid nodules, and to determine whether combined use of both methods is helpful in the diagnosis of thyroid nodules.Methods: A total of 319 thyr...
| Publicado en: | European Radiology Vol. 27; no. 4; pp. 1527 - 1537 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121519107&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121519107 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Apr2017 vid: 27 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 121519107 121519107 144187480 NLM27525973 121519107 10.1007/s00330-016-4508-y NLM27525973 121519107 ppf: 1527 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Usefulness of combined use of contrast-enhanced ultrasound and TI-RADS classification for the differentiation of benign from malignant lesions of thyroid nodules. aug: au: Zhang, Yan Zhou, Ping Tian, Shuang-Ming Zhao, Yong-Feng Li, Jia-Le Li, Lan affil: Department of Ultrasound, The Third Xiangya Hospital , Central South University , Changsha 410013 China sug: subj: Contrast Media Ultrasonography Methods Radiology Information Systems Thyroid Nodule Image Enhancement Methods Young Adult Thyroid Gland Adult Aged Diagnosis, Differential Sensitivity and Specificity Thyroid Nodule Pathology Reproducibility of Results Male Middle Age Female Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Male Female ab: Purpose: To study the thyroid image reporting and data system (TI-RADS) classification and the contrast-enhanced ultrasound (CEUS) enhancement pattern of thyroid nodules, and to determine whether combined use of both methods is helpful in the diagnosis of thyroid nodules.Methods: A total of 319 thyroid nodules in 246 patients were assessed with TI-RADS, CEUS and a combination of both methods. The diagnostic performance of TI-RADS, CEUS and a combination of both methods was compared.Results: The accuracy in the diagnosis of thyroid nodules was 90.3 % for TI-RADS, 90.0 % for CEUS and 96.0 % for a combination of both methods respectively. A statistically significant difference was not observed in the diagnostic accuracy of CEUS and TI-RADS (P > 0.05). However, a significant difference was observed between a combination of both methods and either alone (P < 0.01). A combination of both methods showed high sensitivity, specificity and accuracy for TI-RADS classifications of 4a and 4b thyroid nodules compared with TI-RADS alone (P < 0.01) and a statistically significant difference was not observed for thyroid nodules classified as 2, 3, and 5 (P > 0.05).Conclusions: The improved TI-RADS, when combined with CEUS, could significantly improve the diagnostic accuracy for thyroid nodules, especially for TI-RADS class-4 thyroid nodules.Key Points: • TI-RADS can be used as the primary diagnostic standard for thyroid nodules • CEUS can be used as an important complement to TI-RADS • The improved TI-RADS can significantly improve the qualitative diagnostic accuracy. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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