Study on the diagnostic value of multimodal ultrasound in thyroid microcarcinoma

中国基层医药 Pub Date : 2020-03-01 DOI:10.3760/CMA.J.ISSN.1008-6706.2020.05.016

Yanhua Zhao, Qinglan Zhang, Xiao-Qiang Zhou

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Abstract

Objective To study the diagnostic value of multimodal ultrasound in thyroid microcarcinoma(TMC). Methods The clinical data of 203 TMC patients in the Sixth Hospital of Shanxi Medical University from March 2015 to January 2019 were retrospectively analyzed.The preoperative multimodal ultrasound results [high frequency ultrasonography(HFU), color Doppler (DU), ultrasonic elastography (UE)] were collected, the postoperative pathological results were seen as the gold standard, and the consistency of multimodal ultrasound diagnosis and the pathological results was analyzed, the diagnosis effect index of multimodal ultrasound was calculated, ROC curve was used to analyze the diagnostic value of multimodal ultrasound for TMC. Results The diagnostic results of HFU, UE were highly consistent with the postoperative pathological results (0.8 0.9). DU had medium diagnostic value for TMC (0.7≤AUC≤0.9). Conclusion Multimodal ultrasonography has high diagnostic value for TMC, and it can be used in many fields such as clinical diagnosis, efficacy evaluation and reexamination due to its good repeatability and non-invasive. Key words: Thyroid neoplasms; Ultrasonography; Ultrasonography, doppler, color; Elasticity imaging techniques; ROC curve; Area under curve; Diagnosis; Case-control studies

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多模态超声对甲状腺微癌诊断价值的探讨

目的探讨多模态超声对甲状腺微癌的诊断价值。方法回顾性分析山西医科大学第六医院2015年3月至2019年1月收治的203例TMC患者的临床资料。收集术前多模态超声结果[高频超声(HFU)、彩色多普勒(DU)、超声弹性成像(UE)]，以术后病理结果为金标准，分析多模态超声诊断与病理结果的一致性，计算多模态超声诊断效果指标，采用ROC曲线分析多模态超声对TMC的诊断价值。结果HFU、UE的诊断结果与术后病理结果高度吻合(0.8 - 0.9)。DU对TMC的诊断价值中等(0.7≤AUC≤0.9)。结论多模态超声对TMC具有较高的诊断价值，可用于临床诊断、疗效评价及复查等多个领域，重复性好，无创。关键词:甲状腺肿瘤;超声;彩超，多普勒;弹性成像技术;ROC曲线;曲线下面积;诊断;病例对照研究

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来源期刊

中国基层医药

CiteScore

0.10

自引率

0.00%

发文量

32251

期刊介绍： Since its inception, the journal "Chinese Primary Medicine" has adhered to the development strategy of "based in China, serving the grassroots, and facing the world" as its publishing concept, reporting a large amount of the latest medical information at home and abroad, prospering the academic field of primary medicine, and is praised by readers as a medical encyclopedia that updates knowledge. It is a core journal in China's medical and health field, and its influence index (CI) ranks Q2 in China's academic journals in 2022. It was included in the American Chemical Abstracts in 2008, the World Health Organization Western Pacific Regional Medical Index (WPRIM) in 2009, and the Japan Science and Technology Agency Database (JST) and Scopus Database in 2018, and was included in the Wanfang Data-China Digital Journal Group and the China Academic Journal Comprehensive Evaluation Database.