甲状腺超声中的TIRADS系统

G. Russ , C. Bigorgne , B. Royer , A. Rouxel , M. Bienvenu-Perrard
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引用次数: 88

摘要

目的建立标准化的甲状腺超声分析和报告系统,即甲状腺影像学报告和数据系统(TIRADS),以提高对甲状腺结节患者的管理水平。材料和方法基于乳腺x线摄影使用的BI-RADS®系统,定义了影像学特征图谱、标准化词汇、报告模板和TIRADS分类0至6。通过对500个结节(159个肿瘤和341个良性结节)的回顾性分析,并将超声成像特征与组织学结果进行比较,验证了该系统的诊断效果。结果5个征象可准确发现90%的甲状腺癌。使用组织图可以很容易地定义结节的评分。评分的敏感性为95%,特异性为68%,比值比为40%。结论tirads是甲状腺超声检查的质量保证工具。它包含一个图像图谱,一个标准化的报告和评估甲状腺结节的类别,以便于评估单个结节的癌症风险,方便患者管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Le système TIRADS en échographie thyroïdienne

Purpose

To develop a standardized system for analyzing and reporting thyroid ultrasound, or Thyroid Imaging Reporting and Data System (TIRADS), in order to improve the management of patients with thyroid nodules.

Materials and methods

An atlas of imaging features, a standardized vocabulary, a report template and TIRADS categories 0 to 6 were defined, based on the BI-RADS® system used for mammography. The diagnostic efficacy of the system was tested by a retrospective review of 500 nodules (159 cancers and 341 benign nodules) and comparing US imaging features to histological findings.

Results

Five signs allow accurate detection of 90% of thyroid cancers. The score of a nodule can be easily defined by using an organigram. Sensitivity, specificity and odds-ratio of the score were respectively 95%, 68% and 40.

Conclusion

TIRADS is a quality assurance tool for thyroid ultrasound. It contains an image atlas, a standardized report and categories to evaluate thyroid nodules to easily assess the risk of individual nodules being cancers and facilitate patient management.

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来源期刊
Journal De Radiologie
Journal De Radiologie 医学-核医学
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