中国当代医药Issue(21)：60-63,66,5.
超声弹性成像及声辐射力脉冲成像鉴别甲状腺实性结节良恶性的临床价值
Clinical value of ultrasound elastography and acoustic radiation force im-pulse imaging in identification of the innocuousness or malign of thyroid solid nodule
康燕飞 1葛肖艳 1成静1
作者信息
- 1. 新疆维吾尔自治区石河子大学医学院第一附属医院功能科腹部彩超室，新疆石河子 832008
- 折叠
摘要
Abstract
Objective To investigate the clinical value of ultrasound elastography (UE) and acoustic radiation force im-pulse (ARFI) in the identification of innocuousness and malignancy of thyroid solid nodule. Methods From May 2013 to July 2014,102 patients (124) with thyroid nodule and confirmed by postoperative pathology were selected,and they were given conventional ultrasonography (CU) examination,UE examination and ARFI detection respectively.Elastic classification method was applied in UE,shear wave velocity (SWV) of lesion tissue was detected by ARFI.Pathological diagnosis was used as the gold standard to evaluate sensitivity,specificity and accuracy of 3 methods in the identifica-tion of innocuousness and malignancy of thyroid solid nodule;ROC curve was constructed. Results Area under curve (AUC) was 0.960,optimal diagnostic point of SWV value was 2.89.Diagnosis of thyroid malignant solitary solid nodule:sensitivity,specificity of CU,scoring method of UE five grade and SWV value for ARFI method was 69.44% (25/36), 81.81%(72/88);77.78%(28/36),88.63% (78/88);88.89% (32/36),93.18% (82/88) respectively. Conclusion UE technolo-gy and ARFI technology is superior to CU for judgement of thyroid solid nodule’nature,but accuracy of ARFI technolo-gy is higher,and has high clinical value in the identification of innocuousness and malignancy of thyroid solid nodule.关键词
超声弹性成像/声辐射力脉冲成像/甲状腺实性结节Key words
Ultrasound elastography/Acoustic radiation force impulse imaging/Thyroid solid nodule分类
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康燕飞,葛肖艳,成静..超声弹性成像及声辐射力脉冲成像鉴别甲状腺实性结节良恶性的临床价值[J].中国当代医药,2015,(21):60-63,66,5.
