影像科学与光化学2026，Vol.44Issue(3)：97-101,5.DOI:10.7517/issn.1674-0475.2026.03.13
MSCT联合超声在TI-RADS 4类甲状腺结节定性诊断中的价值
Value of MSCT Combined with Ultrasound in Qualitative Diagnosis of TI-RADS 4 Thyroid Nodules
摘要
Abstract
Objective:To analyze the value of multi-slice spiral computed tomography(MSCT)combined with ultrasound in qualitative diagnosis of Thyroid Imaging Reporting and Data System(TI-RADS)4 thyroid nodules.Methods:A total of 121 patients with TI-RADS 4 thyroid nodules(121 in total)who were diagnosed and treated in the hospital from July 2021 to July 2022 were selected as research subjects.All patients underwent MSCT and ultrasound examinations,and the examination results were comparatively analyzed.Their value in qualitative diagnosis of TI-RADS 4 thyroid nodules was evaluated.Results:Pathological results(the gold standard)showed that among 121 patients with TI-RADS 4 thyroid nodules,there were 87 cases with malignant nodules and 34 cases with benign nodules.MSCT found 41 cases with benign nodules and 80 cases with malignant nodules.Compared with pathological diagnosis,the sensitivity and specificity of MSCT for distinguishing benign and malignant TI-RADS 4 thyroid nodules were 85.06%and 82.35%.44 cases with benign nodules and 77 cases with malignant nodules were found by ultrasound examinations.Compared with pathological diagnosis,the sensitivity and specificity of ultrasound for distinguishing benign and malignant TI-RADS 4 thyroid nodules were 79.31%and 76.47%.The sensitivity,accuracy,and negative predictive values of MSCT,ultrasound,and combination of the two for distinguishing benign and malignant TI-RADS 4 thyroid nodules showed statistically significant differences(P<0.05).However,the specificity and positive predictive values showed no statistically significant difference(P>0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of combined diagnosis were higher than ultrasound diagnosis.The sensitivity and accuracy were higher than MSCT(P<0.05).Conclusion:MSCT combined with ultrasound can improve the diagnostic sensitivity and accuracy for benign and malignant TI-RADS 4 thyroid nodules.关键词
甲状腺结节/多层螺旋CT/超声/诊断Key words
thyroid nodule/multi-slice spiral computed tomography/ultrasound/diagnosis分类
医药卫生引用本文复制引用
韩树博,刘明阳,杨香花,刘振兴..MSCT联合超声在TI-RADS 4类甲状腺结节定性诊断中的价值[J].影像科学与光化学,2026,44(3):97-101,5.基金项目
邢台市科技计划项目(2022ZC230). （2022ZC230）
