摘要
目的:探讨S-Detect技术在甲状腺结节超声诊断的临床价值。方法:选取292例患者,共321个结节应用S-Detect技术进行检查分类,将得到的结果与病理结果进行对比分析。结果:病理结果中良性病灶104个(32. 4%),恶性病灶217个(67. 6%)。以细胞学病理为金标准,S-Detect技术横切面及纵切面的诊断准确率分别为61. 22%(150/245)、66. 12%(162/245),两者的敏感性、特异性、阳性预测值、阴性预测值分别为68. 39%、48. 89%、69. 74%、47. 31%及74. 19%、52. 22%、72. 78%、54. 02%;以组织学病理为金标准,S-Detect技术横切面及纵切面诊断的准确率分别为69. 74%(53/76)、77. 63%(59/76),两者的敏感性、特异性、阳性预测值、阴性预测值分别为74. 19%、50. 00%、86. 79%、30. 43%及83. 87%、50. 00%、88. 14%、41. 18%。结论:S-Detect技术对于提高甲状腺结节诊断准确率、降低超声医生劳动负荷有积极意义,其使用规范及操作指南有待建立。
Objective:To explore the clinical value of S-Detect in the ultrasonic diagnosis of thyroid nodules.Methods:A total of 292 patients were enrolled,and 321 nodules were examined by S-Detect.The results obtained were compared with pathological results.Results:There were 104 benign lesions(32.4%)and 217 malignant lesions(67.6%).With cytopathology as gold standard,the accuracy,sensitivity,specificity,positive predictive value and negative predictive value of S-Detect(transverse section vs longitudinal sections)were 61.22%(150/245)vs 66.12%(162/245),68.39%vs 74.19%,48.89%vs 52.22%,69.74%vs 72.78%,and 47.31%vs 54.02%,respectively;with histopathology as gold standard,the above-mentioned were 69.74%(53/76)vs 77.63%(59/76),74.19%vs 83.87%,50.00%vs 50.00%,86.79%vs 88.14%,and 30.43%vs 41.18%,respectively.Conclusion:S-Detect technology is positive in improving the accuracy of thyroid nodule diagnosis and reducing the burden of ultrasound doctors,and relevant specifications and operation guidelines are need to be established.
作者
阳建政
李陶
胡加银
程伟
杜鹏
吴林容
张滢滢
Yang Jianzheng;Li Tao;Hu Jiayin;Cheng Wei;Du Peng;Wu Linrong;Zhang Yingying(Department of Ultrasound,Army Medical Center of PLA,Chongqing 400042,China)
出处
《肿瘤预防与治疗》
2020年第11期828-833,共6页
Journal of Cancer Control And Treatment
基金
重庆市技术创新与应用示范项目(编号:cstc2018jscx-msyb0405)
