Application of multimodal ultrasonography in the differential diagnosis of thyroid inflammatory diseases and nodules(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2024年第4期
- Page:
- 444-448
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Application of multimodal ultrasonography in the differential diagnosis of thyroid inflammatory diseases and nodules
- Author(s):
- LIU Ying; XU Juan; FENG Huamei; LI Ruifen; LIU Jingping; ZHANG Xiufang; LIU Zhaoguang
- Department of Ultrasound, Tangshan Peoples Hospital, Tangshan 063020, China
- Keywords:
- Keywords: thyroiditis thyroid nodule multimodal ultrasonography shear wave elastography
- PACS:
- R445.1
- DOI:
- DOI:10.3969/j.issn.1005-202X.2024.04.008
- Abstract:
- Abstract: Objective To investigate the diagnostic value of multimodal ultrasonography in thyroid inflammatory diseases and nodules. Methods A total of 312 patients with suspected thyroid nodules with thyroiditis, thyroid nodules with thyroiditis, and simple thyroid nodules were enrolled and underwent routine ultrasonography, contrast-enhanced ultrasound, shear wave elastography, and needle biopsy. Pathological results were available in all cases. Some lesions have undergone surgical treatment, with surgical and pathological data available. Results (1) Pathological examination reported thyroid nodules with thyroiditis in 97 cases, benign nodules in 56 cases, and malignant nodules in 159 cases. (2) With pathological diagnosis as the gold standard, when using routine ultrasonography, real-time shear wave elastography, contrast-enhanced ultrasound, and multimodal ultrasonography, separately, benign nodules were detectable in 70, 63, 60, and 57 cases, while malignant thyroid nodules were detectable in 145, 152, 155, and 158 cases. (3) Routine ultrasonography, real-time shear wave elastography, contrast-enhanced ultrasound, and multimodal ultrasonography had diagnostic sensitivities of 89.30%, 91.82%, 95.59%, 98.11%, specificities of 94.64%, 89.28%, 94.64%, 96.42%, and Kappa values of 0.776, 0.780, 0.882, 0.940, respectively. Multimodal ultrasonography was superior to routine ultrasonography, real-time shear wave elastography, and contrast-enhanced ultrasound in sensitivity, specificity, accuracy, and Kappa value. (4) Out of 97 cases of pathologically confirmed thyroid nodules with thyroiditis, 78, 76, 80, and 91 cases were diagnosed by routine ultrasonography, real-time shear wave elastography, contrast-enhanced ultrasound, and multimodal ultrasonography, indicating that multimodal ultrasonography had higher accuracy than routine ultrasonography, real-time shear wave elastography, and contrast-enhanced ultrasound. Conclusion Multimodal ultrasonography exhibits high diagnostic efficacy for thyroid diseases and is worthy of clinical popularization.
Last Update: 2024-04-25