C-TIRADS combined with contrast-enhanced ultrasound for evaluation of category 4 nodules in Hashimoto's thyroiditis
10.3969/j.issn.1673-9701.2024.03.006
- VernacularTitle:C-TIRADS联合超声造影评估桥本甲状腺炎4类结节
- Author:
Sifan CHEN
1
;
Feng CHEN
1
;
Xiaofang TANG
1
;
Zhou CHEN
1
;
Keke YANG
1
;
Fangqiang JIANG
1
Author Information
1. Department of Ultrasound, Yiyang Central Hospital, Hunan University of Traditional Chinese Medicine, Yiyang 413000, Hunan, China
- Publication Type:Journal Article
- Keywords:
Contrast-enhanced ultrasound;
Hashimoto's thyroiditis;
Thyroid nodules;
Image reporting and data systems
- From:
China Modern Doctor
2024;62(3):21-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective Evaluation of Chinese-thyroid imaging reporting and data system(C-TIRADS)combined with contrast-enhanced ultrasound(CEUS)for the assessment of category 4 nodules in the setting of Hashimoto's thyroiditis.Methods Retrospective analysis of 120 C-TIRADS category 4 thyroid nodules from 79 patients with confirmed Hashimoto's thyroiditis who attended the Yiyang Central Hospital from June to December 2022.Thyroid nodules exhibiting one or more benign or malignant features that were suspicious on CEUS were treated as downgraded or upgraded one level.Using the final surgical pathology results as the gold standard,working characteristic(ROC)curves of subjects based on C-TIRADS grading before and after CEUS adjustment were plotted to compare diagnostic efficacy.Results The sensitivity,specificity,and accuracy of the CEUS-adjusted C-TIRADS were 93.0％,87.8％and 90.8％,respectively(P<0.05).The area under the ROC curve was 0.811 and 0.904,respectively(P<0.05).Conclusion C-TIRADS combined with CEUS has better diagnostic efficacy in evaluating category 4 nodules in Hashimoto's thyroiditis.
