Value of colored Doppler sound for differential diagnosis of benign and malignant thyroid nodules
10.13491/j.issn.1004-714X.2024.05.017
- VernacularTitle:彩色多普勒超声用于鉴别甲状腺结节良恶性的价值
- Author:
Xingyue HUANG
1
;
Xiao YUAN
1
;
Yun XIA
1
;
Lei WU
1
;
Ti LIU
1
Author Information
1. Department of Ultrasound Medicine, Wuwei Municipal People’s Hospital, Wuwei 238300 China.
- Publication Type:OriginalArticles
- Keywords:
Colored Doppler ultrasound;
Thyroid nodule;
Differential diagnosis;
Diagnostic efficiency
- From:
Chinese Journal of Radiological Health
2024;33(5):590-594
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficiency of colored Doppler ultrasound for the differential diagnosis of benign and malignant thyroid nodules. Methods A total of 150 patients with thyroid nodules admitted to Wuwei Municipal People’s Hospital, Anhui Province, China during the period from July 2018 to December 2023 were enrolled. All patients underwent colored Doppler ultrasound of the thyroid gland and pathological examination of the thyroid nodules. The pathological examination of the thyroid nodules served as a gold standard to evaluate the value of colored Doppler ultrasound for the differential diagnosis of benign and malignant thyroid nodules. In addition, the value of different ultrasound image features for differential diagnosis of benign and malignant thyroid nodules was evaluated. Results With the pathological examination of the thyroid nodules as a gold standard, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the colored Doppler ultrasound were 100.00%, 95.87%, 85.29%, 95.87%, and 96.67% for the differential diagnosis of benign and malignant thyroid nodules. For differential diagnosis of benign and malignant thyroid nodules, a > 1 ratio of longitudinal to transverse diameters of thyroid nodules, irregular margin, and microcalcification showed a 100.00% sensitivity, irregular acoustic halos showed a 100.00% specificity, and microcalcification had the highest accuracy (98.00%). Conclusion Colored Doppler ultrasound has a high value for the differential diagnosis of benign and malignant thyroid nodules. A > 1 ratio of longitudinal to transverse diameters of thyroid nodules, irregular margin, and microcalcification provide valuable insights into the differentiation between benign and malignant thyroid nodules.
