Diagnostic value of American College of Radiology and Kwak thyroid imaging reporting and
data system(TI-RADS) combined with contrast-enhanced ultrasound on thyroid nodules
MA Hui-fang1, XUE Gai-qin2
1. Shanxi Medical University, Taiyuan 030000, China;
2. Department of Ultrasound, Shanxi Provincial Cancer Hospital, Taiyuan 030000, China
Abstract：Objective: To compare the diagnostic value of thyroid imaging reporting and data system made by American College of Radiology(ACR TI-RADS), Kwak TI-RADS combined with contrast-enhanced ultrasound(CEUS) on thyroid nodules. Methods: Preoperative conventional ultrasound images and contrast-enhanced ultrasound images of 111 patients with thyroid nodules(in total of 165 nodules) were retrospectively analyzed. The nodules were classified with ACR TI-RADS, Kwak TI-RADS and TI-RADS after CEUS, and receiver operating characteristic curve were constructed with surgical pathological results as “golden standard”. Diagnostic value of three methods on thyroid nodules was analyzed and diagnostic efficiency was compared. Results: The sensitivity, specificity, accuracy and AUC of Kwak TI-RADS in diagnosing benign and malignant thyroid nodules respectively were 78.45%, 97.96%, 84.24%, 0.924. The sensitivity, specificity, accuracy and AUC of ACR TI-RADS in diagnosing benign and malignant thyroid nodules respectively were 81.90%, 83.67%, 82.42%, 0.878. The difference of specificity and AUC was statistically significant. The sensitivity, specificity, accuracy and AUC of Kwak TI-RADS after CEUS in diagnosing benign and malignant thyroid nodules were respectively 87.07%, 81.63%, 85.45% and 0.926, and the difference between each indicator compared with Kwak TI-RADS was not statistically significant. Conclusion: ACR TI-RADS and Kwak TI-RADS both have high diagnostic value for thyroid nodules, and Kwak TI-RADS has better specificity, especially for the benign nodules.
马慧芳1，薛改琴2. ACR TI-RADS与Kwak TI-RADS结合超声造影对
甲状腺结节的诊断价值[J]. 中国临床医学影像杂志, 2020, 31(7): 470-473.
MA Hui-fang1, XUE Gai-qin2. Diagnostic value of American College of Radiology and Kwak thyroid imaging reporting and
data system(TI-RADS) combined with contrast-enhanced ultrasound on thyroid nodules. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(7): 470-473.
[1]Gharib H, Papini E, Garber JR, et al． American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules——2016 Update[J]． Endocr Pract, 2016, 22(5): 622-639．
（下转477页）
（上接473页）
[2]Grant EG, Tessler FN, Hoang JK, et al． Thyroid ultrasound reporting lexicon: white paper of the ACR thyroid imaging, reporting and data system(TI RADS) committee[J]． J Am Coll Radiol, 2015, 12(12): 1272-1279．
[3]Kwak JY, Han KH． Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk[J]． Radiology, 2011, 260(3): 892-899．
[4]Horvath E, Majlis S, Rossi R, et al． An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management[J]． J Clin Endocrinol Metab, 2009, 94(5): 1748-1751．
[5]Tessle FN, Middleton WD, Grant EG, et al． ACR thyroid imaging, reporting and data system(TI-RADS): white paper of the ACR TI-RADS committee[J]． J Am Coll Radiol, 2017, 14(5): 587-595．
[6]张花，张群霞，宫玉萍，等. 超声造影联合常规超声在TI-RADS 4类结节诊断中的应用价值[J]. 临床超声医学杂志，2018，20（4）：247-249.
[7]王怡，张群霞，冉海涛. 美国放射学院与Kwak甲状腺影像报告和数据系统的比较[J]. 中国医学影像学杂志，2017，25（12）：881-884.
[8]王琰，崔可飞，付超，等. 超声造影评分法联合TI-RADS分类标准对甲状腺良恶性结节的诊断价值[J]. 中国临床医学影像杂志，2016，27（6）：439-441.
[9]刘晓芳，刘钊，王秋程，等. 甲状腺超声造影评分与弹性成像评分对TI-RADS分级的修正价值分析[J]. 现代肿瘤医学，2018，26（15）：2448-2452.
[10]丛淑珍，黄春旺，冯占武. 2017版甲状腺结节超声检查美国放射学会甲状腺影像报告和数据系统分级解读及临床应用[J]. 中华耳鼻咽喉头颈外科杂志，2019，54（1）：73-77.
[11]Middleton WD, Teofey SA, Reading CC, et al. Comparison of performance characteristics of American College of Radiology TI-RADS, Korean Society of Thyroid Radiology TIRADS, and American Thyroid Association Guidelines[J]． AJR, 2018, 210(5): 1148-1154.
