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首页> 外文期刊>Scientific reports. >A Modified Thyroid Imaging Reporting and Data System (mTI-RADS) For Thyroid Nodules in Coexisting Hashimoto’s Thyroiditis
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A Modified Thyroid Imaging Reporting and Data System (mTI-RADS) For Thyroid Nodules in Coexisting Hashimoto’s Thyroiditis

机译:一种改进的甲状腺显像报告和数据系统(MTI-RADS)对于甲状腺结节在共存桥本氏甲状腺炎

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To develop a conventional ultrasound (US) modified Thyroid Imaging Reporting and Data System (mTI-RADS) to stratify the malignancy risk of thyroid nodule in coexisting Hashimoto's thyroiditis (HT). The study included 138 malignant and 292 benign thyroid nodules confirmed by cytological or histopathological results. The risk score (RS) for each significant US feature was estimated by multiplying corresponding regression coefficient and the total score for each nodule was defined as the sum of these individual scores. The mTI-RADS was established according to the total RS and divided into category 3, 4a, 4b, 4c and 5. Marked hypoechogenicity, taller-than-wide shape, poorly-defined margin, microcalcification or macrocalcification and halo sign absence were statistically significant US features in prediction of thyroid malignancy (all p??0.05). The total RS for each nodule was defined as following: RS?=?2.1× (if marked hypoechogenicity)?+?1.2× (if taller-than-wide shape)?+?1.7× (if no halo sign)?+?0.6× (if poorly-defined margin)?+?1.2× (if microcalcification or macrocalcification). The malignancy rates in mTI-RADS category 3, 4a, 4b, 4c and 5 nodules were 3.7%, 19.3%, 38.1%, 62.7% and 94.1%, respectively, with significant differences among different categories (P??0.001). The mTI-RADS category may facilitate subsequent treatment management in HT patients.
机译:为了开发传统的超声(US)修饰的甲状腺成像报告和数据系统(MTI-RAD),以分析甲状腺结节在共存哈希氏菌炎(HT)中的恶性风险。该研究包括通过细胞学或组织病理学结果证实的138个恶性和292个良性甲状腺结节。通过将相应的回归系数乘以对每个结节的总分被定义为这些个体分数的总和来估计每个重要的美国特征的风险评分(RS)。 MTI-RAD根据总RS确定,分为3,4A,4B,4C和5.标记的乳房原性,形状高于宽,定义差的余量,微钙化或大钙化,并且晕符号缺席具有统计学意义美国预测甲状腺恶性肿瘤的特征(所有P?<?0.05)。每个结节的总Rs定义如下:rs?=?2.1×(如果标记的乳房原性)?+?1.2×(如果形状高于范围)?+?1.7×(如果没有光环标志)?+? 0.6×(如果定义不良的边缘)?+?1.2×(如果微钙化或宏观化)。 MTI-RADS类别3,4a,4b,4c和5个结节中的恶性率分别为3.7%,19.3%,38.1%,62.7%和94.1%,不同类别的显着差异(p?<0.001)。 MTI-rads类别可以促进HT患者的后续治疗管理。

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