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Characteristics of the parathyroid gland in endoscopic thyroidectomy with the application of an image enhancement system

机译：具有图像增强系统的内镜甲状腺切除术中甲状旁腺的特征

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摘要

Background To assist surgeons in identifying and preserving the parathyroid gland (PTG) in endoscopic thyroidectomy (ET), we have summarized the characteristics of the PTG and the surrounding tissues in ET by applying the Storz Professional Image Enhancement System (SPIES). Methods From November 2014 to May 2016, 182 patients with 613 suspected PTGs were included in our study. The shape, color, area, and density of surface blood vessels (SBVs); whether they were encapsulated with adipose tissue; and whether congestion was present during the operation were summarized. The κ coefficient of interobserver agreement in assessing the area and the density of SBVs of suspected PTGs with and without Spectra A (SA) and Spectra B (SB) modalities were calculated. Multiple binary logistic regression analyses were performed to determine the predictive value of different characteristics for detecting the PTG in ET with the application of SPIES. Results With visual identification and histopathological results as reference standards, 291 targeted tissues were identified as PTGs, 256 as adipose tissue, 43 as lymph nodes, and 23 as thyroid tissue. The κ coefficients of interobserver agreement in assessing SBV density with or without the SA and SB modalities were 0.944?±?0.013 and 0.859?±?0.021, respectively, and those in assessing SBV area were 0.937?±?0.014 and 0.841?±?0.022, respectively. In the comparison between PTGs and other tissues, multiple binary logistic regression analysis revealed that shape, color, SBV density, congestion, and whether tissue was encapsulated with adipose tissue were independent predictive factors of PTGs. Conclusion With the application of SPIES, the shape, color, density of SBVs, adipose tissue encapsulation, and congestion were independent factors that predicted PTGs in ET. The SA and SB modalities of SPIES could improve the reliability of SBV density and area classifications in targeted tissues.
机译：背景技术通过应用Storz专业图像增强系统（间谍），协助外科医生在内镜甲状腺切除术（ET）中鉴定和保留甲状旁腺（ET）中的甲状旁腺（ETG），我们总结了ET中的PTG和周围组织的特征。方法从2014年11月到2016年5月，我们的研究中包含182例613名疑似PTG的患者。表面血管（SBV）的形状，颜色，面积和密度;它们是否用脂肪组织封装;在概述过程中是否存在拥堵。计算interobserver协议的κ系数在评估具有和不具有光谱A（Sa）和光谱B（Sb）方式的疑似PTGS的区域和SBV的密度。进行多元逻辑回归分析，以确定不同特性的预测值，以便在ET中检测ET中的PTG。目视鉴定和组织病理学结果作为参考标准，将291个靶向组织鉴定为PTGS，256，作为脂肪组织，43例为淋巴结，23例作为甲状腺组织。 Interobserver协议的κ系数在评估有或没有SA和SB模式的SBV密度和SB型号为0.944？0.013和0.859？±0.021，评估SBV面积为0.937？±0.014和0.841？±？ 0.022分别。在PTGS和其他组织之间的比较中，多个二进制物流回归分析显示，具有脂肪组织包封的形状，颜色，SBV密度，充血和组织是否被染色的PTGS的独立预测因子。结论伴随着间谍，形状，颜色，SBV的密度，脂肪组织包封和拥塞是预测ET中PTG的独立因素。间谍的SA和SB模式可以提高靶向组织中SBV密度和面积分类的可靠性。

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  • 来源
    《Surgical Endoscopy》 |2018年第9期|共11页
  • 作者

    Peiliang Lin; Ping Han; Faya Liang; Qian Cai; Renhui Chen; Shitong Yu; Zhiwei Zhou; Xiaoming Huang;

  • 作者单位

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

    Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Department;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    SPIES; Parathyroid gland; Endoscopic thyroidectomy;

    机译：间谍;甲状旁腺;内窥镜甲状腺切除术;

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