微血流成像对甲状腺微小癌诊断价值的初步探索
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摘要
目的探讨超微血流成像(SMI)技术对甲状腺微小癌(TMC)的诊断价值。方法对经手术病理或细针穿刺抽吸(FNA)证实的122例TMC患者140个微小结节的常规超声、SMI资料进行回顾性的分析。结果 SMI技术对TMC内微小血管及穿支微血管的显示率及显示数量与CDFI相比存在显著性差异(P=0.001)。TMC结节140个常规超声诊断符合率71.4%;使用SMI技术后诊断符合率为90%,SMI技术与常规超声检查对比(P=0.001)。结论 SMI技术能明显地提高TMC的诊断准确度,为TMC早期正确诊断开辟新途径。
Objective To discuss the diagnostic value of superb micro-vascular imaging(SMI)technology in thyroid microcarcinoma.Methods The routine ultrasound and SMI of 140micro-nodule in 122 cases of papillary thyroid micro-carcinoma were analyzed retrospectively.All were confirmed by surgical pathology or fine needle aspiration(FNA)cytology.Results With SMI technology.It had special advantage in display the micro vessels and perforators inside the thyroid micro-carcinoma.There was significant difference(P=0.001)between CDFI and SMI in vessels showing rate and amounts.In 140 thyroid micro-carcinoma nodules,the diagnostic coincidence rate by routine ultrasound was 71.4%.After using SMI,the diagnostic coincidence rate was 90.0%,Contrasting SMI with routine ultrasound respectively(P=0.001).Conclusions SMI technology can obviously improve the diagnostic accuracy in diagnosing thyroid micro-carcinoma.The technology will provide a new approach to make an early accurate diagnosis of thyroid micro-carcinoma.
Objective To discuss the diagnostic value of superb micro-vascular imaging(SMI)technology in thyroid microcarcinoma.Methods The routine ultrasound and SMI of 140micro-nodule in 122 cases of papillary thyroid micro-carcinoma were analyzed retrospectively.All were confirmed by surgical pathology or fine needle aspiration(FNA)cytology.Results With SMI technology.It had special advantage in display the micro vessels and perforators inside the thyroid micro-carcinoma.There was significant difference(P=0.001)between CDFI and SMI in vessels showing rate and amounts.In 140 thyroid micro-carcinoma nodules,the diagnostic coincidence rate by routine ultrasound was 71.4%.After using SMI,the diagnostic coincidence rate was 90.0%,Contrasting SMI with routine ultrasound respectively(P=0.001).Conclusions SMI technology can obviously improve the diagnostic accuracy in diagnosing thyroid micro-carcinoma.The technology will provide a new approach to make an early accurate diagnosis of thyroid micro-carcinoma.
引文
[1]Ito Y,Miyauchi A,Inoue H,et al.An observational trial for papillary thyroid microcarcinoma in Japanese patients.World J Surg,2010,34(1):28-35.
[2]李逢生,冯海波,徐荣,等.甲状腺微小乳头状癌36例超声回顾分析.中国超声医学杂志,2012,28(4):317-320.
[3]陈红燕,王栋华,朱慧,等.超声造影在甲状腺微小乳头状癌临床应用中的初步探索.中国超声医学杂志,2015,31(10):868-870.
[4]Adler DD,Garson PI,Rubin JM,et al.Doppler ultrasound color flow imaging in the study of breast cancer:preliminary findings.Ultrasound Med Biol,1990,16(6):553-559.
[5]詹嘉,陈璐,万敏,等.微血管成像技术探查BI-RADS4类乳腺肿块内穿支血管的价值.中国超声医学杂志,2014,30(11):977-980.
[6]Wan C,Du J,Fang H,et a1.Evaluation of breast lesions by contrast enhanced ultrasound:qualitative and quantitative analysis.Eur J Radiol,2012,8l(4):e444-450.
[7]夏罕生,俞清,黄备建,等.乳腺富血供病灶的灰阶实时超声造影和能量多普勒超声对照研究.中华超声影像学杂志,2009,18(7):776-777.
[8]Forsberg F,Machado P,Segal S,et al.Microvascular Blood Flow in the Thyroid:Preliminary Results with a Novel ImagingTechnique.IEEE Int Ultraso Symp Pro,2014,10:2237-2240.
[2]李逢生,冯海波,徐荣,等.甲状腺微小乳头状癌36例超声回顾分析.中国超声医学杂志,2012,28(4):317-320.
[3]陈红燕,王栋华,朱慧,等.超声造影在甲状腺微小乳头状癌临床应用中的初步探索.中国超声医学杂志,2015,31(10):868-870.
[4]Adler DD,Garson PI,Rubin JM,et al.Doppler ultrasound color flow imaging in the study of breast cancer:preliminary findings.Ultrasound Med Biol,1990,16(6):553-559.
[5]詹嘉,陈璐,万敏,等.微血管成像技术探查BI-RADS4类乳腺肿块内穿支血管的价值.中国超声医学杂志,2014,30(11):977-980.
[6]Wan C,Du J,Fang H,et a1.Evaluation of breast lesions by contrast enhanced ultrasound:qualitative and quantitative analysis.Eur J Radiol,2012,8l(4):e444-450.
[7]夏罕生,俞清,黄备建,等.乳腺富血供病灶的灰阶实时超声造影和能量多普勒超声对照研究.中华超声影像学杂志,2009,18(7):776-777.
[8]Forsberg F,Machado P,Segal S,et al.Microvascular Blood Flow in the Thyroid:Preliminary Results with a Novel ImagingTechnique.IEEE Int Ultraso Symp Pro,2014,10:2237-2240.