|
|
|
| Evaluation of shear wave elastography in differentiation diagnosis of thyroid nodules using logistic regression |
| XU Yongbo, YU Yanjie, SUN Jian, SUN Fang, YANG Zhi, ZHANG Wenxiao* |
| Department of Ultrasound, Binzhou Medical University Hospital, Binzhou 256603, Shandong,P. R. China |
|
|
|
|
Abstract Objective To evaluate the value of conventional ultrasonic and shear wave elastography in the diagnosis of thyroid nodules by applying the binary Logistic regression model. Methods Totally 239 cases of thyroid solitary nodules were examined by conventional ultrasonic and shear wave elastography.A Logistic model was obtained on the basis of ultrasonographic features. A receiver operator characteris(ROC) curve was constructed to assess the performance of the Logistic model. The differential diagnosis value of shear wave elastography in thyroid nodules was evaluated. Results Four ultrasonographic features including boundary, calcification, Emax and Emean finally entered into the Logistic model. The percentage of correct prediction, the sensitivity and specificity were 91.60％, 92.90% and 89.90%. Conclusion Shear wave elastography plays important role in the differential diagnosis of thyroid nodules.
|
|
Received: 28 September 2019
|
|
|
|
|
|
[1] 颜虹.医学统计学[M].2版.北京:人民卫生出版社,2010: 366-377.
[2] 李小强,陈红娜,杨智,等.剪切波弹性成像对甲状腺结节良恶性的鉴别诊断价值[J].临床超声医学杂志,2016,18 (4) :233-236.
[3] BERG W A, COSGROVE D O, DORé C J, et al. Shear-wave elastography improves the specificity of breast US:the BE1 multinational study of 939 masses[J].Radiology,2012,262(2):435-449.
[4] ATHANASIOU A, TARDIVON A, TANTER M, et al. Breast lesions:quantitative elastography with supersonic shear imaging-preliminary results[J].Radiology,2010,256(1):297-303.
[5]侯迎迎,都晓英,苏蕾,等.剪切波弹性成像在定量评估慢性肾脏病中的应用价值[J].中国超声医学杂志,2019,35(3):250-252.
[6] 郝云霞,崔立刚,孙洋.剪切波弹性成像技术检测正常人髌腱弹性特征的初步研究[J].中国超声医学杂志,2019,35(1):69-72.
[7] 马慧,杨宗利,张丰明,等.经阴道常规超声联合剪切波弹性成像对子宫内膜癌的鉴别诊断价值[J].中华超声影像学杂志,2019,28(4):330-335.
[8] FTATES M C, BENSON C B, CHARLMNEAU J W, et al. Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement [J]. Radiology, 2005, 237:794-800.
[9] PARK A Y, SON E J, HAN K, et a1. Shear wave elastography of thyroid nodules for the prediction of malignancy in a large scale study [J]. Eur J Radiol, 2015, 84(3):407-412.
[10] LIU B, LIANG J, ZHENG Y, et a1. Two-dimensional shear wave elastography as promising diagnostic tool for predicting malignant thyroid nodules:a prospective single-centre experience[J]. Eur Radiol, 2015, 25(3):624-634. |
| [1] |
GUO Lantian, MA Zhenzhen, FENG Yan, ZOU Xuexue. Logistic regression analysis about the diagnostic value of multisliecs helieal CT on thyroid benign and malignant nodules[J]. 滨州医学院学报, 2019, 42(5): 342-345. |
| [2] |
. [J]. 滨州医学院学报, 2018, 41(3): 214-215. |
| [3] |
ZHANG Wenxiao, WANG Minmin, LI Baowei, WANG Minghui, WANG Kun. Diagnostic value of supersonic shear imaging evaluating the degree of liver fibrosis in chronic hepatitis B[J]. 滨州医学院学报, 2017, 40(4): 257-259. |
| [4] |
DAI Chengcheng, LIU Xinjiang. The diagnostic value of ultrasonography in the diagnosis of benign and malignant thyroid nodules[J]. 滨州医学院学报, 2017, 40(2): 126-127. |
|
|
|
|
