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Application of microvascular ultrasound-assisted thyroid imaging report and data system in thyroid nodule risk stratification
- Source :
- Insights into Imaging, Vol 15, Iss 1, Pp 1-12 (2024)
- Publication Year :
- 2024
- Publisher :
- SpringerOpen, 2024.
-
Abstract
- Abstract Objectives To establish superb microvascular imaging (SMI) based thyroid imaging reporting and data system (SMI TI-RADS) for risk stratification of malignancy in thyroid nodules. Methods In total, 471 patients, comprising 643 thyroid nodules, who received conventional ultrasound (US), SMI, and a final diagnosis were extensively analyzed. A qualitative assessment of US features of the nodules was performed followed by univariable and multivariable logistic regression analyses, leading to the construction of the SMI TI-RADS, which was further verified using internal and external validation cohorts. Results Among the stand-alone US, predictive factors were the shape and margins of the nodules, echogenicity and echogenic foci, vascularity, extrathyroidal extension, ring-SMI patterns, penetrating vascularity, flow-signal enlarged, and vascularity area ratio. SMI TI-RADS depicted an enhanced area under the receiver operating characteristic curve (AUC) of 0.94 (95% CI: 0.92, 0.96; p
Details
- Language :
- English
- ISSN :
- 18694101
- Volume :
- 15
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Insights into Imaging
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.2eaa2af9762a4f4799e384683b6cbebe
- Document Type :
- article
- Full Text :
- https://doi.org/10.1186/s13244-024-01806-5