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| Analysis of the Relationship between Ultrasound Blood Flow Parameters and Clinical Pathology and Ultrasound TI-RADS Grading of Papillary Thyroid Cancer |
| ZHENG Wei, ZHENG Hui, CHEN Lu |
| Huaibei General Mining Hospital, Anhui Huaibei 235000, China |
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Abstract Objective: To analyze the relationship between ultrasound blood flow parameters and clinical pathology and ultrasound TI-RADS grading of papillary thyroid cancer. Methods: A total of 103 patients with papillary thyroid cancer diagnosed in our hospital from October 2020 to November 2023 were enrolled in the study. All subjects underwent ultrasound examination to obtain blood flow parameters and B-ultrasound TI-RADS grading. The blood flow parameters of patients with different pathological features and TI-RADS grades were compared, and the correlation between ultrasound blood flow parameters and papillary thyroid cancer pathology and TI-RADS grading was analyzed. Results: The pulsatility index (PI), resistance index (RI), and peak systolic velocity to peak diastolic velocity ratio (S/D) in patients with stages Ⅲ~Ⅳ were higher than those in patients with stages Ⅰ~Ⅱ (P<0.05); The PI, RI, and S/D in patients with cervical lymph node metastasis were significantly higher than those in patients without metastasis (P<0.05); The PI, RI, and S/D in patients with TI-RADS grades 5-6 were higher than those in patients with grades 4a-4c (P<0.05). Spearman rank correlation analysis showed that PI, RI, and S/D were positively correlated with TNM stage and TI-RADS grading in patients with papillary thyroid cancer (rTNM stage=0.401, 0.453, 0.462; rTI-RADS grading=0.308, 0.376, 0.368, P<0.05). Conclusion: Ultrasound blood flow parameters PI, RI, and S/D are closely related to tumor staging and TI-RADS grading in patients with papillary thyroid cancer. Early measurement of ultrasound blood flow quantitative parameters can provide certain reference information for the clinical diagnosis and prediction of papillary thyroid cancer.
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[1] 陈沛芬,赖瑾瑜,陈俊君.超声弹性成像参数与血浆miR-663、miR-221诊断乳头状甲状腺癌的价值及其病理学基础分析[J].山东医药,2021,61(17):78-81.
[2] 时润莉,周祖邦,姜自容,等.超声引导下细针穿刺细胞学检查联合分子标志物诊断乳头状甲状腺癌伴颈部淋巴结转移[J].中国医学影像技术,2020,36(10):1567-1570.
[3] 塔娜,王霞,景江新.超声造影联合定量分析技术在甲状腺良恶性结节诊断中的应用分析[J].河北医学,2020,26(8):1343-1347.
[4] 苏泳安,马海娇,刘昕.ACR TI-RADS联合微血流成像鉴别甲状腺结节良恶性的价值[J].临床超声医学杂志,2023,25(1):66-69.
[5] 刘绍严,徐震纲,王平,等.甲状腺癌诊疗指南(2022年版)[J].中国实用外科杂志,2022,42(12):1343-1363.
[6] Hu J,Yuan IJ,Mirshahidi S,et al.Thyroid carcinoma:phenotypic features,underlying biology and potential relevance for targeting therapy[J].Int Mol Sci,2021,22(4):1950-1974.
[7] 赵敏.彩色多普勒超声血流参数联合MRI评估甲状腺癌患者颈淋巴转移的价值分析[J].中国CT和MRI杂志,2022,20(9):30-32.
[8] 田昆,谷利宏.阴道超声血流灌注定量参数与宫颈癌临床分期和病灶内血管情况的关系[J].中国肿瘤临床与康复,2019,26(2):170-173.
[9] 马少增,符小春,彭旭.子宫内膜癌患者超声血流参数与肿瘤病理分期及预后的相关性[J].实用癌症杂志,2022,37(2):334-337.
[10] 宋海国,陆燕飞,苏庚,等.高频超声联合PSV、RI、Adler血流分级在甲状腺良恶性结节中的诊断价值[J].影像科学与光化学,2021,39(2):190-196.
[11] Kong QF,Lv B,Wang B,et al.Association of von willebrand factor (vWF) expression with lymph node metastasis and hemodynamics in papillary thyroid carcinoma[J].Eur Rev Med Pharmacol Sci,2020,24(5):2564-2571. |
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2024, Vol. 30 
