Head and Neck Imaging

Study on the Diagnostic Value of CT in Thyroid Adenomas

Author:YIN Hong, LUO Bao-ping, LI Chun-ting

affiliation:The General Surgery Department of Chinese Medicine Hospital in Hubei Province, Wuhan 430061, China

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Abstract

Objective To investigate the effect of ultrasound and spiral CT in the diagnosis of thyroid adenoma. Methods 41 cases of thyroid adenoma and 52 cases of thyroid cancer were selected as the research object, Underwent spiral CT examination, To observe the effect of spiral CT in diagnosis of thyroid adenoma and thyroid carcinoma. Including the diagnostic sensitivity, specificity, positive predictive rate, negative predictive rate, correct rate and diagnostic accuracy. Results Thyroid adenoma and thyroid carcinoma were statistically significant (P<0.05) in the aspects of edge disruption, the number of lesions, the enhancement of the edge of the tumor, the irregular edge of the tumor, the calcification of the fine particles and the change of the capsule. To the pathological results as the standard, spiral CT was correctly diagnosed 51 cases of thyroid adenoma, 42 cases of thyroid cancer, The diagnostic sensitivity was 90.4%, specificity 90.2%, positive predictive rate of 92.2%, negative predictive rate of 88.1%, correct rate of 80.6% and diagnostic accuracy of 90.3%. Conclusion In the qualitative diagnosis of thyroid adenoma, spiral CT is effective and suitable for clinical application.

【Keyword】Spiral CT; Thyroid; Thyroid Neoplasms; Diagnosis Potency

【Chart number】R445.3;R736.1

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.04.003