2.
两种系统不同各个分级甲状腺结节性质构成比、诊断敏感性、特异性及准确性
Sensitivity, specificity and accuracy of the two TI-RADS classification systems
TI-RADS Category | ACR | Kwak | ||||||||
TR2 | TR3 | TR4 | TR5 | 3 | 4a | 4b | 4c | 5 | ||
Se: Sensitivity; Sp: Specificity; PV+: Positive predictive value; PV-: Negative predictive value; LR+: Positive likelihood ratio; LR-: Negative likelihood ratio; DOR: Diagnostic odds ratio; TR: TI-RADS Risk. | ||||||||||
Malignant nodules | 0 | 7 | 23 | 102 | 1 | 6 | 13 | 75 | 37 | |
Ⅲ-Ⅳ | 1 | 6 | 9 | 9 | 2 | 6 | 6 | 8 | 3 | |
Benign nodules | 23 | 92 | 57 | 21 | 28 | 113 | 21 | 21 | 10 | |
Total | 24 | 105 | 89 | 132 | 31 | 125 | 40 | 104 | 50 | |
Malignant rate (%) | 0 | 7.1 | 28.8 | 83.0 | 3.5 | 5.0 | 38.2 | 78.1 | 78.7 | |
Se | 1.000 | 1.000 | 0.947 | 0.773 | 1.000 | 0.992 | 0.947 | 0.848 | 0.280 | |
Sp | 0 | 0.119 | 0.595 | 0.891 | 0 | 0.145 | 0.731 | 0.840 | 0.948 | |
PV+ | 0.406 | 0.437 | 0.615 | 0.830 | 0.406 | 0.443 | 0.706 | 0.783 | 0.787 | |
PV- | - | 1.000 | 0.942 | 0.851 | - | 0.966 | 0.953 | 0.890 | 0.658 | |
LR+ | 1.000 | 1.135 | 2.343 | 7.101 | 1.000 | 1.161 | 3.515 | 5.283 | 5.410 | |
LR- | - | 0 | 0.089 | 0.255 | - | 0.052 | 0.073 | 0.181 | 0.759 | |
DOR | - | - | 26.328 | 27.848 | - | 22.230 | 48.420 | 29.265 | 7.127 | |
Youden index | 0 | 0.119 | 0.543 | 0.664 | 0 | 0.138 | 0.678 | 0.688 | 0.228 | |
Accuracy | 0.406 | 0.477 | 0.738 | 0.843 | 0.406 | 0.489 | 0.818 | 0.843 | 0.677 |