甲状腺TI-RADS分类.pptxVIP

甲状腺TI-RADS 分类岳林2013456例TPC≥95%类型例数%TPC43995.86(TMC)10924.83滤泡腺癌10.2髓样癌91.96未分化癌30.65淋巴瘤30.65转移癌30.65F,50甲状腺结节单发、多发囊性、实性、混合性增生性、肿瘤性良性、恶性恶性的类型？甲状腺结节良性？恶性？不处理观察—随访时间FNA手术临床需要明确Thyroid imaging2009—2011—2013Ultrasonic feature of thyroid malignantUS恶性征象实质性低回声纵横比1边界模糊微钙化Thyroid Imaging Reporting and Data System of US Features TI-RADSTI-RADS性质内容0弥漫性病变HT1阴性正常（术后）2良性3可能良性不确定4 4a 4b 4c可疑恶性1235恶性46恶性病理证实甲状腺超声检查报告TI-RADSThyroid Imaging Reporting and Data System of Ultrasonography二、TI-RADS的基本分类TI-RADS:0类弥漫性改变的甲状腺无结节Risk of malignant =0不需分类桥本甲状腺炎TI-RADS： 0类TI-RADS:1类正常甲状腺（术后完全切除甲状腺）Risk of malig