四川大学华西医院普外科甲状腺外科病房,四川 成都 610041
Received:29 January 2024,
Published:25 March 2025
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刘乙辛,李朋禺,郭子良等.甲状腺结节的影像组学研究进展[J].局解手术学杂志,2025,34(03):267-271.
LIU Yi-xin,LI Peng-yu,GUO Zi-liang,et al.Research progresses of radiomics in thyroid nodules[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(03):267-271.
刘乙辛,李朋禺,郭子良等.甲状腺结节的影像组学研究进展[J].局解手术学杂志,2025,34(03):267-271. DOI: 10.11659/jjssx.01E024136.
LIU Yi-xin,LI Peng-yu,GUO Zi-liang,et al.Research progresses of radiomics in thyroid nodules[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(03):267-271. DOI: 10.11659/jjssx.01E024136.
甲状腺结节近年来检出率逐渐提升,术前对其全方位准确评估、早期识别危险因素有助于临床选择治疗方案及改善预后。影像组学通过高通量挖掘肉眼不可见的图像特征从医学图像中提取定量特征对甲状腺结节进行评估,在甲状腺结节良恶性鉴别、甲状腺癌淋巴结转移、腺外侵犯、分子生物学改变、复发和预后等领域广泛开展且效能优异,但也存在各机构模型间效能差异大等不足。本文针对影像组学在甲状腺结节的应用价值、局限性和未来发展前景等方面进行综述,为临床实践及研究提供新思路。
The detection rate of thyroid nodules has gradually increased in recent years. Comprehensive and accurate preoperative evaluation and early identification of risk factors help doctors to choose treatment options and improve prognosis. Radiomics extracts quantitative features from medical images for evaluation of thyroid nodules through high-throughput mining of invisible image features,which has been widely used and has excellent performance in the identification of benign and malignant thyroid nodules,lymph node metastasis,extrathyroidal extension,molecular biological changes,recurrence and prognosis of thyroid cancer. However,there are also shortcomings such as large differences in performance among models from different institutions. This article reviews the application value,limitations and future development prospects of radiomics in the thyroid nodules,so as to provide new ideas for clinical practice and research.
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