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英文誌(2004-)

Journal of Medical Ultrasonics

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1990 - Vol.17

Vol.17 No.06

Original Article(原著)

(0680 - 0688)

ファジイ理論を用いた甲状腺結節の超音波診断−誤診例の検討−

Incorrect Diagnosis in the Application of a Fuzzy Inference for Ultrasonic Examination of Thyroid Nodules

片桐 誠1, 有田 清三郎2, 福林 雅裕3, 山根 康彦1, 原田 種一1

Makoto KATAGIRI1, Seizaburou ARITA2, Masahiro FUKUBAYASHI3, Yasuhiko YAMANE1, Tanekazu HARADA1

1川崎医科大学内分泌・甲状腺外科, 2川崎医科大学数学教室, 3川崎医科大学中央検査部

1Division of Endocrine Surgery, Kawasaki Medical School, 2Department of Mathematics, Kawasaki Medical School, 3Department of Clinical Laboratories, Kawasaki Medical School

キーワード : Fuzzy inference, Ultrasonic diagnosis, Incorrect diagnosis, Thyroid cancer

Using a fuzzy inference with a newly developed ultrasonic diagnostic system for thyroid carcinoma, the following results were obtained for surgically treated cases of thyroid nodules: a sensitivity rate of 96.8%, a specificity rate of 72.9%, and an accuracy rate of 81.1%. Only one in 31 cases of papillary carcinoma, was not clearly diagnosed as carcinoma because there were not enough ultrasonic characteristics of malignant neoplasna. Among the cases of benign nodules, 6 were not clearly diagnosed as benign nodules and 10 were incorrectly diagnosed as carcinoma. These incorrect diagnoses seemed to be due to histological degenerative changes in the nodules, such as hyalinization, fibrosis or calcification, which occur frequently in colloid nodules. Nodules in chronic thyroiditis tended to be unclearly delineated, thus leading to an incorrect diagnosis.