Evaluating Diagnostic Efficiency of Thyroid Imaging Reporting and Data Systems proposed by the American College of Radiology in Surgically Resected Thyroid Nodules

被引：0

作者：

Ahmadinejad I. ^{[1
]}

Mardasi K.G. ^{[2
]}

Ahmadinejad Y. ^{[3
]}

Kahrizi M.S. ^{[2
]}

Soltanian A. ^{[4
]}

Merdasi P.G. ^{[5
]}

Ahmadinejad M. ^{[4
]}

机构：

[1] Students' Scientific Research Center, Tehran University of Medical Science, Tehran

[2] Student of Research Committee, Alborz University of Medical Sciences, Karaj

[3] Farzanegan, High School Part of National Organization for Development of Exceptional Talents, Tehran

[4] Department of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj

[5] Student of Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran

来源：

Current Medical Imaging | 2024年 / 20卷

关键词：

ACR-TIRADS; Imaging; Malignancy; Nodules; Thyroid; Ultrasound;

D O I：

10.2174/1573405619666230322095526

中图分类号：

学科分类号：

摘要：

Aim: Thyroid nodules are one of the most common clinical findings, with a prevalence of 68% in adults. Thyroid cancer is the fifth most common cancer in women. Introduction: The purpose of this study is to evaluate the diagnostic efficacy of Thyroid Imaging Reporting and Data Systems proposed by the American College of Radiology (ACR-TIRADS) for the diagnosis of malignancy in surgically resected thyroid nodules. Methods: In this retrospective study, patients who underwent thyroid nodules resected surgically from 2018-2020 were included. Before resection, an ultrasound was performed for TIRADS scores, and after resection histopathology, thyroid mass was obtained. The outcomes of the two systems were statistically compared. Results: The mean age of the 146 included patients was 47.6 ± 14.08 years, of which 109 (74.7%) were female. Based on TIRADS, 47 patients (32.2%) were in TI-RADS TR3, 36 patients (24.7%) were in TIRADS TR2, 34 (23.3%) in TIRADS 4, 24 (16.4%) in TIRADS TR5 and 5 patients (3.4%) were in TIRADS TR1. The overall sensitivity was 79.9% when ACR-TIRADS TR4 was set as a diagnostic cutoff value. Considering the total of TIRADS TR4 and TIRADS TR5 as predictors of thyroid malignancy, the sensitivity was 74.5% and the specificity was 76.8%. The positive and negative predictive value was 60.3% and 76.8%. Conclusion: ACR-TIRADS 4 and 5 can be considered good predictors of malignancy in thyroid nodules. More studies, including larger samples, are required to obtain a better conclusion. © 2024 The Author(s). Published by Bentham Science Publisher.

引用

共 22 条

[21]

Jin ZQ, Yu HZ, Mo CJ, Su RQ., Clinical study of the prediction of malignancy in thyroid nodules: modified score versus 2017 American college of radiology’s thyroid imaging reporting and data system ultrasound lexicon, Ultrasound Med Biol, 45, 7, pp. 1627-1637, (2019)

[22]

Liu JF, Wen DH, Li XJ, Liu XY, Xue G., Diagnostic performance of ultrasound-based risk stratification systems for indeterminate thyroid nodules: Comparison of the 2015ATA guidelines with the 2016 KTA/KSThR and 2017ACR guidelines, Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 33, 5, pp. 388-392, (2019)

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