The impact of TI-RADS in detecting thyroid malignancies: a prospective study

Güldoğan, Esra Soyer; Ergün, Onur; Türkmenoğlu, Tuğba Taşkın; Yılmaz, Kerim Bora; Akdağ, Tuba; Güneş, Serra Özbal; Durmaz, Hasan Ali; Hekįmoğlu, Baki

doi:10.1007/s11547-021-01386-0

Cited by 15 publications

(14 citation statements)

References 25 publications

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“…In addition, it was stated that the effective use of TI-RADS in ultrasound follow-ups in thyroid nodules with low TR scores could prevent unnecessary biopsies and thyroidectomies. 21 What made the present study different from almost all of the other studies was that it had final pathology results as well as Bethesda scores. 15,19,20 The current study has the highest positive correlation reported in the literature between the ACR TI-RADS and the Bethesda system.…”

Section: Discussioncontrasting

confidence: 63%

“…In addition, it was stated that the effective use of TI-RADS in ultrasound follow-ups in thyroid nodules with low TR scores could prevent unnecessary biopsies and thyroidectomies. 21…”

Section: Discussionmentioning

confidence: 99%

“…Finally, the fact that there are few studies comparing malignancy with both scoring systems can be considered an added limitation. 15,[18][19][20][21]…”

Section: Limitationsmentioning

confidence: 99%

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The Efficacy of ACR TI-RADS in the Management of Suspected Thyroid Nodules and Its Correlation With the Bethesda Scoring System

Karatay

Javadov

Kartal

2022

Journal of Diagnostic Medical Sonography

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Objective: Ultrasonography (US) and fine-needle aspiration biopsy (FNAB) play an important role in the diagnosis of thyroid nodules. The primary aim of this study was to evaluate the relationship between American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) and the Bethesda system, based on final cytopathology. Materials and Methods: The cases that underwent thyroidectomy, due to a nodule, between May 2019 and May 2021 were retrospectively imaged. Of those cases, 73 patients were included in the study. The obtained data included ACR TI-RADS and the Bethesda system scores for nodules. Results: According to Spearman correlation, a very strong positive relationship was found between the Bethesda scoring system and ACR TI-RADS scores (ρ = 0.832, P < .0001). A 94.4% sensitivity and 65.4% specificity were found in 16 patients with a Bethesda score of 3 and TR3 based on final pathology ( P < .001). And a sensitivity of 77.3% and specificity of 51.5% were found in 17 patients, with a Bethesda score 4 and TR4 ( P < .001). Finally, a sensitivity of 55.6% and specificity of 50.0% were found in 17 patients with a Bethesda score 6 and TR5 ( P < .001). Conclusion: The routine use of the ACR TI-RADS classification in thyroid nodules could be useful in preventing unnecessary FNABs. It could be effective in minimizing complications secondary to FNAB and thyroidectomy and reducing costs.

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Section: Discussioncontrasting

confidence: 63%

“…In addition, it was stated that the effective use of TI-RADS in ultrasound follow-ups in thyroid nodules with low TR scores could prevent unnecessary biopsies and thyroidectomies. 21…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Efficacy of ACR TI-RADS in the Management of Suspected Thyroid Nodules and Its Correlation With the Bethesda Scoring System

Karatay

Javadov

Kartal

2022

Journal of Diagnostic Medical Sonography

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“…Therefore, the combination of US findings, such as round or oval morphology, markedly hypoechoic structure, focal or nodular and asymmetric cortical thickening, and hilum loss or dislocation with anarchic distribution of the vascular signal, regardless of size, is virtually diagnostic of metastasis [ 14 , 28 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ].…”

Section: Methodsmentioning

confidence: 99%

Imaging Assessment of Interval Metastasis from Melanoma

Simonetti

Trovato²,

Granata

et al. 2022

JPM

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Interval metastasis is a particular metastatic category of metastatic localizations in the lymph nodes in patients with melanoma. Interval nodes are generally located at nonregional lymphatic stations placed along the pathway of the spread of melanoma, such as the epitrochlear lymph node station, the popliteal fossa, and the retroareolar station. Imaging techniques for evaluation of patients with interval metastasis from melanoma diseases include ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), lymphoscintigraphy (LS), and positron emission tomography (PET). A literature review was conducted through a methodical search on the Pubmed and Embase databases. The evaluation of lymph node metastases represents a critical phase in the staging and follow-up of melanoma patients. Therefore, a thorough knowledge of the imaging methods available and the interactions between the clinician and the radiologist are essential for making the correct choice for individual patients, for a better management, and to improve treatment and survival.

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“…Computed tomography (CT) and magnetic resonance imaging (MRI) represent the traditional imaging tools employed during the pre-treatment phase in order to identify and assess the target area [ 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ], and in surveillance of the patient to evaluate treatment efficacy and post-procedural complications [ 87 , 88 , 89 , 90 , 91 , 92 , 93 ]. Ultrasound examination (US), without or with contrast medium (CEUS), is an innovative tool, utilized for problem solving during pre- and post-treatment phases [ 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 ], although the main use of interest is the possibility of assessing immediate effects during the procedure [ 60 , 61 ]. Given the ability of CEUS to detect real-time perfusion during the treatment, and considering the advantages of higher temporal resolution and the possibility of repeating an examination several times in a short period, it represents a secure and cost-effective tool for procedure outcome evaluation [ 96 ].…”

Section: Imaging and Ablation Treatmentmentioning

confidence: 99%

Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Granata

Fusco

Muzio

et al. 2022

JCM

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One of the major fields of application of ablation treatment is liver tumors. With respect to HCC, ablation treatments are considered as upfront treatments in patients with early-stage disease, while in colorectal liver metastases (CLM), they can be employed as an upfront treatment or in association with surgical resection. The main prognostic feature of ablation is the tumor size, since the goal of the treatment is the necrosis of all viable tumor tissue with an adequate tumor-free margin. Radiofrequency ablation (RFA) and microwave ablation (MWA) are the most employed ablation techniques. Ablation therapies in HCC and liver metastases have presented a challenge to radiologists, who need to assess response to determine complication-related treatment. Complications, defined as any unexpected variation from a procedural course, and adverse events, defined as any actual or potential injury related to the treatment, could occur either during the procedure or afterwards. To date, RFA and MWA have shown no statistically significant differences in mortality rates or major or minor complications. To reduce the rate of major complications, patient selection and risk assessment are essential. To determine the right cost-benefit ratio for the ablation method to be used, it is necessary to identify patients at high risk of infections, coagulation disorders and previous abdominal surgery interventions. Based on risk assessment, during the procedure as part of surveillance, the radiologists should pay attention to several complications, such as vascular, biliary, mechanical and infectious. Multiphase CT is an imaging tool chosen in emergency settings. The radiologist should report technical success, treatment efficacy, and complications. The complications should be assessed according to well-defined classification systems, and these complications should be categorized consistently according to severity and time of occurrence.

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The impact of TI-RADS in detecting thyroid malignancies: a prospective study

Cited by 15 publications

References 25 publications

The Efficacy of ACR TI-RADS in the Management of Suspected Thyroid Nodules and Its Correlation With the Bethesda Scoring System

The Efficacy of ACR TI-RADS in the Management of Suspected Thyroid Nodules and Its Correlation With the Bethesda Scoring System

Imaging Assessment of Interval Metastasis from Melanoma

Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

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