Thyroid imaging reporting and data system combined with Bethesda classification in qualitative thyroid nodule diagnosis

Tan, Huiwen; Li, Zhihui; Li, Nong; Qian, Jianrong; Fan, Feifei; Feng, Jinquan; Xu, Hui‐Xiong; Li, Zhongxing

doi:10.1097/md.0000000000018320

Cited by 22 publications

(20 citation statements)

References 32 publications

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“…The sensitivity of ACRTI-RADS for predicting the risk of malignancy was markedly higher than that seen in Brazil (90%) [15] Chile (88%) [14] China (77.3%) [19], Malaysia (85.7%) [22] Italy (67.6%) [29] and 58.9% [33], Israel 86% [13] and Turkey (76%) [34]. On the other hand a higher percentage of sensitivity was documented in different countries across the globe: Philippines (100%) [35], China (92.7%) [17] and (98.15%) [18], Korea (95.5%) [21] and (96.6%) [20] and Egypt (98.3%) [36]. In our study, the specificity of the ACRTI-RADS for predicting the risk of malignancy was lower than that reported in many different countries: obtained in Korea (58.6%) [21] and (52.9%) [20], Brazil (51.4%) [15], China (47.84%) [18] and (89.1%) [19], Philippines (52.2%) [36], Malaysia (51.1%) [22] and (70.7%) [17], Singapore (90.4%) [16], Italy (57.2 %) [29] and 58.9% [33], Egypt (90.9%) [36] and Turkey (97.5%) [34].…”

Section: Discussionmentioning

confidence: 91%

“…Applying ACR TI-RADS criteria can minimize the number of ultrasound-guided FNACs performed on benign nodules [13]. Hence, many studies have assessed ACR TI-RADS to determine its sensitivity, specificity, positive predictive value, negative predictive value, accuracy rate and receiver operating characteristic (ROC) curves [14], [15], [16], [17], [18], [19], [20], [21], [22]. Thyroid ultrasound is a reliable non-invasive, practical method [6], [23]; it is accessible and has a low capital cost [6].…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Reliability of the American College of Radiology Thyroid Imaging Reporting and Data System in Royal Commission Hospital, Kingdom of Saudi Arabia

Alyousif

Ahmed

Saeed

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: The American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) classified and predicted the risk of thyroid nodule malignancy with ultrasound scan scoring system. AIM: Hence, we aimed to investigate the value of the combined use of ultrasound ACR TI-RADS scoring and ultrasound-guided thyroid fine needle aspiration cytology (FNAC) based on the Bethesda System for Reporting Thyroid Cytology (TBSRTC) for assessing the accuracy tests of diagnosing low and high-risk thyroid nodules of ACR TI-RADS. METHODS: We enrolled 392 patients with thyroid nodules who underwent ultrasound scanning and scoring using the ACR TI-RADS classification along with ultrasound-guided thyroid FNAC and scoring with TBSRTC. The two methods were grouped as low and high risk of malignancy to evaluate the accuracy of ACR TI-RADS. RESULTS: Three hundred and ninety-two patients were enrolled in the study. The mean (Standard deviation [SD]) age was 46.03 (13.96) years, 332 (84.7%) were females and the mean (SD) of body mass index was 31.90 (22.32) kg/m2 and Vitamin D 17.65 (11.15) nmol/L. The mean (SD) for thyroid function test was 5.37 (44.16) mmol/L for thyroid-stimulating hormone, 1.48 (1.49) ng/dL for free thyroxine (FT4), and 2.69 (0.70) nmol/L for free triiodothyronine (FT3). Most of the participants were euthyroid (63.8%), but 28.6% had hypothyroidism and 7.7% had hyperthyroidism. The accuracy tests of ACR TI-RADS in relation to TBSRTC, were sensitivity (87.8%), specificity (65.2%), positive predictive value (29.8%), and negative predictive value (97%). The area under the curve = 0.590, 95% CI = 0.530–0.650, p ˂ 0.006. CONCLUSION: ACR TI-RADS is a simple, practical, and reliable scoring system for assessing thyroid nodule; it has a better overall diagnostic performance and the ability to exclude unnecessary FNAC with high negative predictive value.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Diagnostic Reliability of the American College of Radiology Thyroid Imaging Reporting and Data System in Royal Commission Hospital, Kingdom of Saudi Arabia

Alyousif

Ahmed

Saeed

et al. 2022

Open Access Maced J Med Sci

View full text Add to dashboard Cite

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“…The adoption of an ultrasound (US) system for classifying thyroid nodules is useful for tailoring the diagnostic approach when evaluating these lesions and combining their workup with FNA biopsy [45][46][47][48]. Accurate categorization of thyroid nodules based on an US classification system, irrespective of whether it is the ACR-TIRADS or an alternative system, may help physicians in predicting their ROM and thus rationalize adequate management.…”

Section: Discussionmentioning

confidence: 99%

Overview of the Ultrasound Classification Systems in the Field of Thyroid Cytology

Rossi

Pantanowitz

Raffaelli

et al. 2021

Cancers

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The increasing application of ultrasound (US) in recent years has led to a greater number of thyroid nodule diagnoses. Consequently, the number of fine needle aspirations performed to evaluate these lesions has increased. Although the majority of thyroid nodules are benign, identifying methods to define specific lesions and tailor risk of malignancy has become vital. Some of the tools employed to stratify thyroid nodule risk include clinical factors, thyroid US findings, and reporting systems for thyroid cytopathology. Establishing high concordance between US features and cytologic diagnoses might help reduce healthcare costs by diminishing unnecessary thyroid procedures and treatment. This review aims to review radiology US classification systems that influence the practice of thyroid cytology.

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“…[11] In this study, FNA biopsy positive indicated thyroid cancer and the negative one indicated benign tumors. The thyroid imaging reporting and data system (TI-RADS) can perform standardized graded diagnosis of nodules [12]. Contrast-enhanced ultrasound is an advanced step from morphology to functional imaging.…”

Section: Discussionmentioning

confidence: 99%

Fine-Needle Aspiration (FNA) Biopsy For Thyroid Nodules: Double-Edged Sword in Thyroid Cancer Treatment in China

Zhan

Xie

Chen

et al. 2021

Preprint

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Background: To compare the necessity between Fine-needle aspiration (FNA) biopsy and ultrasound examination in the diagnosis of different sizes of the thyroid nodules. Does the FNA biopsy have to do it all? Methods: A retrospective analysis was performed to 8352 thyroid patients who underwent thyroid operations between 2011 and 2016 in our hospital. Results: In FNA(+) group, the nodule was more smaller, the increment speed of the amount of operation increased more faster. In no FNA group, the increment speed decreased not obvious in nodules ≥10mm sub-group, but tremendous in both nodules 5mm-10mm sub-group and nodules ≤ 5mm sub-group no matter the nodules were malignant or benign. Over the six years, the total operation number increased, but operation of patients with nodules ≥10mm decreased slightly and operation of patients with nodules <10mm increased markedly especially in nodules ≤ 5mm sub-group. In no FNA group, to compare the malignancy or benign tumor after surgery between nodules 5mm-10mm sub-group and nodules ≥10mm sub-group, χ2=12.000，P=0.001, and between nodules ≤ 5mm sub-group and nodules ≥10mm sub-group, χ2=7.968，P=0.005, but between nodules 5mm-10mm sub-group and nodules ≤ 5mm sub-group, χ2=0.669，P=0.414. Further pairwise comparison showed, in nodules 5mm-10mm sub-group and nodules ≤ 5mm sub-group, the probability of benign tumor was greater than nodules ≥10mm sub-group. Conclusions: In thyroid nodules ≥10mm sub-group, there is no statistical difference between ultrasound diagnosis and biopsy. In nodules <10mm sub-groups, FNA biopsy has the great significance in the diagnosis to add more references for the subsequent treatment.

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Thyroid imaging reporting and data system combined with Bethesda classification in qualitative thyroid nodule diagnosis

Cited by 22 publications

References 32 publications

Diagnostic Reliability of the American College of Radiology Thyroid Imaging Reporting and Data System in Royal Commission Hospital, Kingdom of Saudi Arabia

Diagnostic Reliability of the American College of Radiology Thyroid Imaging Reporting and Data System in Royal Commission Hospital, Kingdom of Saudi Arabia

Overview of the Ultrasound Classification Systems in the Field of Thyroid Cytology

Fine-Needle Aspiration (FNA) Biopsy For Thyroid Nodules: Double-Edged Sword in Thyroid Cancer Treatment in China

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