Diagnostic Accuracy of American College of Radiology Thyroid Imaging Reporting Data System: A Single-center Cross-sectional Study.

IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM

Journal of the ASEAN Federation of Endocrine Societies Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI:10.15605/jafes.039.01.08

Pamela Ann Aribon, Emmylou Teope, Anna Lyn Egwolf, Maria Patricia Maningat

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引用次数: 0

Abstract

Objective: This study aims to evaluate the diagnostic accuracy of the American College of Radiology Thyroid Imaging Reporting Data System (ACR TI-RADS) in identifying nodules that need to undergo fine-needle aspiration biopsy (FNAB) and identify specific thyroid ultrasound characteristics of nodules associated with thyroid malignancy in Filipinos in a single tertiary center.

Methodology: One hundred seventy-six thyroid nodules from 130 patients who underwent FNAB from January 2018 to December 2018 were included. The sonographic features were described and scored using the ACR TI-RADS risk classification system, and the score was correlated to their final cytopathology results.

Results: The calculated malignancy rates for TI-RADS 2 to TI-RADS 5 were 0%, 3.13%, 7.14%, and 38.23%, respectively, which were within the TI-RADS risk stratification thresholds. The ACR TI-RADS had a sensitivity of 89.5% and specificity of 54%, LR + of 1.95 and LR - of 0.194, NPV of 97.7%, PPV of 19.1%, and accuracy of 58%.

Conclusion: The ACR TI-RADS may provide an effective malignancy risk stratification for thyroid nodules and may help guide the decision for FNAB among Filipino patients. The classification system may decrease the number of unnecessary FNABs for nodules with low-risk scores.

查看原文本刊更多论文

美国放射学会甲状腺成像报告数据系统的诊断准确性：单中心横断面研究。

研究目的本研究旨在评估美国放射学会甲状腺成像报告数据系统（ACR TI-RADS）在确定需要进行细针穿刺活检（FNAB）的结节方面的诊断准确性，并确定菲律宾人在单一三级中心与甲状腺恶性肿瘤相关的结节的特定甲状腺超声特征：纳入2018年1月至2018年12月期间接受FNAB检查的130名患者的176个甲状腺结节。采用 ACR TI-RADS 风险分类系统对声像图特征进行描述和评分，并将评分与最终的细胞病理学结果进行关联：计算得出的TI-RADS 2至TI-RADS 5恶性率分别为0%、3.13%、7.14%和38.23%，均在TI-RADS风险分层阈值范围内。ACR TI-RADS 的灵敏度为 89.5%，特异度为 54%，LR + 为 1.95，LR - 为 0.194，NPV 为 97.7%，PPV 为 19.1%，准确度为 58%：ACR TI-RADS可对甲状腺结节进行有效的恶性风险分层，并有助于指导菲律宾患者做出FNAB的决定。该分类系统可减少对低风险评分结节进行不必要的 FNAB 的次数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the ASEAN Federation of Endocrine Societies ENDOCRINOLOGY & METABOLISM-

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： The Journal of the ASEAN Federation of Endocrine Societies (JAFES) is an OPEN ACCESS, internationally peer-reviewed, English language, medical and health science journal that is published in print two times a year by the ASEAN Federation of Endocrine Societies. It shall serve as the endocrine window between the ASEAN region and the world, featuring original papers and publishing key findings from specialists and experts of endocrinology.