1.Diagnostic accuracy of American College of Radiology Thyroid Imaging Reporting Data System: A single-center cross-sectional study
Pamela Ann Aribon ; Emmylou Teope ; Anna Lyn Egwolf ; Maria Patricia Maningat
Journal of the ASEAN Federation of Endocrine Societies 2024;39(1):61-68
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.
Thyroid Nodule
2.Agreement between sonographic features and fine needle aspiration cytology in the diagnosis of thyroid nodules in a Tertiary Hospital
Danette Pabalan ; Ricardo Victorio Quimbo
Philippine Journal of Pathology 2024;9(1):38-41
Objective:
Management of thyroid nodules relies on the Thyroid Imaging Recording and Data System (TIRADS) for sonographic findings and the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). The proponents aimed to determine the concordance between sonographic TIRADS findings and cytological diagnosis by TBSRTC in the evaluation of malignancy of patients with thyroid nodules.
Methodology:
Sonographic and cytology results collected from 2018 to 2022 were obtained to determine whether there is an agreement between TIRADS and TBSRTC findings.
Results:
Two hundred sixty-two (262) samples were obtained. Overall accuracy of predicting TIRADS category was highest for echogenic foci. Thyroid nodule distribution was highest for TIRADS 3 and 4 sonographically and TBSRTC II cytologically. There is low agreement between TBSRTC and TIRADS in the categorization of nodules as benign, implying that nodules may show sonographic features suspicious of malignancy despite being categorized as TBSRTC I or II by cytology. However, nodules categorized as TBSRTC III to VI show sonographic features suspicious for malignancy at the very least.
Conclusion
The correctness of TIRADS prediction is highest for echogenic foci although not significantly higher than other parameters. The overall predicting power of TIRADS for the absence of malignancy is high for TIRADS 1 and 2, whereas TIRADS 5 predicts a 31.11% risk of malignancy making it a strong indication for FNAC. However, prediction of malignancy in TIRADS 3 and 4 nodules must be in association with other factors since a significant percentage may turn out to be TBSRTC II.
Thyroid Nodule
3.A clinical study on surgical thyroid nodules.
Hyeon Jung PARK ; Sang Eun MOON
Journal of the Korean Surgical Society 1993;45(6):920-928
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
4.Diagnostic value of fine meddle aspiration cytology of thyroid nodule.
Journal of the Korean Cancer Association 1992;24(4):524-530
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
5.Therapeutic effect of thyroid hormone suppressive therapy for benign thyroid nodule.
Young Deok CHO ; Dong Hwa SONG ; Kyo Il SEO ; Myung Hi YOO ; Guk Bae KIM
Journal of Korean Society of Endocrinology 1991;6(2):141-149
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
6.Autonomously functioning thyroid nodules.
Young Kee SHONG ; Ki Up LEE ; Ghi Su KIM ; Munho LEE
Journal of Korean Society of Endocrinology 1992;7(2):121-126
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
7.Clinical features of autonomously functioning thyroid nodules.
Min Ho SHONG ; Jun Key CHUNG ; Seong Yeon KIM ; Myung Chul LEE ; Bo Youn CHO ; Hong Kyu LEE ; Chang Soon KOH ; Hun Ki MIN
Journal of Korean Society of Endocrinology 1992;7(2):115-120
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
8.A clinical study of thyroid nodules.
Journal of the Korean Surgical Society 1993;44(6):954-960
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
9.Updated Guidelines for the Management of Thyroid Nodule.
Korean Journal of Medicine 2011;80(2):158-161
No abstract available.
Thyroid Gland
;
Thyroid Nodule
10.Therapeutic effect of suppressive therapy for solitary thyroid nodule.
Jung Mo PARK ; Jun Ki YEO ; Keun Yong PARK ; Seung Beom HAN ; In Kyu LEE ; Seong Ku WOO
Journal of Korean Society of Endocrinology 1992;7(1):39-45
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*