Comparison of TIRADS [Thyroid imaging reporting and data system] with histopathology in assessment of thyroid nodules

Chandra, BJ Sharath; Choudhary, Amol; R, Rajesh

doi:10.33545/surgery.2020.v4.i1a.306

Cited by 1 publication

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“…In this study, most of the patients were female, 84.4% (n = 87). Most of the patients were in the age group of 31-40 years (53.39%; n = 55), ranging from 17 -54 years Figure (2) and Table (2). Regarding the correlation between ACR TI-RADS and the Bethesda system of thyroid classification scores, we found a moderate correlation (r = 0.577).…”

Section: Resultsmentioning

confidence: 74%

“…Thyroid nodule is a common medical problem with about 5 % of population had a nodule on clinical examination and about 50 to 67 % of those underwent ultrasound [1]. Elderly patients are more prone to thyroid malignancies, and males are at more risk, although nodules are more common in females [2]. Approximately 5-15% of patients with thyroid nodules has thyroid cancer [3].…”

Section: Introductionmentioning

confidence: 99%

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Correlation Between the Thyroid Imaging Reporting and Data System and Bethesda System of Cytology in Thyroid Nodule Evaluation

Omer Bahabara,

Salem Basabaa,

Mohammed Bin Thalab

et al. 2024

DJM

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Background: Accurate diagnosis of thyroid nodules is important for avoiding unnecessary surgeries and allowing timely treatment. Ultrasound and fine needle aspiration cytology (FNAC) are the most commonly used diagnostic procedures. Objective: To correlate ultrasonography with the FNAC report findings using the American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) and the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) in differentiating malignant from benign thyroid nodules. Patients and Methods: A prospective study conducted from January 2021 to January 2024 assessed 103 cases of thyroid nodules who underwent ultrasound examination and fine needle aspiration. Ultrasonography findings were analyzed and correlated with FNA cytology reports based on ACR-TIRADS and BSRTC. Results: Patients were predominantly female, n = 87 (84.4%). Most of the patients were in the 31–40 year group (n = 55, 53.39%). Most of the patient nodules had TIRADS 3 (n = 59, 57.28%), followed by TIRADS 2 (n = 20, 18.44%). When comparing the ACR TI-RADS scoring system with the TBSRTC, the percentage of malignancy for TR1, 2, 3, 4, and 5 was 0, 0, 1.6, 80, and 89%, respectively. In our study, the overall sensitivity and specificity of the TIRADS score were 94.11% and 96.51%, respectively. PPV: 84.21%; NPV: 98.80%; and accuracy: 96.11%. In addition, there was a significant association between TIRADS and the Bethesda system of classification (P < 0.001). Conclusion: ACR-TIRADS scoring is highly sensitive and accurate for diagnosing thyroid malignant nodules. It is a sensitive tool and could be used alone to determine the nature of thyroid nodules. Keywords: Thyroid malignancies, Ultrasonography, Yemen

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Section: Resultsmentioning

confidence: 74%