TI-RADS: to be or not to be. Polemic notes from the Eurasian Forum on thyroid cancer

Борсуков, А. В.; Васильевич, Борсуков Алексей

doi:10.14341/serg2016333-36

Cited by 7 publications

(1 citation statement)

References 2 publications

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“…С учетом того, что, по мнению ведущих исследователей, правильная оценка ультразвукового паттерна запускает весь механизм диагностики и зачастую определяет лечебную тактику, этому уделялось особое внимание [8][9][10][11]. Многочисленные исследования указывают на то, что при УЗИ встречаются «комбинации» признаков, со значительной долей вероятности указывающие на наличие злокачественной опухоли [12][13][14][15][16]. При наличии косвенных ультразвуковых признаков выбор диагностической и лечебной тактики должен строиться исходя из предположения о наличии злокачественной опухоли [17].…”

Section: Methodsunclassified

Differential Diagnosis of the Thyroid Follicular Tumors

Timofeeva¹,

Aleshina²,

Aleksandrov³

2020

Rejr

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Section: Methodsunclassified

Differential Diagnosis of the Thyroid Follicular Tumors

Timofeeva¹,

Aleshina²,

Aleksandrov³

2020

Rejr

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On the Classification of TI-RADS and Stratification of Signs of Thyroid Cancer According to Ultrasound Data

Fisenko

Сыч

Ветшева³

2017

Medicinskaâ vizualizaciâ

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Objective:a comparative “blind” assessment of the thyroid nodules identified by ultrasound, according to the TI-RADS scale in various modifications.Materials and methods.Retrospective analysis of 149 echograms of thyroid nodules by three independent experts was performed (the experience of ultrasound of thyroid ultrasound for more than 7 years).Results. In solid nodules, high-specific large (more than 94%) and small (more than 90%) ultrasound signs of thyroid cancer have been identified. The nodes are stratified according to the TI-RADS system: 1 – in the modification J.Y. Kwak et al. (2011), 2 – according to the proposed system, taking into account small ultrasound signs of thyroid cancer. High reproducibility of both systems are obtained. In the first system 13.7% of cancer nodes fell into the category of TI- RADS 3 (benign formations), in the second system only 5% of cancers fell into the category of TI-RADS 3, which is important for biopsy selection. The sensitivity of the first system was TI-RADS 82.05%, of the second system – 94.87%.Conclusions.Classification of TI-RADS can be used to interpret the ultrasound results of thyroid nodules, taking into account both the main large and small ultrasound signs of cancer. For its validation in our country, it is necessary to further broad discussion of the proposed TI-RADS system.

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Comparative analysis of TI-RADS modifications

Sich

Fisenko

2018

Medicinskaâ vizualizaciâ

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There is no single classification of TI-RADS. In different countries, various modifications are used. It is necessary to compare different versions of the classification for choosing the most optimal variant.Objective: a comparative “blind” assessment of the thyroid nodules identified by ultrasound, according to the TI-RADS scale in various modifications.Materials and methods. Retrospective analysis of 153 echograms of thyroid lesions: colloid goiter/nodular colloid goiter – 77 observations, autoimmune thyroiditis – 11, follicular adenoma – 77, follicular cancer – 2, medullar cancer – 1, papillary cancer – 36 observations.Results.A comparative evaluation of the reproducibility of the three modifications of TI-RADS was carried out – the opinions of independent experts were homogeneous. Ultrasonic criteria for the evaluation of thyroid nodules for each TI-RADS variant are presented. The European and proposed by Russian authors variants, in addition to the large signs of malignancy, use small features extended in the domestic version of TI-RADS, which increases the sensitivity of these classification options.Тhe shortest time to evaluate thyroid formations was required when using the European classification. The European and proposed by Russian authors variants, in addition to the large signs of malignancy, use small signs, which increases the sensitivity of these classification options until 51 and 53%. The higher sensitivity of the korean variant – 57.8%.Conclusions. It is necessary to further discuss the TI-RADS options and find the most optimal solution.

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TI-RADS: to be or not to be. Polemic notes from the Eurasian Forum on thyroid cancer

Cited by 7 publications

References 2 publications

Differential Diagnosis of the Thyroid Follicular Tumors

Differential Diagnosis of the Thyroid Follicular Tumors

On the Classification of TI-RADS and Stratification of Signs of Thyroid Cancer According to Ultrasound Data

Comparative analysis of TI-RADS modifications

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