THE IMPLEMENTATION OF ACR TI-RADS IN CLINICAL PRACTICE

Bengi Balcı; Mehmet Üstün; Mustafa Bozdağ; Ali Er; Dudu Solakoğlu Kahraman; Cengiz Aydın

Makale detayları

THE IMPLEMENTATION OF ACR TI-RADS IN CLINICAL PRACTICE

Yazarlar:

Bengi Balcı | Mehmet Üstün | Mustafa Bozdağ | Ali Er | Dudu Solakoğlu Kahraman | Cengiz Aydın

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Surgery

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.404-409

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299114

pISSN:

1300-7416

Anahtar kelimeler:

Özet:

 Objective To investigate the diagnostic accuracy of the Thyroid Imaging, Reporting and Data System of the American College of Radiology in thyroid nodules. Material and Method A total of 151 nodules were collected from 62 patients undergoing thyroid surgery in our center between August 2017 and September 2018. Ultrasonographic features of each nodule were recorded and classified according to the Thyroid, Imaging Reporting and Data System of the American College of Radiology by two radiologists and compared with a one-to-one basis on histopathology. Results The median size of 151 thyroid nodules measured on the ultrasound and in the pathology specimens were 19 3-85 mm and 17 0-97 mm, respectively. Papillary carcinoma was demonstrated in 28 patients 45, papillary microcarcinoma in 14 patients 22.5, and Hurthle cell carcinoma in 1 1.6 patient. Overall sensitivity, specificity, positive predictive value, and negative predictive value for this nodule risk stratification model were analyzed as 82.5, 57, 64.58, and 77.67, respectively. Conclusion Setting a definitive size threshold for fine needle aspiration might be misleading, instead signifying the malignant features on ultrasonography, and making a decision for surgery on an individual base should be recommended.

 Objective To investigate the diagnostic accuracy of the Thyroid Imaging, Reporting and Data System of the American College of Radiology in thyroid nodules. Material and Method A total of 151 nodules were collected from 62 patients undergoing thyroid surgery in our center between August 2017 and September 2018. Ultrasonographic features of each nodule were recorded and classified according to the Thyroid, Imaging Reporting and Data System of the American College of Radiology by two radiologists and compared with a one-to-one basis on histopathology. Results The median size of 151 thyroid nodules measured on the ultrasound and in the pathology specimens were 19 3-85 mm and 17 0-97 mm, respectively. Papillary carcinoma was demonstrated in 28 patients 45, papillary microcarcinoma in 14 patients 22.5, and Hurthle cell carcinoma in 1 1.6 patient. Overall sensitivity, specificity, positive predictive value, and negative predictive value for this nodule risk stratification model were analyzed as 82.5, 57, 64.58, and 77.67, respectively. Conclusion Setting a definitive size threshold for fine needle aspiration might be misleading, instead signifying the malignant features on ultrasonography, and making a decision for surgery on an individual base should be recommended.

 Objective To investigate the diagnostic accuracy of the Thyroid Imaging, Reporting and Data System of the American College of Radiology in thyroid nodules. Material and Method A total of 151 nodules were collected from 62 patients undergoing thyroid surgery in our center between August 2017 and September 2018. Ultrasonographic features of each nodule were recorded and classified according to the Thyroid, Imaging Reporting and Data System of the American College of Radiology by two radiologists and compared with a one-to-one basis on histopathology. Results The median size of 151 thyroid nodules measured on the ultrasound and in the pathology specimens were 19 3-85 mm and 17 0-97 mm, respectively. Papillary carcinoma was demonstrated in 28 patients 45, papillary microcarcinoma in 14 patients 22.5, and Hurthle cell carcinoma in 1 1.6 patient. Overall sensitivity, specificity, positive predictive value, and negative predictive value for this nodule risk stratification model were analyzed as 82.5, 57, 64.58, and 77.67, respectively. Conclusion Setting a definitive size threshold for fine needle aspiration might be misleading, instead signifying the malignant features on ultrasonography, and making a decision for surgery on an individual base should be recommended.

 Amaç Amerikan Radyoloji Koleji Tiroid Görüntüleme, Raporlama ve Veri Sisteminin tanısal doğruluğunu araştırmak Gereç ve Yöntem Ağustos 2017 ve Eylül 2018 arasında merkezimizde tiroid cerrahisi uygulanan 62 hastadan toplam 151 nodül toplanmıştır. Her bir nodülün ultrasonografik özellikleri iki radyolog tarafından kaydedilmiş ve Amerikan Radyoloji Koleji Tiroid Görüntüleme, Raporlama ve Veri Sistemine göre sınıflanmış, ve histopatolojik olarak birebir karşılaştırılmıştır. Bulgular 151 tiroid nodül verisi ortanca boyutu ultrason ve patolojik spesimenler üzerinde sırasıyla 19 3-85 mm ve 17 0-97 mm olarak ölçülmüştür. Papiller karsinom 28 hastada 45, papiller mikrokarsinom 14 hastada 22.5, ve Hurthle hücreli karsinom 1 1.6 hastada saptanmıştır. Bu nodül risk belirleme modeli için genel sensitivite, spesifite, pozitif prediktif değer ve negatif prediktif değer sırasıyla 82.5, 57, 64.58, ve 77.67 olarak analiz edilmiştir. Sonuç İnce iğne aspirasyon biyopsisi için kesin bir boyut eşiği belirlemek yanlış yönlendirici olabilir, bunun yerine ultrasonda malign özelliklerin belirlenerek cerrahi kararın kişi bazında verilmesi önerilmelidir.

Makale detayları

THE IMPLEMENTATION OF ACR TI-RADS IN CLINICAL PRACTICE

Yazarlar:

Bengi Balcı | Mehmet Üstün | Mustafa Bozdağ | Ali Er | Dudu Solakoğlu Kahraman | Cengiz Aydın

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Surgery

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.404-409

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299114

pISSN:

1300-7416

Microcarcinoma

Sensitivity

Specificity

Thyroid nodule

TIRADSMikrokarsinoma

Sensitivite

Spesifite

TIRADS

Tiroid nodülü

Sayı

Makale detayları

Yazarlar: Bengi Balcı | Mehmet Üstün | Mustafa Bozdağ | Ali Er | Dudu Solakoğlu Kahraman | Cengiz Aydın

Yayıncı: Süleyman Demirel University

Ana Başlıklar: Surgery

Dergi: Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.404-409

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001299114

pISSN: 1300-7416

Sayı

Yazarlar:

Bengi Balcı | Mehmet Üstün | Mustafa Bozdağ | Ali Er | Dudu Solakoğlu Kahraman | Cengiz Aydın

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Surgery

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.404-409

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299114

pISSN:

1300-7416