Fine needle aspiration biopsy indications for thyroid nodules: compare a point-based risk stratification system with a pattern-based risk stratification system
| Autor: | Ping Han, Hai-yun Yang, Ming Liang, Rong-Bin Liu, Xiaolin Xu, Jingliang Ruan, Bao-Ming Luo |
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| Rok vydání: | 2018 |
| Předmět: |
Thyroid nodules
Adult Image-Guided Biopsy Male medicine.medical_specialty Adolescent Biopsy Fine-Needle Malignancy Risk Assessment Sensitivity and Specificity Young Adult Biopsy medicine Data Systems Humans Radiology Nuclear Medicine and imaging Thyroid Nodule Ultrasonography Interventional Aged Retrospective Studies medicine.diagnostic_test business.industry Thyroid Echogenicity Reproducibility of Results Interventional radiology Retrospective cohort study General Medicine Middle Aged medicine.disease Fine-needle aspiration medicine.anatomical_structure Female Radiology business |
| Zdroj: | European radiology. 29(9) |
| ISSN: | 1432-1084 |
| Popis: | We aim to compare the diagnostic performance to assess thyroid nodules and reliability for recommending fine needle aspiration biopsy (FNAB) between American College of Radiology thyroid image reporting and data system (ACR TI-RADS) and American Thyroid Association (ATA) guidelines. In total, this retrospective study included 1001 consecutive thyroid nodules in 918 patients from May 2016 to December 2017. US features of the thyroid nodules, including composition, echogenicity, shape, margins, echogenic foci, and size, were reviewed and were classified according to ACR TI-RADS and ATA guidelines, respectively. The diagnostic performance to assess thyroid nodules and reliability for recommending fine needle aspiration biopsy were compared between ACR TI-RADS and ATA guidelines. Of the 1001 thyroid nodules, 609 (60.8%) were benign and 392 (39.2%) were malignant. The sensitivity, specificity, PPV, NPV, and accuracy were 96.7%, 77.3%, 73.3%, 97.3%, and 84.9%, respectively, for ACR TI-RADS and 99.2%, 16.1%, 43.2%, 97.0%, and 48.7%, respectively, for ATA guidelines. AUC of ACR TI-RADS was significantly greater than ATA guidelines (0.935 (0.918, 0.949) vs 0.884 (0.862, 0.903), p |
| Databáze: | OpenAIRE |
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