US Fine-Needle Aspiration Biopsy for Thyroid Malignancy: Diagnostic Performance of Seven Society Guidelines Applied to 2000 Thyroid Nodules
| Autor: | Eun Ju Ha, Jin Yong Sung, Dong Gyu Na, So Young Kang, Jung Hwan Baek, Ji Hoon Kim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Thyroid nodules medicine.medical_specialty Internationality Adolescent Biopsy Fine-Needle Thyroid Gland 030209 endocrinology & metabolism Sensitivity and Specificity 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Aspiration biopsy Biopsy medicine Humans Radiology Nuclear Medicine and imaging Thyroid Neoplasms Thyroid Nodule Societies Medical Ultrasonography Interventional Aged medicine.diagnostic_test business.industry Reproducibility of Results Middle Aged medicine.disease Fine-needle aspiration Thyroid malignancy Practice Guidelines as Topic Female Radiology business |
| Zdroj: | Radiology. 287:893-900 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiol.2018171074 |
| Popis: | Purpose To compare the diagnostic performance of ultrasonography (US)-based fine-needle aspiration biopsy (FNAB) criteria from seven international societies in the detection of thyroid malignancy. Materials and Methods This study included a total of 2000 consecutive thyroid nodules (≥1 cm) in 1802 patients with final diagnoses from January 2010 to May 2011. US features of the thyroid nodules were retrospectively reviewed and were classified according to the categories defined by the seven international society guidelines. The diagnostic performance of US-based FNAB criteria in the detection of thyroid malignancy and unnecessary FNAB rates were calculated and compared by using a generalized estimating equation method. Results Of the 2000 thyroid nodules, 1546 (78.3%) were benign and 454 (22.7%) were malignant, with papillary carcinoma comprising 85.5% of all malignancies. The Korean Thyroid Association/Korean Society of Thyroid Radiology (KTA/KSThR) (94.5%), National Comprehensive Cancer Network (NCCN) (92.5%), and American Thyroid Association (ATA) (89.6%) guidelines were more sensitive than those of the American Association of Clinical Endocrinologists/American College of Endocrinology/Associazione Medici Endocrinologi (AACE/ACE/AME) (80.4%), American College of Radiology (ACR) (74.7%), French Society of Endocrinology (FSE) (72.7%), and Society of Radiology in Ultrasound (SRU) (70.9%) (P.001), while the latter guidelines had higher specificity (P.001). The rate of unnecessary FNAB was lowest with the ACR guidelines (25.3%), followed by the FSE (29.1%), AACE/ACE/AME (32.5%), SRU (45.2%), ATA (51.7%), NCCN (54.0%), and KTA/KSThR (56.9%) guidelines. Conclusion Because the diagnostic performance of US-based FNAB criteria varies according to the individual international society guidelines, clinicians should be aware of the strengths and weaknesses of US-based FNAB criteria in the management of thyroid nodules. |
| Databáze: | OpenAIRE |
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