Comparison of the diagnostic performance of the 2017 ACR TI-RADS guideline to the Kwak guideline in children with thyroid nodules
| Autor: | Juan Bass, Claudia Martinez-Rios, Kerri Highmore, Gali Shapira-Zaltsberg, Ellen B. Goldbloom, Lamia M. Hayawi, Ken Tang, Elka Miller |
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| Rok vydání: | 2018 |
| Předmět: |
Thyroid nodules
Male medicine.medical_specialty Adolescent Malignancy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Thyroid Nodule Child Neuroradiology Retrospective Studies Ultrasonography Ontario Receiver operating characteristic business.industry Reproducibility of Results Retrospective cohort study Guideline medicine.disease Confidence interval Pediatric Radiology Child Preschool Pediatrics Perinatology and Child Health Female Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Pediatric radiology. 49(7) |
| ISSN: | 1432-1998 |
| Popis: | The Kwak Thyroid Imaging Reporting and Data System (Kwak-TI-RADS) guideline (2011) and American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) guideline (2017) were developed as ultrasound (US) risk stratification tools for detecting thyroid malignancy in adults. The purpose of this study was to investigate the inter-rater reliability and diagnostic performance of the ACR TI-RADS guideline in the pediatric population and compare it to the Kwak guideline. This retrospective study comprised 75 children who underwent thyroid US at a tertiary-level pediatric hospital. Three pediatric radiologists and one pediatric radiology fellow graded the US findings using the Kwak-TI-RADS and ACR TI-RADS guidelines. We assessed reliability of radiologists’ ratings using percentage inter-rater agreement, and intra-class correlation coefficients (ICC2,1). We assessed area-under-the-receiver-operating-characteristic curve (AUROCC) to compare the discriminative diagnostic ability of the Kwak-TI-RADS and ACR TI-RADS scoring systems against histopathology/cytology, or stability on US over a 2-year follow-up period for cases without tissue diagnosis. The inter-rater agreement was significantly better for the ACR TI-RADS level compared to the Kwak-TI-RADS level (P |
| Databáze: | OpenAIRE |
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