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The Reliability of Ultrasound Diagnosis in Differentiating Malignant from Benign Thyroid Nodules Using TI-RADS Selection Followed by FNA

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Open Journal of Radiology 2021年第3期11卷 115-125页

作者： Abdullah S. Mirza husain alturkistani Elsayed Elbehery Abdulmalik Alruhaimi Ahmed A. Mirza Syed O. Ahsan Turki H. Alharbi Radiology and Diagnostic Imaging Department King Saud University Medical City Riyadh Saudi Arabia Department of Medical Laboratory Science King Abdulaziz University Jeddah Saudi Arabia

Context: Diagnostic imaging has increased the rate of thyroid nodules detection and improved utilization of fine-needle aspiration (FNA). Objective: This study aims to demonstrate the effects of the most reliable non-invasive technique on thyroid nodules. Methods: Between 2016 and 2020, 190 patients with 214 nodules visiting King Khalid University Hospital were randomly selected and retrospectively reviewed. Following the ACR TI-RADS recommendations for FNA and correlating cytology reports. Two expert radiologists with ultrasonographic imaging experience re-evaluated and reviewed the images. 88 nodules (41%) in 79 patients were excluded because the nodule size was smaller than the FNA recommended size. Results: Following the ACR TI-RADS for FNA recommended selection, 27 nodules (21.4%) out of the recommended 126 nodules were consistent with malignancy in cytology, with overall mean sensitivities, specificities, accuracies, precisions, and negative predictive values (NPV) of 96.4%, 40.7%, 48.7%, 28.4%, and 98.6% respectively. The nodules were subdivided into the TI-RADS 3, 4, and 5. Conclusion: In conclusion, ACR TI-RADS is feasible, reliable, and well structured, easily applicable in thyroid nodules reporting. ACR TI-RADS can eliminate many unnecessary FNAs, providing a decline in costs and complications. We recommend the ACR TI-RADS in our radiology department to eliminate reporting discrepancies and cut costs, thereby standardizing the reports, improving intra-user agreements, and improving overall patients’ health care.

关键词： Thyroid Cancer Thyroid Nodules Thyroid Ultrasound Ultrasound TIRADS

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The Reliability of Ultrasound Diagnosis in Differentiating Malignant from Benign Thyroid Nodules Using TI-RADS Selection Followed by FNA

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Open Journal of Radiology（放射学期刊） 2021年第3期

作者： Abdullah S.Mirza husain alturkistani Elsayed Elbehery Abdulmalik Alruhaimi Ahmed A.Mirza Syed O.Ahsan Turki H.Alharbi

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