Rahal Antonio, Falsarella Priscila Mina, Rocha Rafael Dahmer, Lima João Paulo Bacellar Costa, Iani Matheus Jorge, Vieira Fábio Augusto Cardillo, Queiroz Marcos Roberto Gomes de, Hidal Jairo Tabacow, Francisco Miguel José, Garcia Rodrigo Gobbo, Funari Marcelo Buarque de Gusmão
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2016 Apr-Jun;14(2):119-23. doi: 10.1590/S1679-45082016AO3640.
To correlate the Thyroid Imaging Reporting and Data System (TI-RADS) and the Bethesda system in reporting cytopathology in 1,000 thyroid nodules.
A retrospective study conducted from November 2011 to February 2014 that evaluated 1,000 thyroid nodules of 906 patients who underwent ultrasound exam and fine needle aspiration.
A significant association was found between the TI-RADS outcome and Bethesda classification (p<0.001). Most individuals with TI-RADS 2 or 3 had Bethesda 2 result (95.5% and 92.5%, respectively). Among those classified as TI-RADS 4C and 5, most presented Bethesda 6 (68.2% and 91.3%, respectively; p<0.001). The proportion of malignancies among TI-RADS 2 was 0.8%, and TI-RADS 3 was 1.7%. Among those classified as TI-RADS 4A, proportion of malignancies was 16.0%, 43.2% in 4B, 72.7% in 4C and 91.3% among TI-RADS 5 (p<0.001), showing clear association between TI-RADS and biopsy results.
The TI-RADS is appropriate to assess thyroid nodules and avoid unnecessary fine needle aspiration, as well as to assist in making decision about when this procedure should be performed.
Apresentar a correlação entre o Thyroid Imaging Reporting and Data System (TI-RADS) e o sistema Bethesda, para relatar citopatologia em 1.000 nódulos tireoidianos.
MÉTODOS: Estudo retrospectivo realizado no período de novembro de 2011 a fevereiro de 2014, que avaliou 1.000 nódulos tireoidianos de 906 pacientes submetidos a exame de ultrassonografia e à punção aspirativa por agulha fina.
Observou-se associação significativa entre o TI-RADS e o resultado da classificação de Bethesda (p<0,001). A maioria dos indivíduos com TI-RADS 2 ou 3 teve resultado citológico Bethesda 2 (95,5% e 92,5%, respectivamente). Entre aqueles classificados TI-RADS 4C e 5, a maioria teve resultado Bethesda 6 (68,2% e 91,3%, respectivamente; p<0,001). A proporção de malignidades em TI-RADS 2 foi 0,8% e em TI-RADS 3 foi 1,7%. Entre TI-RADS 4A, foi de 16,0%, 43,2% em 4B, 72,7% em 4C e em 5 foi de 91,3% (p<0,001), mostrando clara associação entre o TI-RADS e os resultados da biópsia.
CONCLUSÃO: O TI-RADS é apropriado para avaliar nódulos da tireoide e evitar punção aspirativa por agulha fina desnecessária, além de auxiliar na decisão sobre quando este procedimento deve ser realizado.
关联甲状腺影像报告和数据系统（TI-RADS）与贝塞斯达系统，以报告1000例甲状腺结节的细胞病理学情况。
2011年11月至2014年2月进行的一项回顾性研究，评估了906例接受超声检查和细针穿刺的患者的1000个甲状腺结节。
TI-RADS结果与贝塞斯达分类之间存在显著关联（p<0.001）。大多数TI-RADS 2或3级的个体细胞病理学结果为贝塞斯达2级（分别为95.5%和92.5%）。在分类为TI-RADS 4C和5级的患者中，大多数为贝塞斯达6级（分别为68.2%和91.3%；p<0.001）。TI-RADS 2级的恶性肿瘤比例为0.8%，TI-RADS 3级为1.7%。在TI-RADS 4A级中，恶性肿瘤比例为16.0%，4B级为43.2%，4C级为72.7%，TI-RADS 5级为91.3%（p<0.001），显示出TI-RADS与活检结果之间存在明显关联。
TI-RADS适用于评估甲状腺结节，避免不必要的细针穿刺，并有助于决定何时应进行该操作。
呈现甲状腺影像报告和数据系统（TI-RADS）与贝塞斯达系统之间的相关性，以报告1000例甲状腺结节的细胞病理学情况。
在2011年11月至2014年2月期间进行的回顾性研究，评估了906例接受超声检查和细针穿刺的患者的1000个甲状腺结节。
观察到TI-RADS与贝塞斯达分类结果之间存在显著关联（p<0.001）。大多数TI-RADS 2或3级的个体细胞病理学结果为贝塞斯达2级（分别为95.5%和92.5%）。在分类为TI-RADS 4C和5级的患者中，大多数为贝塞斯达6级（分别为68.2%和91.3%；p<0.001）。TI-RADS 2级的恶性肿瘤比例为0.8%，TI-RADS 3级为1.7%。在TI-RADS 4A级中，恶性肿瘤比例为16.0%，4B级为43.2%，4C级为72.7%，TI-RADS 5级为91.3%（p<0.001）,显示出TI-RADS与活检结果之间存在明显关联。
TI-RADS适用于评估甲状腺结节，避免不必要的细针穿刺，并有助于决定何时应进行该操作。
