Kalani Priti, Dutta Angshuman, Tiwari Jitendra, Kumar Shiv, Kumar Sanjay
ENT Specialist, Kidwai Memorial Institute of Oncology, Bangalore, India.
Command Hospital Air Force, Bangalore, India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3470-3475. doi: 10.1007/s12070-024-04730-8. Epub 2024 Apr 29.
Thyroid nodules pose a frequent clinical dilemma, requiring the use of precise and expedient diagnostic methods. The effectiveness of the Thyroid Imaging Reporting and Data System (TIRADS) in relation to histopathology, which is considered the standard method, continues to be a prominent area of investigation. TIRADS provides a systematic evaluation based on ultrasound imaging. The primary objective of this study was to evaluate the reliability of the Thyroid Imaging Reporting and Data System (TIRADS) in the assessment of thyroid nodules, in comparison with histopathological findings.
A retrospective design was employed to analyze data obtained from a sample of 100 patients, ranging in age from 19 to 82 years. The main objective of the study was to assess ultrasonography (USG) findings using the Thyroid Imaging Reporting and Data System (TIRADS) as the major outcome measure. The secondary outcome measure was based on histological evaluations. Multiple statistical tests were utilized, such as linear regression and the kappa statistic.
The outcomes of this study indicate a significant association between TIRADS and histopathology results, particularly in the higher risk groups. The study findings indicate that the diagnostic value of TIRADS III, IV, and V is supported by the respective malignancy risks of 4.1%, 90%, and 100%.
The appropriate utilization of TIRADS can function as a dependable first method for evaluating thyroid nodules, although it is essential to supplement this approach with histological examinations in order to obtain a thorough understanding.
甲状腺结节带来了常见的临床难题,需要使用精确且便捷的诊断方法。甲状腺影像报告和数据系统(TIRADS)相对于被视为标准方法的组织病理学的有效性,仍然是一个突出的研究领域。TIRADS基于超声成像提供系统评估。本研究的主要目的是与组织病理学结果相比,评估甲状腺影像报告和数据系统(TIRADS)在评估甲状腺结节方面的可靠性。
采用回顾性设计分析从100名年龄在19至82岁之间的患者样本中获得的数据。该研究的主要目的是使用甲状腺影像报告和数据系统(TIRADS)评估超声检查(USG)结果作为主要结局指标。次要结局指标基于组织学评估。使用了多种统计测试,如线性回归和kappa统计量。
本研究结果表明TIRADS与组织病理学结果之间存在显著关联,特别是在高风险组中。研究结果表明,TIRADS III、IV和V的诊断价值分别由4.1%、90%和100%的恶性风险支持。
适当使用TIRADS可以作为评估甲状腺结节的可靠首选方法,尽管为了全面了解,必须用组织学检查补充这种方法。