Reliability of Thyroid Imaging Reporting and Data Systems' Scoring in the Evaluation of Thyroid Nodules

Year 2024, Volume: 5 Issue: 3, 150 - 159, 29.07.2024

Zeynep Ergenç , Hasan Ergenç , Erkan Aksoy , Özlem Karaca Ocak , Kerim Güzel , Feyzi Gökosmanoğlu

https://doi.org/10.46871/eams.1463163

Abstract

Objective: It is known that Thyroid Ultrasonography (US), guided by Fine Needle Aspiration (FNA), is a cost-effective and safe diagnostic method for evaluating thyroid nodules. Our purpose in the present study is to determine the reliability of the Thyroid Imaging Reporting and Data Systems (TIRADS) Scoring System for the evaluation of thyroid nodules.
Materials and Methods: A total of 3612 patients who were followed up in our endocrinology and general surgery clinic and operated on with the diagnosis of multinodular and nodular goiter were included in the study. The malignancy risk rate of all TIRADS categories was analyzed according to postoperative pathology results.
Results: Among the 724 patients, who were included in the study, preoperative FNA results were as 11.04% (n=80) benign, follicular, Hurthle cell neoplasia or suspected 8.83% (n=64), malignancy suspected 40.33% (n=292) and malignant 39.77% (n=288). We determined in the study that the malignancy was 72.15% (n=228) in TR-4 nodules and 97.1% (n=336) in TR-5 nodules. No correlations were detected between anti-TPO, anti-TG, TSH level, and malignancy.
Conclusion: TIRADS Scoring System was successful in predicting malignancy rates in the present study.

Keywords

FNA biopsy, risk assessment, risk factors, TIRADS, ultrasonography

Ethical Statement

yes

Supporting Institution

no

Project Number

no

Thanks

no

Tiroid Nodüllerinin Değerlendirilmesinde Tiroid Görüntüleme Raporlama ve Veri Sistemleri Skorlamasının Güvenilirliği

Abstract

Amaç: İnce İğne Aspirasyonu (İİA) kılavuzluğunda yapılan Tiroid Ultrasonografisinin (US), tiroid nodüllerinin değerlendirilmesinde maliyet etkin ve güvenli bir tanı yöntemi olduğu bilinmektedir. Bu çalışmadaki amacımız Tiroid Görüntüleme Raporlama ve Veri Sistemleri (TIRADS) Skorlama Sisteminin tiroid nodüllerinin değerlendirilmesinde güvenilirliğini belirlemektir.
Materyal ve Metot: Çalışmaya endokrinoloji ve genel cerrahi kliniğimizde takip edilen ve multinodüler ve nodüler guatr tanısı ile ameliyat edilen toplam 3612 hasta dahil edildi. Tüm TIRADS kategorilerinin malignite risk oranı postoperatif patoloji sonuçlarına göre analiz edildi.
Bulgular: Çalışmaya dahil edilen 724 hastanın dağılımı incelendiğinde ameliyat öncesi İİA sonuçları benign, foliküler %11,04 (n=80), Hurthle hücreli neoplazi veya şüpheli %8,83 (n=64), malignite şüphesi %40,33 (n=292) ve malign %39,77 (n=288) idi. Çalışmada maligniteyi TR-4 nodüllerinde %72,15 (n=228), TR-5 nodüllerinde ise %97,1 (n=336) olarak saptandı. Anti-TPO, anti-TG, TSH düzeyi ve malignite arasında korelasyon saptanmadı.
Sonuç: TIRADS Skorlama Sistemi bu çalışmada malignite oranlarını öngörmede başarılı olmuştur.

Keywords

FNA biyopsisi, risk değerlendirmesi, risk faktörleri, TIRADS, ultrasonografi

Project Number

no

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