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Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population

Year 2019, Volume: 29 Issue: 3, 126 - 133, 25.09.2019

Abstract

Objectives: This study aims to evaluate diagnostic performance of the American College of Radiology Thyroid Imaging Reporting and Data System ACR-TIRADS in the Turkish adult population. Patients and Methods: A total of 422 thyroid nodules of 368 patients 103 males, 265 females; mean age 46.43 years; range, 18 to 81 years diagnosed by fine needle aspiration biopsy FNAB or surgical pathology were retrospectively analyzed. The decisions for FNABs were mostly made by the experts of our hospital without using the ACR-TIRADS. The observers assessed five different aspects of thyroid nodules: echogenicity, shape, composition, margin, and echogenic foci. Nodules with 0 points were categorized as TR1, 2 points as TR2, 3 points as TR3, 4-6 points as TR4, and ≥7 points as TR5. The sensitivity, specificity, and diagnostic accuracy of ACR and the proportion of benign nodules and malignant nodules to be biopsied according to the ACRTIRADS were calculated. Results: The ACR-TIRADS identified 47 of 54 malignant nodules and identified 264 of 368 benign nodules yielding 73.6% diagnostic accuracy. Using the ACR-TIRADS would have spared 64.1% of benign nodules from FNAB. Of 54 malignant nodules, 23 were to be biopsied, 30 to be followed, and one malignant nodule was not planned to be biopsied or followed according to the ACR-TIRADS recommendations. Conclusion: Despite its robustness in sparing a substantial number of benign nodules from FNAB, the use of ACR-TIRADS would prevent 55.5% of malignant nodules from FNAB. We suggest that FNAB threshold levels of the ACR-TIRADS should be extensively reviewed by the Turkish radiologists, endocrinologists, general surgeons, and ear, nose and throat surgeons before integrating the system to their daily practice.

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There are 15 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Bülent Çolakoğlu This is me

Deniz Alış This is me

Publication Date September 25, 2019
Published in Issue Year 2019 Volume: 29 Issue: 3

Cite

APA Çolakoğlu, B., & Alış, D. (2019). Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population. The Turkish Journal of Ear Nose and Throat, 29(3), 126-133.
AMA Çolakoğlu B, Alış D. Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population. Tr-ENT. September 2019;29(3):126-133.
Chicago Çolakoğlu, Bülent, and Deniz Alış. “Single-Center Validation Study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish Adult Population”. The Turkish Journal of Ear Nose and Throat 29, no. 3 (September 2019): 126-33.
EndNote Çolakoğlu B, Alış D (September 1, 2019) Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population. The Turkish Journal of Ear Nose and Throat 29 3 126–133.
IEEE B. Çolakoğlu and D. Alış, “Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population”, Tr-ENT, vol. 29, no. 3, pp. 126–133, 2019.
ISNAD Çolakoğlu, Bülent - Alış, Deniz. “Single-Center Validation Study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish Adult Population”. The Turkish Journal of Ear Nose and Throat 29/3 (September 2019), 126-133.
JAMA Çolakoğlu B, Alış D. Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population. Tr-ENT. 2019;29:126–133.
MLA Çolakoğlu, Bülent and Deniz Alış. “Single-Center Validation Study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish Adult Population”. The Turkish Journal of Ear Nose and Throat, vol. 29, no. 3, 2019, pp. 126-33.
Vancouver Çolakoğlu B, Alış D. Single-center validation study of the American College of Radiology Thyroid Imaging Reporting and Data System in a Turkish adult population. Tr-ENT. 2019;29(3):126-33.