Combined Thyroid Imaging Report and Data System Ti-Rads and Ultrasound Guided Fine Needle Aspiration Biopsy in Solid Thyroid Nodules
نویسنده
چکیده
The aim of this study is to evaluate the utility of UGFNA (ultrasound guided fine needle aspiration biopsy) after evaluating solid thyroid nodules with the risk stratification diagnostic tool, the Thyroid Imaging Reporting and Data System (TI-RADS) classification system. Real time elastography results will be used as one of the six criteria as suspicion for malignancy. The study group comprised 108 cases evaluated by means of ultrasound (Hitachi Preirus Machine, linear multi frequency probe). A pathology report was completed in all cases and considered a diagnostic gold standard. Ultrasound results: TI-RADS 3 (cancer risk < 5%) 3 cases; TI-RADS 4A: 31 cases (cancer risk < 10%), TI-RADS 4B: 50 cases (high risk of malignancy up to 60%); TI-RADS 5: 6 cases (cancer risk > 90%). UGFNA results: 4 cases BETHESDA BI (3.6%) I, 46 cases BII (27.77%), 30 cases BIII (27.77%), 4 cases Bethesda IV (3.70%) and 24 cases BV and VI (22.22%). The pathology certified thyroid cancer in 30 cases: 27 PTC and 3 FTC. Ultrasound evaluation was unclear in TI-RADS 4A and 4B cases (81/108 cases). TI-RADS 2,3 and 5 cases were correctly evaluated by means of TI-RADS. Borderline ultrasound characteristics required further evaluation. TI-RADS 4B cases should be biopsied in order to have a correct approach. The results were that the combination of the two procedures would increase the diagnostic quality, reduce the number of unnecessary UGFNA and would focus on the important lesions to be clarified. However, the TI-RADS model cannot substitute UGFNA.
منابع مشابه
Avoidance of unnecessary fine-needle aspiration with the use of the Thyroid Imaging Reporting Data System classification and strain elastography based on The Bethesda System for Reporting Thyroid Cytopathology.
Thyroid fine-needle aspiration (FNA) biopsy has been widely accepted as an accurate and cost-effective tool in the management of thyroid nodules. To avoid unnecessary FNAs and provide appropriate management, patient evaluation should be based on a multidisciplinary approach. For this purpose, the Thyroid Imaging Reporting and Data System (TI-RADS) and strain elastography (SE) were proposed as t...
متن کاملShear wave elastography combined with the thyroid imaging reporting and data system for malignancy risk stratification in thyroid nodules
To retrospectively evaluate the diagnostic performance of shear wave elastography (SWE) and thyroid imaging reporting and data system (TI-RADS) in differentiating malignant and benign thyroid nodules. A total of 313 thyroid nodules in 227 patients were included. All thyroid nodules were underwent SWE and TI-RADS before fine needle aspiration biopsy and/or surgery. SWE elasticity indices of the ...
متن کاملCombination of aspiration and non-aspiration fine needle biopsy for cytological diagnosis of thyroid nodules
Background: Good cytological sample is very important for the cytological diagnosis of thyroid nodules. The aim of this study was to evaluate the adequacy of prepared samples by the combination of aspiration and non- aspiration fine needle biopsy. Methods: In this descriptive – analytical study, sampling was done simultaneously for each patient in fine needle aspiration and non-aspiration biops...
متن کاملCorrelation of Thyroid Imaging Reporting and Data System [TI-RADS] and fine needle aspiration: experience in 1,000 nodules
OBJECTIVE To correlate the Thyroid Imaging Reporting and Data System (TI-RADS) and the Bethesda system in reporting cytopathology in 1,000 thyroid nodules. METHODS 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. RESULTS A significant association was found betwee...
متن کاملRisk stratification of thyroid nodules on ultrasonography with the French TI-RADS: description and reflections
The widespread use of ultrasonography places it in a key position for use in the risk stratification of thyroid nodules. The French proposal is a five-tier system, our version of a thyroid imaging reporting and database system (TI-RADS), which includes a standardized vocabulary and report and a quantified risk assessment. It allows the selection of the nodules that should be referred for fine-n...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2016