Research into the value in the diagnosis of thyroid cancerof the EU-TIRADS 2017 classification

Nguyen Thi Thu Thao1, Ngo Le Lam1, Vu Dang Luu1,
1 Bach Mai hospital

Main Article Content

Abstract

SUMMARY


A diagnostic test study was conducted at Bạch Mai hospital to evaluate the efficacy of Ultrasound andthe EU-TIRADS 2017classsification of thyroid nodules.
Result: 170 patients with thyroid noduleswere prospectively evaluated by B-mode ultrasound and the EU-TIRAD 2017 classsification, followed by the fine needle aspiration (FNA) biopsy. The averae age is 46,7 ± 11,5 years old and female/male = 5,5. The sensitivity, specificity,
positive predictive value, negative predictive value, accuracy for the EUTIRADS 2017 were 98,2%; 34,5%; 74,3%; 90,9%; 76,7%.TIRADS 5 is
the highest (64,7%). 4 features of high suspicion are irregular margins, microcalfifcations, marked hypoechogenicity, “taller – then -wide” shape; the sensitivity, specificity 70% and 93%; 35% and 91%; 50% and 79%; 58% and 82%.
Conclusion: TIRADS 5 is the highest and the EU-TIRADS 2017 classification and pathology indicates strong evidence.

Article Details

References

TÀI LIỆU THAM KHẢO
1. Russ G., Bonnema S.J., Erdogan M.F. và cộng sự. (2017). European Thyroid Association Guidelines for Ultrasound
Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS. Eur Thyroid J, 6(5), 225–237.
2. Russ G., Leboulleux S., Leenhardt L. và cộng sự. (2014). Thyroid Incidentalomas: Epidemiology, Risk Stratification with Ultrasound and Workup. Eur Thyroid J, 3(3), 154–163.
3. Brito J.P., Gionfriddo M.R., Al Nofal A. và cộng sự. (2014). The accuracy of thyroid nodule ultrasound to predict thyroid cancer: systematic review and meta-analysis. J Clin Endocrinol Metab, 99(4), 1253–1263.
4. Kim E.-K., Park C.S., Chung W.Y. và cộng sự. (2002). New sonographic criteria for recommending fine-needle
aspiration biopsy of nonpalpable solid nodules of the thyroid. AJR Am J Roentgenol, 178(3), 687–691.
5. Russ G., Bigorgne C., Royer B. và cộng sự. (2011). [The Thyroid Imaging Reporting and Data System (TIRADS)
for ultrasound of the thyroid]. J Radiol, 92(7–8), 701–713.
6. Zhang J., Liu B.-J., Xu H.-X. và cộng sự. (2015). Prospective validation of an ultrasound-based thyroid imaging
reporting and data system (TI-RADS) on 3980 thyroid nodules. Int J Clin Exp Med, 8(4), 5911–5917.
7. Moon W.-J., Jung S.L., Lee J.H. và cộng sự. (2008). Benign and malignant thyroid nodules: US differentiation- -multicenter retrospective study. Radiology, 247(3), 762–770.
8. Trimboli P., Guglielmi R., Monti S. và cộng sự. (2012). Ultrasound sensitivity for thyroid malignancy is increased
by real-time elastography: a prospective multicenter study. J Clin Endocrinol Metab, 97(12), 4524–4530.
9. An Observation Trial Without Surgical Treatment in Patients with Papillary Microcarcinoma of the Thyroid | Thyroid. , accessed: 25/07/2018.
10. Current Thyroid Cancer Trends in the United States | Endocrinology | JAMA Otolaryngology–Head & Neck Surgery |
JAMA Network., accessed: 25/07/2018.
11. Diagnostic accuracy of ultrasound-guided fine needle aspiration biopsy for thyroid malignancy: systematic review and meta-analysis | SpringerLink. ,accessed: 25/07/2018.