PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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%.
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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%.
CONCLUSIONS: 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.
摘要：
背景：甲状腺结节经常造成临床困境，需要使用精确和方便的诊断方法。甲状腺影像报告和数据系统（TIRADS）与组织病理学有关的有效性，这被认为是标准方法，仍然是一个突出的调查领域。TIRADS提供了基于超声成像的系统评估。这项研究的主要目的是评估甲状腺影像报告和数据系统（TIRADS）在甲状腺结节评估中的可靠性。与组织病理学结果相比。
方法：采用回顾性设计来分析从100名患者的样本中获得的数据，年龄从19岁到82岁不等。该研究的主要目的是使用甲状腺成像报告和数据系统（TIRADS）作为主要结果指标来评估超声检查（USG）结果。次要结果测量基于组织学评估。利用了多项统计检验，如线性回归和卡帕统计量。
结果：这项研究的结果表明TIRADS与组织病理学结果之间存在显着关联，特别是在高风险人群中。研究结果表明，TIRADSIII的诊断价值，IV,V由各自的恶性肿瘤风险4.1%支持，90%,和100%。
结论：TIRADS的适当利用可以作为评估甲状腺结节的可靠的首选方法，尽管必须通过组织学检查来补充这种方法，以获得透彻的了解。
方法：采用回顾性设计来分析从100名患者的样本中获得的数据，年龄从19岁到82岁不等。该研究的主要目的是使用甲状腺成像报告和数据系统（TIRADS）作为主要结果指标来评估超声检查（USG）结果。次要结果测量基于组织学评估。利用了多项统计检验，如线性回归和卡帕统计量。
结果：这项研究的结果表明TIRADS与组织病理学结果之间存在显着关联，特别是在高风险人群中。研究结果表明，TIRADSIII的诊断价值，IV,V由各自的恶性肿瘤风险4.1%支持，90%,和100%。
结论：TIRADS的适当利用可以作为评估甲状腺结节的可靠的首选方法，尽管必须通过组织学检查来补充这种方法，以获得透彻的了解。
