ARCHIVES
VOL. 3, ISSUE 2 (2021)
Comparisons of ACR TI-RADS, Kwak TI-RADS and EU-TIRADS in malignancy risk stratification of thyroid nodules in Filipino patients
Authors
Er Jan Niko Malimban, Reza Koa Sales
Abstract
Purpose: To give reliable and applicable clinical data and evidence in constructing a suitable TIRADS scoring system for the population of the Philippines. Methodology: Retrospective study of patient records who underwent thyroidectomy at our institution from 2018- 2019 were reviewed and included patients of all ages with records of total or nearly total thyroidectomy or lobectomy performed; complete preoperative ultrasound of thyroid nodules; and has surgical pathology. All patient medical record and ultrasound images were correlated to pathological results. The nodules were characterized by size, number, composition, echogenicity, orientation, margins and calcification. Nodules were then scored and TI-RADS was then calculated. Results: Among the three scoring systems, ACR TIRADS is the most specific while EU and Kwak TIRADS are more sensitive than ACR. Results show that the suspicious ultrasound features accurately predicted malignancy, with malignancy odds significantly higher in nodules with a high level of suspicion by ultrasound (TR5 highly suspicious), however, no significant difference exists between benign and malignant in terms of size. Conclusion: TI-RADS may correlate that in Filipinos malignancy is better predicted by ultrasound features than size. There are no difference in diagnostic efficiency among the three scoring systems. In Filipinos, it is recommended that sonographically suspicious nodules undergo FNAB regardless of size because ultrasound features better predict malignancy. Significance: Filipinos have a higher incidence, recurrence rate, and worse outcomes compared to other populations when diagnosed with thyroid cancer. It is imperative to adopt a scoring system that is reliable in malignancy risk stratification of thyroid nodules for the Philippine population.
Download
Pages:18-26
How to cite this article:
Er Jan Niko Malimban, Reza Koa Sales "Comparisons of ACR TI-RADS, Kwak TI-RADS and EU-TIRADS in malignancy risk stratification of thyroid nodules in Filipino patients ". International Journal of Radiology Research, Vol 3, Issue 2, 2021, Pages 18-26
Download Author Certificate
Please enter the email address corresponding to this article submission to download your certificate.