The Value of Sonography in Thyroid Imaging Reporting and Data System for Thyroid Nodule_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

MA Buyun , Parajuly Shyam Sundar , PENG Yulan , SHI Yingyu

Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding?author：

Keywords：

Thyroid disease; Nodule; Thyroid imaging reporting and data system; Ultrasound

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ObjectiveTo explore the diagnostic value of sonography in thyroid imaging reporting and data system (TI-RADS) for thyroid nodules. MethodsA total of 292 patients (423 nodules) underwent thyroid examination with high frequency ultrasound. The results were retrospectively compared with histopathological diagnosis and TI-RADS lexicon. ResultsThe category 1-5 of 423 thyroid nodules were evaluated by using TI-RADS, and it’s frequency of being malignancy rate was 0(0/129), 6.3%(11/176), 33.3%(10/30), 86.8%(46/53), and 100% (35/35), respectively. The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value for benign thyroid nodule of ultrasound in TI-RADS was 96.3%（309/321）, 83.3%（85/102）, 93.1%（394/423）, 94.8%（309/326）, and 87.6%（85/97）, respectively. Positive likelihood ratio, negative likelihood ratio, and Youden’ index was 5.77, 0.04, and 79.6%, respectively. The benign and malignancy nodule of TI-RADS category were statistically difference in shape, margin, echogenicity, echotexture, composition, and calcification inside the nodule (P lt;0.001). ConclusionsTI-RADS lexicon has an important guiding value for clinical diagnosis and treatment in ultrasound examination of thyroid nodule.

Citation： MA Buyun,Parajuly Shyam Sundar,PENG Yulan,SHI Yingyu,.. The Value of Sonography in Thyroid Imaging Reporting and Data System for Thyroid Nodule. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(8): 898-901. doi: Copy

1.	彭玉蘭，羅燕，張衛東，等. 老年人甲狀腺結節及甲狀腺功能的相關性探討 [J]. 中華老年醫學雜志， 2005， 24（4）： 290291.
2.	劉星君，滕衛平，施秉銀，等. 健康成人甲狀腺結節4 306例患病情況調查 [J]. 第四軍醫大學學報， 2009， 30（19）： 19821984.
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4.	D’Orsi CJ, Bassett LW, Berg WA, et al. Breast imaging reporting and data system: ACRRADSUS [M]. Reston, VA: American College of Radiology, 2003: 7779.
5.	Park JY, Lee HJ, Jang HW, et al. A proposal for a thyroid imaging reporting and data system for ultrasound features of thyroid carcinoma [J]. Thyroid, 2009, 19(11): 12571264.
6.	Lehman C, Holt S, Peacock S, et al. Use of the american college of radiology BIRADS guidelines by community radiologists: concordance of assessments and recommendations assigned to screening mammograms [J]. AJR Am J Roentgenol, 2002, 179(1): 1520.
7.	姜玉新，張波. 甲狀腺結節的超聲診斷及治療 [J]. 協和醫學雜志， 2010， 1（1）： 3439.
8.	范自平，喬智，吳德敬. 甲狀腺癌診斷及復發因素分析 [J]. 中國普外基礎與臨床雜志， 2010， 17（1）： 6872.
9.	Iannuccilli JD, Cronan JJ, Monchik JM. Risk for malignancy of thyroid nodules as assessed by sonographic criteria: the need for biopsy [J]. J Ultrasound Med, 2004, 23(11): 14551464.
10.	Sakorafas GH, Giotakis J, Stafyla V. Papillary thyroid microcarcinoma: a surgical perspective [J]. Cancer Treat Rev, 2005, 31(6): 423438.
11.	Davies L, Welch HG. Increasing incidence of thyroid cancer in the united states, 19732002 [J]. JAMA, 2006, 295(18): 21642167.
12.	Okamoto T, Yamashita T, Harasawa A, et al. Test performances of three diagnostic procedures in evaluating thyroid nodules: physical examination, ultrasonography and fine needle aspiration cytology [J]. Endocr J, 1994, 41(3): 243247.
13.	Koike E, Noguchi S, Yamashita H, et al. Ultrasonographic characteristics of thyroid nodules: prediction of malignancy [J]. Arch Surg, 2001, 136(3): 334337.
14.	Papini E, Guglielmi R, Bianchini A, et al. Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and colordoppler features [J]. J Clin Endocrinol Metab, 2002, 87(5): 19411946.
15.	Jun P, Chow LC, Jeffrey RB, et al. The sonographic features of papillary thyroid carcinomas: pictorial essay [J]. Ultrasound Q, 2005, 21(1): 3945.
16.	Ivanac G, Brkljacic B, Ivanac K, et al. Vascularisation of benign and malignant thyroid nodules: CD us evaluation [J]. Ultraschall Med, 2007, 28(5): 502506.
17.	Ohmori N, Miyakawa M, Ohmori K, et al. Ultrasonographic findings of papillary thyroid carcinoma with hashimoto’s thyroiditis [J]. Intern Med, 2007, 46(9): 547550.
18.	時瑩瑜，馬步云，彭玉蘭，等. 甲狀腺微小癌的超聲診斷分析 [J]. 四川大學學報(醫學版)， 2010， 41（3）： 560562.
19.	Moon WJ, Jung SL, Lee JH, et al. Benign and malignant thyroid nodules: us differentiationmulticenter retrospective study [J]. Radiology, 2008, 247(3): 762770.
20.	Reading CC, Charboneau JW, Hay ID, et al. Sonography of thyroid nodules: a“classic pattern” diagnostic approach [J]. Ultrasound Q, 2005, 21(3): 157165.
21.	李康，叢淑珍，李誼，等. 超聲探測甲狀腺鈣化模式的臨床意義 [J]. 中國醫學影像技術， 2007， 23（3）： 379381.
22.	Kim BM, Kim MJ, Kim EK, et al. Sonographic differentiation of thyroid nodules with eggshell calcifications [J]. J Ultrasound Med, 2008, 27(10): 14251430.
23.	Kakkos SK, Scopa CD, Chalmoukis AK, et al. Relative risk of cancer in sonographically detected thyroid nodules with calcifications [J]. J Clin Ultrasound, 2000, 28(7): 347352.
24.	Chan BK, Desser TS, Mcdougall IR, et al. Common and uncommon sonographic features of papillary thyroid carcinoma [J]. J Ultrasound Med, 2003, 22(10): 10831090.
25.	Frates MC, Benson CB, Doubilet PM, et al. Prevalence and distribution of carcinoma in patients with solitary and multiple thyroid nodules on sonography [J]. J Clin Endocrinol Metab, 2006, 91(9): 34113417.

1. 彭玉蘭，羅燕，張衛東，等. 老年人甲狀腺結節及甲狀腺功能的相關性探討 [J]. 中華老年醫學雜志， 2005， 24（4）： 290291.
2. 劉星君，滕衛平，施秉銀，等. 健康成人甲狀腺結節4 306例患病情況調查 [J]. 第四軍醫大學學報， 2009， 30（19）： 19821984.
3. 喬令艷，宋心紅，林海燕，等. 健康人群中甲狀腺結節患病情況調查 [J]. 山東大學學報(醫學版)， 2010， 48（8）： 57,12.
4. D’Orsi CJ, Bassett LW, Berg WA, et al. Breast imaging reporting and data system: ACRRADSUS [M]. Reston, VA: American College of Radiology, 2003: 7779.
5. Park JY, Lee HJ, Jang HW, et al. A proposal for a thyroid imaging reporting and data system for ultrasound features of thyroid carcinoma [J]. Thyroid, 2009, 19(11): 12571264.
6. Lehman C, Holt S, Peacock S, et al. Use of the american college of radiology BIRADS guidelines by community radiologists: concordance of assessments and recommendations assigned to screening mammograms [J]. AJR Am J Roentgenol, 2002, 179(1): 1520.
7. 姜玉新，張波. 甲狀腺結節的超聲診斷及治療 [J]. 協和醫學雜志， 2010， 1（1）： 3439.
8. 范自平，喬智，吳德敬. 甲狀腺癌診斷及復發因素分析 [J]. 中國普外基礎與臨床雜志， 2010， 17（1）： 6872.
9. Iannuccilli JD, Cronan JJ, Monchik JM. Risk for malignancy of thyroid nodules as assessed by sonographic criteria: the need for biopsy [J]. J Ultrasound Med, 2004, 23(11): 14551464.
10. Sakorafas GH, Giotakis J, Stafyla V. Papillary thyroid microcarcinoma: a surgical perspective [J]. Cancer Treat Rev, 2005, 31(6): 423438.
11. Davies L, Welch HG. Increasing incidence of thyroid cancer in the united states, 19732002 [J]. JAMA, 2006, 295(18): 21642167.
12. Okamoto T, Yamashita T, Harasawa A, et al. Test performances of three diagnostic procedures in evaluating thyroid nodules: physical examination, ultrasonography and fine needle aspiration cytology [J]. Endocr J, 1994, 41(3): 243247.
13. Koike E, Noguchi S, Yamashita H, et al. Ultrasonographic characteristics of thyroid nodules: prediction of malignancy [J]. Arch Surg, 2001, 136(3): 334337.
14. Papini E, Guglielmi R, Bianchini A, et al. Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and colordoppler features [J]. J Clin Endocrinol Metab, 2002, 87(5): 19411946.
15. Jun P, Chow LC, Jeffrey RB, et al. The sonographic features of papillary thyroid carcinomas: pictorial essay [J]. Ultrasound Q, 2005, 21(1): 3945.
16. Ivanac G, Brkljacic B, Ivanac K, et al. Vascularisation of benign and malignant thyroid nodules: CD us evaluation [J]. Ultraschall Med, 2007, 28(5): 502506.
17. Ohmori N, Miyakawa M, Ohmori K, et al. Ultrasonographic findings of papillary thyroid carcinoma with hashimoto’s thyroiditis [J]. Intern Med, 2007, 46(9): 547550.
18. 時瑩瑜，馬步云，彭玉蘭，等. 甲狀腺微小癌的超聲診斷分析 [J]. 四川大學學報(醫學版)， 2010， 41（3）： 560562.
19. Moon WJ, Jung SL, Lee JH, et al. Benign and malignant thyroid nodules: us differentiationmulticenter retrospective study [J]. Radiology, 2008, 247(3): 762770.
20. Reading CC, Charboneau JW, Hay ID, et al. Sonography of thyroid nodules: a“classic pattern” diagnostic approach [J]. Ultrasound Q, 2005, 21(3): 157165.
21. 李康，叢淑珍，李誼，等. 超聲探測甲狀腺鈣化模式的臨床意義 [J]. 中國醫學影像技術， 2007， 23（3）： 379381.
22. Kim BM, Kim MJ, Kim EK, et al. Sonographic differentiation of thyroid nodules with eggshell calcifications [J]. J Ultrasound Med, 2008, 27(10): 14251430.
23. Kakkos SK, Scopa CD, Chalmoukis AK, et al. Relative risk of cancer in sonographically detected thyroid nodules with calcifications [J]. J Clin Ultrasound, 2000, 28(7): 347352.
24. Chan BK, Desser TS, Mcdougall IR, et al. Common and uncommon sonographic features of papillary thyroid carcinoma [J]. J Ultrasound Med, 2003, 22(10): 10831090.
25. Frates MC, Benson CB, Doubilet PM, et al. Prevalence and distribution of carcinoma in patients with solitary and multiple thyroid nodules on sonography [J]. J Clin Endocrinol Metab, 2006, 91(9): 34113417.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Value of Sonography in Thyroid Imaging Reporting and Data System for Thyroid Nodule

Abstract Full text Figures/Tables Video References Cited by

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