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.	彭玉兰，罗燕，张卫东，等. 老年人甲状腺结节及甲状腺功能的相关性探讨 [J]. 中华老年医学杂志， 2005， 24（4）： 290291.
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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.
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7.	姜玉新，张波. 甲状腺结节的超声诊断及治疗 [J]. 协和医学杂志， 2010， 1（1）： 3439.
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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.	时莹瑜，马步云，彭玉兰，等. 甲状腺微小癌的超声诊断分析 [J]. 四川大学学报(医学版)， 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，丛淑珍，李谊，等. 超声探测甲状腺钙化模式的临床意义 [J]. 中国医学影像技术， 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. 彭玉兰，罗燕，张卫东，等. 老年人甲状腺结节及甲状腺功能的相关性探讨 [J]. 中华老年医学杂志， 2005， 24（4）： 290291.
2. 刘星君，滕卫平，施秉银，等. 健康成人甲状腺结节4 306例患病情况调查 [J]. 第四军医大学学报， 2009， 30（19）： 19821984.
3. 乔令艳，宋心红，林海燕，等. 健康人群中甲状腺结节患病情况调查 [J]. 山东大学学报(医学版)， 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，张波. 甲状腺结节的超声诊断及治疗 [J]. 协和医学杂志， 2010， 1（1）： 3439.
8. 范自平，乔智，吴德敬. 甲状腺癌诊断及复发因素分析 [J]. 中国普外基础与临床杂志， 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. 时莹瑜，马步云，彭玉兰，等. 甲状腺微小癌的超声诊断分析 [J]. 四川大学学报(医学版)， 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，丛淑珍，李谊，等. 超声探测甲状腺钙化模式的临床意义 [J]. 中国医学影像技术， 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

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