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A Study to Evaluate TIRADS Scoring in the Management of Thyroid Nodules

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Introduction: 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%. Conclusion: 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.

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Authors and Affiliations

  1. ENT Specialist, Kidwai Memorial Institute of Oncology, Bangalore, India

    Priti Kalani

  2. Command Hospital Air Force, Bangalore, India

    Angshuman Dutta

  3. Graded Specialist Pathology, Command Hospital Air Force, Bangalore, India

    Jitendra Tiwari

  4. Graded Specialist Pathology, Command Hospital Western Command, Chandimandir, Panchkula, India

    Shiv Kumar

  5. Department of ENT, Command Hospital Air Force Bangalore, Bangalore, 560007, India

    Sanjay Kumar

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  1. Priti Kalani
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  2. Angshuman Dutta
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  4. Shiv Kumar
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Correspondence to Angshuman Dutta.

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Kalani, P., Dutta, A., Tiwari, J. et al. A Study to Evaluate TIRADS Scoring in the Management of Thyroid Nodules. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04730-8

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