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20 May 2024: Clinical Research

Diagnostic Efficiency of ACR-TIRADS Score for Differentiating Benign and Malignant Thyroid Nodules of Various Pathological Types

Yan Xu 1ABCDEF , Jiashun Pi 2CDEF , Yihan Jinghu 2BCDEF , Xiaotao Wang 1BCDE , Dong Xu 3AEG* , Jie Liu 45ABCDEFG*

DOI: 10.12659/MSM.943228

Med Sci Monit 2024; 30:e943228

Table 1 Comparison of general data and ultrasonic characteristics of benign and malignant thyroid nodules.

Malignant (n=829)Benign (n=846)P
Age (y)+46.83±13.26351.33±12.1610.000*
Max size (mm)14.67±13.85424.08±16.3810.000*
Sex0.174
Female599 (72.3)636 (75.2)
Male230 (27.7)210 (24.8)
Position0.002*
Left thyroid371 (44.8)402 (47.5)
Right thyroid418 (50.4)428 (50.6)
Thyroid isthmus40 (4.8)16 (1.9)
Composition0.000*
Cystic or almost completely cystic51 (6)
Spongiform54 (6.4)
Mixed cystic and solid20 (2.4)317 (37.4)
Solid or almost completely solid809 (97.4)424 (50.2)
Echogenicity0.000*
Anechoic59 (7.0)
Hyperechoic or isoechoic15 (1.8)264 (31.2)
Hypoechoic772 (93.1)523 (61.8)
Very hypoechoic42 (5.1)
Shape0.000*
Wider-than-tall426 (51.4)47 (5.6)
Taller-than-wide403 (48.6)799 (94.4)
Margin0.000*
Smooth363 (43.8)794 (94)
Ill-defined128 (15.4)40 (4.6)
Lobulated or irregular282 (34)12 (1.4)
Extra-thyroidal extension56 (6.8)
Echogenic Foci0.000*
None or large comet-tail artifacts499 (60.2)732 (86.5)
Macrocalcifications57 (6.9)78 (9.2)
Peripheral (rim) calcifications55 (6.6)17 (2.0)
Punctate echogenic foci218 (26.3)19 (2.2)
Add Points for TI-RADS+7.35±2.1503.28±1.4770.000*
ACR TI-RADS risk level0.000*
TR151 (6.0)
TR2132 (15.6)
TR37 (0.8)368 (43.5)
TR4215 (25.9)260 (30.7)
TR5607 (73.2)35 (4.1)
Data are numbers of nodules, with percentages in parentheses. ACR – American College of Radiology; TIRADS – Thyroid Imaging Reporting and Data System; TR – TI-RADS risk level. Numbers in parentheses represent percentage within a given group (benign, malignant). Data are shown in means±standard deviation.
*

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750