Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

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 2 Distribution of the ultrasonographic characteristics of 4 pathological types of thyroid malignant nodules.

FeaturePTCFTCMTCATC
Composition
Cystic or almost completely cystic
Spongiform
Mixed cystic and solid9 (1.4)8 (9.9)2 (2.1)1 (4.8)
Solid or almost completely solid622 (98.6)73 (90.1)94 (97.9)20 (95.2)
Echogenicity
Anechoic
Hyperechoic or isoechoic8 (1.3)4 (4.9)2 (2.1)1 (4.8)
Hypoechoic603 (95.6)71 (87.7)78 (81.3)20 (95.2)
Very hypoechoic20 (3.2)6 (7.4)16 (16.7)
Shape
Wider-than-tall247 (39.1)80 (98.8)81 (84.4)18 (85.7)
Taller-than-wide384 (60.9)1 (1.2)15 (15.6)3 (14.3)
Margin
Smooth290 (46)29 (35.8)44 (45.9)
Ill-defined94 (14.8)16 (19.8)10 (10.4)8 (38.1)
Lobulated or irregular217 (34.4)23 (28.4)39 (40.6)3 (14.3)
Extra-thyroidal extension30 (4.8)13 (16)3 (3.1)610 (47.6)
Echogenic Foci
None or large comet-tail artifacts405 (64.2)45 (55.6)42 (43.85)7 (33.3)
Macrocalcifications15 (2.4)17 (21)16 (16.7)9 (42.9)
Peripheral (rim) calcifications67 (7.4)7 (8.6)1 (4.8)
Punctate echogenic foci164 (26)12 (14.8)38 (39.6)4 (19)
Data are numbers of nodules, with percentages in parentheses. PTC – papillary thyroid carcinoma; MTC – medullary thyroid carcinoma; FTC – follicular thyroid carcinoma; ATC – anaplastic thyroid carcinoma.

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

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