Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS
Objective. Estimation of the ultrasonographic criteria efficacy in accordance to the TI-RADS system while determining the morphological structures of nodal thyroid affections. Materials and methods. Results of ultrasonographic investigation in 546 patients, ageing 17 - 76 old and suffering thyroi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2019-10-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/754 |
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| author | A. F. Hummatov S. A. Aliev Kh. N. Shirinova A. H. Abbasov |
| author_facet | A. F. Hummatov S. A. Aliev Kh. N. Shirinova A. H. Abbasov |
| author_sort | A. F. Hummatov |
| collection | DOAJ |
| description | Objective. Estimation of the ultrasonographic criteria efficacy in accordance to the TI-RADS system while determining the morphological structures of nodal thyroid affections.
Materials and methods. Results of ultrasonographic investigation in 546 patients, ageing 17 - 76 old and suffering thyroidal nodal affections, were analyzed.
All the patients were divided into two groups. Into the firsr group (the main) 427 (78.2%) patients were included, to whom ultrasonographic investigation was performed by a surgeon-endocrinologist. Into the second group (the control one) 119 (21.8%) patients were included, to whom ultrasonographic investigation was performed by a radiologist. Ultrasonographic criteria with nodal thyroidal affections were estimated in accordance to the TI-RADS scale, and the results of cytological investigations of the nodal affections - in accordance to criteria of the Bethesda system. The degree of the malignant nodal affections risk was determined, taking into account a quantity of intranodal echographic signs in accordance to the points gradation, using a Ti-RADS system.
Results. In accordance to results of pathohistological investigations of the removed specimen a benign changes were revealed in 128 (76.6%) patients, and malignant - in 39 (23.4%). In structure of malignant affections papillary cancer was established in 23 patients, follicular - in 13, medullary - in 2, Hurtle-cellular - in 1 patient. In accordance to cytological investigations, conducted in 2014 - 2018 yrs., there was established, that in the first group a fine-needle biopsy was conducted in 211/427(49.4%) patients. Operative interventions were performed in 105 (24.6%) patients. In the second group a fine-needle biopsy was performed in 64/119 (53.8%) patients. Operative intervention was conducted in 62 (52.1%) patients.
Conclusion. While conduction of ultrasonographic investigation by a surgeon-endocrinologist the rate of revealing of false-positive echographic signs have lowered in more than 2 times (1.4%), comparing with analogous index while conduction of the investigation by radiologist (3.1%). Application of a TI-RADS classification have permitted to reduce the rate of the fine-needle biopsy and doing of surgical interventions. |
| first_indexed | 2024-04-09T15:58:43Z |
| format | Article |
| id | doaj.art-9109dd844a7d4b59a026b38d39dc78ff |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:58:43Z |
| publishDate | 2019-10-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-9109dd844a7d4b59a026b38d39dc78ff2023-04-25T13:54:25ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962019-10-018610626610.26779/2522-1396.2019.10.62754Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADSA. F. Hummatov0S. A. Aliev1Kh. N. Shirinova2A. H. Abbasov3Azerbaijan Medical University, Baku, Republic of AzerbaijanAzerbaijan Medical University, Baku, Republic of AzerbaijanAzerbaijan Medical University, Baku, Republic of AzerbaijanAzerbaijan Medical University, Baku, Republic of AzerbaijanObjective. Estimation of the ultrasonographic criteria efficacy in accordance to the TI-RADS system while determining the morphological structures of nodal thyroid affections. Materials and methods. Results of ultrasonographic investigation in 546 patients, ageing 17 - 76 old and suffering thyroidal nodal affections, were analyzed. All the patients were divided into two groups. Into the firsr group (the main) 427 (78.2%) patients were included, to whom ultrasonographic investigation was performed by a surgeon-endocrinologist. Into the second group (the control one) 119 (21.8%) patients were included, to whom ultrasonographic investigation was performed by a radiologist. Ultrasonographic criteria with nodal thyroidal affections were estimated in accordance to the TI-RADS scale, and the results of cytological investigations of the nodal affections - in accordance to criteria of the Bethesda system. The degree of the malignant nodal affections risk was determined, taking into account a quantity of intranodal echographic signs in accordance to the points gradation, using a Ti-RADS system. Results. In accordance to results of pathohistological investigations of the removed specimen a benign changes were revealed in 128 (76.6%) patients, and malignant - in 39 (23.4%). In structure of malignant affections papillary cancer was established in 23 patients, follicular - in 13, medullary - in 2, Hurtle-cellular - in 1 patient. In accordance to cytological investigations, conducted in 2014 - 2018 yrs., there was established, that in the first group a fine-needle biopsy was conducted in 211/427(49.4%) patients. Operative interventions were performed in 105 (24.6%) patients. In the second group a fine-needle biopsy was performed in 64/119 (53.8%) patients. Operative intervention was conducted in 62 (52.1%) patients. Conclusion. While conduction of ultrasonographic investigation by a surgeon-endocrinologist the rate of revealing of false-positive echographic signs have lowered in more than 2 times (1.4%), comparing with analogous index while conduction of the investigation by radiologist (3.1%). Application of a TI-RADS classification have permitted to reduce the rate of the fine-needle biopsy and doing of surgical interventions.https://hirurgiya.com.ua/index.php/journal/article/view/754thyroid gland; nodal affections; ultrasonographic investigation; a ti-rads scale, the bethesda criteria |
| spellingShingle | A. F. Hummatov S. A. Aliev Kh. N. Shirinova A. H. Abbasov Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS Клінічна хірургія thyroid gland; nodal affections; ultrasonographic investigation; a ti-rads scale, the bethesda criteria |
| title | Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS |
| title_full | Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS |
| title_fullStr | Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS |
| title_full_unstemmed | Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS |
| title_short | Diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system TI-RADS |
| title_sort | diagnostic value of ultrasound in the evaluation of the echostructures of the nodular formation of the thyroid gland using the classification system ti rads |
| topic | thyroid gland; nodal affections; ultrasonographic investigation; a ti-rads scale, the bethesda criteria |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/754 |
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