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CORRELATION OF ULTRASOUND CRITERIA OF THYROID NODULES ACCORDING TO THE NEW CLASSIFICATION OF AMERICAN COLLEGE OF RADIOLOGY TIRADS AND FINE NEEDLE ASPIRATION FINDINGS
Yara Salah Ismail*, Fawaz Baddour and Zuhair Alshihabi
In recent times, high?resolution ultrasound thyroid imaging has paved the way for significant transformation in clinical approach to thyroid nodule. There are several risk stratification systems in thyroid imaging, developed with an aim, not only to reduce the inter?observer variability but also to establish an effective communication system .Thyroid image reporting and data system (TIRADS) classification system, is the most useful of all. Since there are few research articles published on this subject in Syria, in this research we studied thyroid nodules using high-resolution ultrasound in an attempt to adopt the Thyroid Image Reporting And Data System By American College of Radiology( ACR-TIRADS classification) as a daily examination in the evaluation of these nodules. Materials and Methods: This is a cross-sectional Prospective study, which includes 90 patients (100 nodules) who presented with thyroid nodules over 12 months. Patients underwent complete clinical examination, ultrasound, and Fine Needle Aspiration (FNA). Results: A significant association was found between the ACR-TIRADS system and Bethesda classification, with a significant statistical significance P value < 0.001. 32 nodules classified as TI-RADS 2 had only a 6.25% risk of malignancy with a statistical significance P value of 0.01. The nodules classified with TIRADS 3 were 20, and the risk ratio for the presence of malignancy was only 5% with a statistical significance of P value 0.02, while the risk ratio for the presence of malignancy was in the 25 nodules classified with TIRADS 4, and the 23 nodules classified with TIRADS 5, 32% and 65.2%, respectively, with statistical significance P value 0.0001. Conclusion: The ACR-TIRADS is appropriate to assess thyroid nodules and avoid unnecessary fine needle aspiration, as well as to assist in making a decision about when this procedure should be performed.[Full Text Article]