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Diagnostic Value of TI-RADS Stratification in Different Ages of Thyroid Nodule Patients

zhang tan ,ZHANG Sheng ,XIN Xiao jie,WANG Xiao qing,YANG Fan   

  1. Department of Ultrasound, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center ofCancer, Key Laborary of Cancer Prevention and Therapy
  • Received:2014-05-12 Revised:2014-07-07 Published:2014-11-15 Online:2014-11-15
  • Contact: zhang tan

Abstract:

[Abstract]   Objective   To explore the applied value of thyroid imaging reporting and data system (TI-RADS) stratification in diagnosing thyroid nodules in patients with different agesMethods   A total of 527 patients with thyroid nodules (aged 26-65) were divided into four groups: aged 26-35 group, aged 36-45 group, aged 46-55 group and aged 56-65 group. TI-RADS was used to evaluate patients in four groups. The results of TI-RADS were compared with the pathologic diagnostic analysis.   Results   For the low aged groups (aged 26-35 group and aged 36-45 group), the positive predictive value, the negative predictive value and accuracy rate were more than 90%. With regard to the patients aged 46-55, the positive and negative predictive values and accuracy rate were 81.5%, 87.5%, and 81.9%, respectively. The positive and negative predictive values, accuracy rate were 76.6%88.8% and 77.9% for patients aged 56-65 groupThe diagnostic rate of TIRADS in patients with thyroid lesions was lower in aged 56-65 group than that of other groups.   Conclusion   TI-RADS method is affected by age. The diagnostic rate is lower in the high age group than that of the low age group.

Key words: Thyroid nodules, Ultrasonography, TI-RADS, age groups