Comparison of the diagnostic performance of the 2017 ACR TI-RADS guideline to the Kwak guideline in children with thyroid nodules.
Background: The Kwak Thyroid Imaging Reporting and Data System (Kwak-TI-RADS) guideline (2011) and American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) guideline (2017) were developed as ultrasound (US) risk stratification tools for detecting thyroid malignancy in ad...
| Publicado en: | Pediatric Radiology Vol. 49; no. 7; pp. 862 - 869 |
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| Autores principales: | , , , , , , , |
| Formato: | practice guidelines research Journal Article |
| Publicado: |
Springer Nature
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136768974&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136768974 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03010449 O03 jtl: Pediatric Radiology issn: 03010449 maglogo: N pubinfo: dt: Jun2019 vid: 49 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136768974 136768974 NLM31154502 136768974 10.1007/s00247-019-04385-6 NLM31154502 136768974 ppf: 862 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparison of the diagnostic performance of the 2017 ACR TI-RADS guideline to the Kwak guideline in children with thyroid nodules. aug: au: Shapira-Zaltsberg, Gali Miller, Elka Martinez-Rios, Claudia Bass, Juan Goldbloom, Ellen B. Tang, Ken Hayawi, Lamia Highmore, Kerri affil: Department of Medical Imaging, CHEO, 401 Smyth Road, K1H 8L1, Ottawa, ON, Canada sug: subj: Ultrasonography Methods Thyroid Nodule Adolescence Child Human Reproducibility of Results Male Female Child, Preschool Retrospective Design Ontario Validation Studies Comparative Studies Evaluation Research Multicenter Studies Psychological Tests Scales Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years Male Female ab: Background: The Kwak Thyroid Imaging Reporting and Data System (Kwak-TI-RADS) guideline (2011) and American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) guideline (2017) were developed as ultrasound (US) risk stratification tools for detecting thyroid malignancy in adults.Objective: The purpose of this study was to investigate the inter-rater reliability and diagnostic performance of the ACR TI-RADS guideline in the pediatric population and compare it to the Kwak guideline.Materials and Methods: This retrospective study comprised 75 children who underwent thyroid US at a tertiary-level pediatric hospital. Three pediatric radiologists and one pediatric radiology fellow graded the US findings using the Kwak-TI-RADS and ACR TI-RADS guidelines. We assessed reliability of radiologists' ratings using percentage inter-rater agreement, and intra-class correlation coefficients (ICC2,1). We assessed area-under-the-receiver-operating-characteristic curve (AUROCC) to compare the discriminative diagnostic ability of the Kwak-TI-RADS and ACR TI-RADS scoring systems against histopathology/cytology, or stability on US over a 2-year follow-up period for cases without tissue diagnosis.Results: The inter-rater agreement was significantly better for the ACR TI-RADS level compared to the Kwak-TI-RADS level (P<0.001) using the percentage pairwise agreement. The ROC curves for assessing the diagnostic performance of the two methods showed no significant difference between the methods. The AUROCCs for the Kwak-TI-RADS and ACR TI-RADS levels were 0.74 (95% confidence interval [CI] 0.67-0.82) and 0.72 (95% CI 0.61-0.82), respectively.Conclusion: Both the Kwak-TI-RADS and ACR TI-RADS guidelines provide moderate malignancy risk stratification for thyroid nodules in the pediatric population, with better inter-rater agreement for the ACR TI-RADS guideline. Further work to adjust the recommendations for pediatric patients is necessary. pubtype: Academic Journal doctype: practice guidelines research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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