Is TIRADS a practical and accurate system for use in daily clinical practice? Article Swipe
Anuradha Chandramohan
,
Abhishek Khurana
,
B. T. Pushpa
,
Marie Therese Manipadam
,
Dukhabandhu Naik
,
Nihal Thomas
,
Deepak Thomas Abraham
,
Mazhuvanchary Jacob Paul
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.4103/0971-3026.178367
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.4103/0971-3026.178367
Aim: To assess the positive predictive value (PPV) and inter-observer agreement of Thyroid Imaging Reporting and Data System (TIRADS) as described by Kwak et al. Materials and Methods: This was a prospective study wherein ultrasound was performed by two radiologists on patients with thyroid nodules >1 cm. The third radiologist interpreted archived images. Ultrasound features and TIRADS category were compared with cytology and surgical histopathology. PPV was calculated for all readers′ combined assessment. Inter-observer agreement was calculated using linear weighted kappa. Results: A total of 238 patients with 272 nodules of mean size 2.9 ± 1.7 cm were included. PPV for malignancy was 6.6%, 32%, 36%, 64%, 59%, and 91% for TIRADS 2, 3, 4a, 4b, 4c, and 5 categories, respectively. Inter-observer agreement was substantial [kappa (k) = 0.61-0.80] for assessment of nodule echogenicity, margins, calcification, and shape and good (k = 0.570, P < 0.001) for assessment of composition of the thyroid nodules. Overall agreement between observers was substantial for assigning TIRADS category [multi-rater weighted kappa coefficient (wt k) = 0.721, P < 0.001]. Conclusions: TIRADS is a simple and practical method of assessing thyroid nodules with high PPV and good inter-observer agreement.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/0971-3026.178367
- http://www.thieme-connect.de/products/ejournals/pdf/10.4103/0971-3026.178367.pdf
- OA Status
- diamond
- Cited By
- 52
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2300450427
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2300450427Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/0971-3026.178367Digital Object Identifier
- Title
-
Is TIRADS a practical and accurate system for use in daily clinical practice?Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2016Year of publication
- Publication date
-
2016-01-01Full publication date if available
- Authors
-
Anuradha Chandramohan, Abhishek Khurana, B. T. Pushpa, Marie Therese Manipadam, Dukhabandhu Naik, Nihal Thomas, Deepak Thomas Abraham, Mazhuvanchary Jacob PaulList of authors in order
- Landing page
-
https://doi.org/10.4103/0971-3026.178367Publisher landing page
- PDF URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.4103/0971-3026.178367.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.4103/0971-3026.178367.pdfDirect OA link when available
- Concepts
-
Medicine, Echogenicity, Thyroid nodules, Kappa, Nodule (geology), Thyroid, Malignancy, Radiology, Cohen's kappa, Ultrasound, Nuclear medicine, Calcification, Histopathology, Pathology, Internal medicine, Mathematics, Statistics, Paleontology, Biology, GeometryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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52Total citation count in OpenAlex
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2025: 2, 2024: 8, 2023: 6, 2022: 3, 2021: 10Per-year citation counts (last 5 years)
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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