English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background And Objectives: Nearly twothird of the population show nodules in high resolution ultrasound of thyroid. Less than 10% of nodules are malignant. The reporting of such nodules is often subjective and does not guide proper management. To standardize the reporting, the concept of thyroid imaging reporting and data system (TIRADS) was developed. The present study aims to stratify the thyroid nodules based on key ultrasound features into various risk groups and assess their malignant potential. Methodology:This study has been done on 200 patients with thyroid nodules during a one year study period(2014-2015).These thyroid nodules were evaluated by ultrasonography and FNAC.Then the sonographic features and FNAC results were compared andanalysed. Results: Out of the 200 thyroid nodules, 140 nodules were included in TIRADS category 3. TIRADS category 4a, 4b and 5 had 12, 40, 8 thyroid nodules respectively. All category 3 nodules were proved as benign on FNAC. Malignant nodules were confirmed with increasing frequency from category 4a to 5, with 100% concordance for TIRADS category 5. Odds ratio for irregular margin,microlobulated margin, taller-than-wider shape, microcalcification, marked hypoechogenicity is 1.71, 24, 19.4, 20.35 and 47 respectively. Conclusion:The sonographic features like irregular margin, microlobulated margin, taller-than-wider shape, microcalcification and marked hypoechogenicity carries increased risk of thyroid malignancy and fine needle aspiration cytology is required only for the nodules which are included in TIRADS category 4a, 4b and 5.

Role of Ultrasound in Assessment of Malignant Risk Potentialof Thyroid Nodule Using TIRADS with Cytological Correlation