Improving quality of thyroid ultrasound reporting after implementation of the ACR thyroid imaging reporting and data system at Minia University Hospitals

Gawish, Sarah Kamal; Moustafa, Moustafa Mohamed; Elsaghier, Ghada Mohammed; Issa, Ahmed Sayed

doi:10.21608/mjmr.2023.219257.1430

Improving quality of thyroid ultrasound reporting after implementation of the ACR thyroid imaging reporting and data system at Minia University Hospitals

Document Type : Original Article

Authors

¹ radiology department, faculty of medicine minia university, minia egypt

² Radiology department - Faculty Of Medicine -El- Minia University Egypt

³ internal medicine, faculty of medicine, minia university, minia, egypt

⁴ faculty of medicine, minia university , department of diagnostic radiology

10.21608/mjmr.2023.219257.1430

Abstract

Thyroid cancer is a common neck tumor. Although the majority of the thyroid nodules are benign, malignancy has a prevalence of 5-15%. There has a debate whether surgeries for thyroid nodules are unnecessarily performed, so the specialists seek for improvement in preoperative diagnosis. The efficacy of gray scaled ultrasound (US) in differentiation between benign and malignant nodules is low. So researchers promoted the thyroid imaging reporting and data system (TIRADS).In this study we have evaluated the reporting quality on adherence to American college of radiology- TIRADS (ACR-TIRADS) and its effect on reducing the un-necessary fine needle aspiration biopsy (FNAB). Patient and methods: A prospective single center case series study, we evaluated the US reports of 100 patients at Minia university hospitals. After detailed history taking previous US was revised. B mode ultrasonography was done on GE LOGIQ S8 R4 OLED US machine using linear transducer 6-15 megahertez (MHz). Data reported according to ACR TIRADS and compared with the previous US. Evaluate the effect of the new reporting method on decrease number of un necessary FNAB. Results: Our study included 100 Nodules, 68 of them were benign. Patients with no US recommendation to FNAB in the previous US were excluded. 62 patients were recommended to have FNAB based on the previous US, with implementation of ACR-TIRADS, 54 patients (87.1%) were recommended to have FNAB (P value 0.006). So we conclude that adherence to ACR-TIRADS in the US reporting decrease the count of un necessary FNAB. Keywords: ACR-TIRADS, Thyroid nodule, FNAB.

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