基本信息来源于合作网站,原文需代理用户跳转至来源网站获取       
摘要:
Background: The Canadian province of Saskatchewan introduced a pre-fine needle aspiration (FNA) clinic to review adherence of referrals for thyroid biopsy based on the guidelines of the American College of Radiology’s (ACR) Thyroid Imaging, Reporting and Data System (TI-RADS) scoring system. The intention is to minimize low-yield biopsy rates by improving the quality of thyroid nodule investigation in Saskatchewan through this clinic. TI-RADS is a malignancy risk scoring system for thyroid nodules based on five sonographic characteristics: composition, echogenicity, shape, margin, and echogenic foci (calcium). Recommendations for intervention or clinical follow-up are further determined by the size of the nodule. Methods: Through a retrospective chart review of all thyroid biopsy referrals to the Royal University Hospital (RUH) in Saskatchewan between 22 March 2016 and 17 May 2018, the impact of the multidisciplinary pre-FNA clinic on appropriate thyroid biopsies in Saskatchewan was evaluated. Results: This study evaluated 252 referrals, 203 of which underwent FNA and 23 which received surgical biopsy. TI-RADS scores appended to thyroid biopsy referrals increased upon pre-FNA clinic initiation, yet score quality did not improve. Rates of malignant biopsies were lower than ACR-reporting suggesting inappropriate biopsy of low risk nodules perhaps by overcalling the TI-RADS score. The majority of FNA cytology matched final surgical pathology, with 78% of indeterminate FNAs being malignant, and all non-diagnostic FNAs being benign. Conclusions: The implementation of the pre-FNA clinic reduced the number of thyroid biopsies in Saskatchewan by 11% overall.
推荐文章
Hydrogeochemical processes and multivariate analysis for groundwater quality in the arid Maadher reg
Groundwater quality
Hydrogeochemical processes
Multivariate analysis
Salinity
Mio-Plio
Quaternary aquifer
Diagenetic evolution of clastic reservoirs and its records in fine subsection: significance and appl
Tight sandstone reservoirs
Diagenetic evolution
Fine subsection
Significance
Fine Report在油田基建信息管理系统中的应用
Fine Report
报表软件
基建信息
管理系统
应用
内容分析
关键词云
关键词热度
相关文献总数  
(/次)
(/年)
文献信息
篇名 The Role of a Pre-Fine Needle Aspiration Clinic in Improving the Quality of Thyroid Nodule Investigation in Saskatchewan
来源期刊 放射学期刊(英文) 学科 经济
关键词 THYROID NODULES THYROID Cancer Fine Needle ASPIRATION BIOPSY THYROID Imaging Reporting and Data System (TIRADS)
年,卷(期) 2020,(1) 所属期刊栏目
研究方向 页码范围 23-34
页数 12页 分类号 F42
字数 语种
DOI
五维指标
传播情况
(/次)
(/年)
引文网络
引文网络
二级参考文献  (0)
共引文献  (0)
参考文献  (0)
节点文献
引证文献  (0)
同被引文献  (0)
二级引证文献  (0)
2020(0)
  • 参考文献(0)
  • 二级参考文献(0)
  • 引证文献(0)
  • 二级引证文献(0)
研究主题发展历程
节点文献
THYROID
NODULES
THYROID
Cancer
Fine
Needle
ASPIRATION
BIOPSY
THYROID
Imaging
Reporting
and
Data
System
(TIRADS)
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
放射学期刊(英文)
季刊
2164-3024
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
256
总下载数(次)
0
论文1v1指导