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    V.I. Kolomiytsev, V.N. Marina, O.V. Lukavetskiy, Yu.P. Dovgan

    EVALUATION OF THE ULTRASONOGRAPHIC SCALE IN THYROID CANCER RISK STRATIFICATION


    About the author: V.I. Kolomiytsev, V.N. Marina, O.V. Lukavetskiy, Yu.P. Dovgan
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The purpose of the study was to compare the main known ultrasonographic (USG) scales (TIRADS by Russ, ACR-TIRADS, ATA recommendation and U classification) in predicting of thyroid cancer. A retrospective analysis of patients' cards for 2015-2016 has been carried out, which have undergone an operating treatment for thyroid nodules. There was a significant difference in the prevalence of thyroid cancer among patients with cystic and solid nodes, which was 4.4% and 15.1% respectively (χ2=21.082; p<0.001). A significant difference was found between the groups of patients with a detailed preoperative USG (14.8% of cases of thyroid cancer) and patients with incomplete USG (8.0% of cases of cancer: χ2=10.388; p=0.002). Papillary microcarcinoma was found practically with the same frequency regardless of the risk groups on USG. The TIRADS by Russ showed the highest statistical indicators in predicting of thyroid cancer: specificity - 88.6%, positive predictive value - 40.0%, accuracy - 81.9%. While the ACR-TIRADS and ATA recommendations had the highest sensitivity rates of 79.2% and 80.2%, and can be used as screening for thyroid cancer.
    Tags thyroid nodules, ultrasonography, diagnostic scales
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    Publication of the article «World of Medicine and Biology» №3(65), 2018 year, 078-082 pages, index UDK 616.441-073.48-037:616.441-006.6
    DOI 10.26724/2079-8334-2018-3-65-78-82