| الملخص: | Objective: To standardize a modified practical thyroid imaging reporting and data system (Siriraj-TIRADS).
Methods: 196 thyroid nodules underwent ultrasound and FNAB and were retrospectively pathologically proven.
Data design was divided into 2 groups of benign and malignant. Sensitivity and specificity of cancer prediction
were calculated for the comparison of Siriraj-TIRAD and TIRAD. Interobserver agreement was calculated by kappa
statistics.
Results: Sensitivity and specificity of Siriraj’s TIRADS on cancer prediction were 95% and 64.8%, respectively, and
sensitivity and specificity of TIRADS were 45% and 92%, respectively.
Conclusion: The Siriraj- TIRADS classification is easy, practical and has better sensitivity than TIRADS for the
diagnosis of thyroid carcinoma. TIRADS is good for the screening management strategy but Siriraj-TIRADS has
benefit to cancer management strategy.
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