دورية أكاديمية
Variability in the interpretation of grey-scale ultrasound features in assessing thyroid nodules: A systematic review and meta-analysis.
| العنوان: | Variability in the interpretation of grey-scale ultrasound features in assessing thyroid nodules: A systematic review and meta-analysis. |
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| المؤلفون: | Liu H; Ultrasonic Medical Section of Outpatients Department, the First People's Hospital of Kashigar Region, Xinjiang, China., Ma AL; Ultrasonic Medical Section of Outpatients Department, the First People's Hospital of Kashigar Region, Xinjiang, China., Zhou YS; Department of Ultrasound, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, 107 Yanjiangxi Road, Yuexiu District, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China., Yang DH; Department of Ultrasound, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, 107 Yanjiangxi Road, Yuexiu District, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China., Ruan JL; Department of Ultrasound, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, 107 Yanjiangxi Road, Yuexiu District, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China., Liu XD; Department of Ultrasound, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, 107 Yanjiangxi Road, Yuexiu District, Guangzhou 510120, China. Electronic address: liuxd6@mail2.sysu.edu.cn., Luo BM; Department of Ultrasound, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, 107 Yanjiangxi Road, Yuexiu District, Guangzhou 510120, China. Electronic address: luobm@mail.sysu.edu.cn. |
| المصدر: | European journal of radiology [Eur J Radiol] 2020 Aug; Vol. 129, pp. 109050. Date of Electronic Publication: 2020 May 13. |
| نوع المنشور: | Journal Article; Meta-Analysis; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Ireland Ltd Country of Publication: Ireland NLM ID: 8106411 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7727 (Electronic) Linking ISSN: 0720048X NLM ISO Abbreviation: Eur J Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Limerick : Elsevier Science Ireland Ltd Original Publication: Stuttgart ; New York : Thieme, [c1981- |
| مواضيع طبية MeSH: | Thyroid Nodule*/diagnostic imaging, Data Systems ; Humans ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography |
| مستخلص: | Purpose: To investigate the interobserver agreement of different thyroid imaging report and data system (TI-RADS) and ultrasound (US) features. Methods: Two researchers independently searched PubMed, Embase and the Web of Science for relevant studies published between October 1972 and December 2018. Studies investigating interobserver agreement between different radiologists were included. The Guidelines for Reporting Reliability and Agreement Studies (GRRAS) and the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) score tools were applied to assess the quality of the studies. The data for the inter-agreements of TI-RADS categories and ultrasound features were extracted, and combined with STATA 12.0 (StataCorp, College Station, TX) was used. Results: Seven studies including 927 patients were eligible for this meta-analysis. There was a moderate variability in the TI-RADS categories among radiologists (0.54; 95% CI: 0.49-0.58). Regarding the US features, the reliability of composition (0.61; 95% CI: 0.55-0.66) and calcification (0.71; 95% CI: 0.65-0.77) was good, the reliability of echogenicity (0.58; 95% CI: 0.51-0.64), shape (0.53; 95% CI: 0.45-0.62), margin (0.40; 95% CI: 0.32-0.48) and echogenic foci (0.43; 95% CI: 0.32-0.54) was moderate. Subgroup analyses showed that experience/training, the number of observers and the number of patients were the main factors influencing the variability. Conclusions: The interobserver agreement for the TI-RADS categories was moderate. There remains potential for improvement, especially in terms of the echogenicity, shape, margin and echogenic foci, the precision of the description and the targeted training needed. Competing Interests: Declarations of competing interest The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article. (Copyright © 2020 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Agreement; Guideline; Interobserver; Meta-analysis; Radiologists; Thyroid; Ultrasound |
| تواريخ الأحداث: | Date Created: 20200525 Date Completed: 20210414 Latest Revision: 20210414 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.ejrad.2020.109050 |
| PMID: | 32447147 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1872-7727 |
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| DOI: | 10.1016/j.ejrad.2020.109050 |