Diagnostic Performance of ACR and Kwak TI-RADS for Benign and Malignant Thyroid Nodules: An Update Systematic Review and Meta-Analysis
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Protocol and Registration
2.2. Literature Search Strategy
2.3. Selection Criteria
2.4. Data Extraction and Risk of Bias Assessment
2.5. Statistical Analyses and Outcome Measurements
3. Results
3.1. Search and Study Selection
3.2. Diagnostic Accuracy in Various Ultrasound Risk Stratification Systems
3.3. Direct Comparison of Diagnostic Performance for Predicting Thyroid Malignancy with the Two TIRADS
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Sensitivity | Specificity | DOR | AUC | |
---|---|---|---|---|
5 | 0.1408, 95% CI [0.1118; 0.1759]; I2 = 93.4% | 0.9910, 95% CI [0.9842; 0.9949]; I2 = 88.0% | 15.4646, 95% CI [8.2029; 29.1549]; I2 = 88.3% | 0.586 |
4c | 0.7729, 95% CI [0.6786; 0.8458]; I2 = 98.2% | 0.8277, 95% CI [0.7679; 0.8747]; I2 = 98.4% | 16.8454, 95% CI [11.1916; 25.3553]; I2 = 95.7% | 0.871 |
4b | 0.9640, 95% CI [0.9436; 0.9773]; I2 = 92.7% | 0.5373, 95% CI [0.4511; 0.6213]; I2 = 98.8% | 31.8051, 95% CI [21.3155; 47.4568]; I2 = 88.2% | 0.884 |
4a | 0.9918, 95% CI [0.9817; 0.9964]; I2 = 95.0% | 0.2784, 95% CI [0.2040; 0.3675]; I2 = 99.1% | 31.1766, 95% CI [19.4820; 49.8914]; I2 = 81.2% | 0.808 |
Sensitivity | Specificity | DOR | AUC | |
---|---|---|---|---|
TR5 | 0.7102, 95% CI [0.6156; 0.7895]; I2 = 99.0% | 0.8696, 95% CI [0.8257; 0.9038]; I2 = 98.8% | 17.3134, 95% CI [13.3192; 22.5054]; I2 = 94.1% | 0.875 |
TR4 | 0.9437, 95% CI [0.9033; 0.9679]; I2 = 97.9% | 0.5224, 95% CI [0.4507; 0.5931]; I2 = 99.2% | 17.5185, 95% CI [12.5652; 24.4244]; I2 = 91.7% | 0.786 |
TR3 | 0.9886, 95% CI [0.9729; 0.9953]; I2 = 97.7% | 0.2372, 95% CI [0.1680; 0.3239]; I2 = 99.5% | 15.2758, 95% CI [9.9838; 23.3729]; I2 = 86.6% | 0.765 |
Sensitivity | Specificity | DOR | AUC | |
---|---|---|---|---|
Kwak TI-RAD (4b) | 0.9727, 95% CI [0.9516; 0.9848]; I2 = 94.0% | 0.5641, 95% CI [0.5009; 0.6253]; I2 = 97.1% | 44.0619, 95% CI [26.1278; 74.3060]; I2 = 91.2% | 0.842 |
ACR TI-RAD (TR4) | 0.9760, 95% CI [0.9587; 0.9861]; I2 = 92.3% | 0.5025, 95% CI [0.4350; 0.5700]; I2 = 97.5% | 38.2503, 95% CI [24.2254; 60.3949]; I2 = 87.0% | 0.846 |
p value | 0.7572 | 0.1916 | 0.6896 | 0.913 |
Sensitivity | Specificity | DOR | AUC | |
---|---|---|---|---|
Kwak TI-RADS (4c) | 0.7517, 95% CI [0.6875; 0.8064]; I2 = 97.0% | 0.8754, 95% CI [0.8408; 0.9034]; I2 = 96.2% | 20.9770, 95% CI [14.4931; 30.3617]; I2 = 95.1% | 0.89 |
ACR TI-RADS (TR5) | 0.7824, 95% CI [0.6455; 0.8766]; I2 = 99.0% | 0.8544, 95% CI [0.8096; 0.8901]; I2 = 97.1% | 21.3275, 95% CI [12.6104; 36.0705]; I2 = 97.0% | 0.892 |
p value | 0.6537 | 0.4122 | 0.9597 | 0.962 |
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Kang, Y.J.; Stybayeya, G.; Lee, J.E.; Hwang, S.H. Diagnostic Performance of ACR and Kwak TI-RADS for Benign and Malignant Thyroid Nodules: An Update Systematic Review and Meta-Analysis. Cancers 2022, 14, 5961. https://doi.org/10.3390/cancers14235961
Kang YJ, Stybayeya G, Lee JE, Hwang SH. Diagnostic Performance of ACR and Kwak TI-RADS for Benign and Malignant Thyroid Nodules: An Update Systematic Review and Meta-Analysis. Cancers. 2022; 14(23):5961. https://doi.org/10.3390/cancers14235961
Chicago/Turabian StyleKang, Yun Jin, Gulnaz Stybayeya, Ju Eun Lee, and Se Hwan Hwang. 2022. "Diagnostic Performance of ACR and Kwak TI-RADS for Benign and Malignant Thyroid Nodules: An Update Systematic Review and Meta-Analysis" Cancers 14, no. 23: 5961. https://doi.org/10.3390/cancers14235961
APA StyleKang, Y. J., Stybayeya, G., Lee, J. E., & Hwang, S. H. (2022). Diagnostic Performance of ACR and Kwak TI-RADS for Benign and Malignant Thyroid Nodules: An Update Systematic Review and Meta-Analysis. Cancers, 14(23), 5961. https://doi.org/10.3390/cancers14235961