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A Swin Transformer-Based Model for Thyroid Nodule Detection in Ultrasound Images
Published on: April 21, 2023
The value of repeating fine-needle aspiration for thyroid nodules
Aseel Doubi1, Nuha S Alrayes2, Abdulaziz K Alqubaisi3
1From the Department of Otolaryngology Head and Neck Surgery, King Saud University, Riyadh, Saudi Arabia.
Background:
Fine-needle aspiration (FNA) is an invaluable technique used in the evaluation of thyroid nodules.
Objectives:
Evaluate the concordance of results for consecutive FNA readings.
Design:
Retrospective, descriptive.
Settings:
Two tertiary care centers.
Methods:
Demographics were collected along with every FNA result and final pathology results for all patients (aged 9-90 years old) who underwent thyroid surgery from 2010 to 2017. The Bethesda system was used for cytology. Agreement levels were calculated and compared with final pathology.
Sample Size:
Of 1237 initially included, 1134 had at least one FNA performed with results available for review.
Results:
For the 1134 patients, demographic and clinical data were collection and a comparison was made between the three FNA results; the highest agreement was between FNA 2 and 3 (53.6%); however, the kappa value was consistently low for all comparisons, indicating a poor level of agreement overall. Also, the risk of malignancy was higher in this study than in the 2017 Bethesda system for reporting thyroid cytopathology in FNA cytology categories I and II.
Conclusion:
Repeating FNA biopsies yield different results every time; hence, there is a low level of agreement. The clinical decision should therefore include other important risk factors. Prospective studies could help shed more light on this topic.
Limitations:
Retrospective design.
Conflict Of Interest:
None.
