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Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
Published on: February 9, 2024
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Thyroid Imaging Reporting and Data System on the Basis of Cost and Effectiveness
Sonay Aydin1, Ali Osman Gulmez1, Kemal Bugra Memis1
1Department of Radiology, Erzincan Binali Yildirim University, Erzincan, Turkey.
Journal of Medical Ultrasound
|September 29, 2025
Summary
The Thyroid Imaging Reporting and Data System (TIRADS) reduced unnecessary fine-needle aspiration biopsies (FNABs), lowering patient costs and distress. This study evaluated TIRADS effectiveness in a tertiary care setting.
Area of Science:
- Radiology
- Oncology
- Endocrinology
Background:
- Evaluating the cost-effectiveness of the Thyroid Imaging Reporting and Data System (TIRADS).
- Assessing the impact of TIRADS on fine-needle aspiration biopsy (FNAB) and sonographic examination numbers.
- Study conducted in a tertiary health-care institution.
Purpose of the Study:
- To evaluate the cost-effectiveness of TIRADS.
- To analyze the reduction in FNABs and sonographic examinations post-TIRADS implementation.
- To assess the impact of TIRADS on patient outcomes and healthcare resource utilization.
Main Methods:
- Comparative analysis of 50-day intervals before and after TIRADS implementation (October 10, 2022).
- Tallying the number of thyroid ultrasound (US) and FNAB procedures.
- Analyzing biopsy rates across different demographic groups (gender, age).
Main Results:
- A total of 1982 patients were included in the study.
- The overall biopsy rate decreased after TIRADS implementation (from 11.1% to 8.1%).
- Biopsy rates were significantly higher in males and individuals aged 35-50 years during the pre-TIRADS period.
Conclusions:
- TIRADS effectively reduces unnecessary biopsies.
- Implementation of TIRADS mitigates potential psychological distress, burden, and financial expenses for patients.
- TIRADS offers a cost-effective approach to thyroid nodule evaluation.
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