Why the study?
The study was conducted to evaluate the inter-system agreement and diagnostic performance of experienced readers using two Thyroid Imaging Reporting and Data Systems (TI-RADS).
Does ACR TI-RADS improve diagnostic performance compared to K-TIRADS in patients undergoing thyroid ultrasound?
Does ACR TI-RADS improve diagnostic performance compared to K-TIRADS in patients undergoing thyroid ultrasound?
ACR TI-RADS and K-TIRADS demonstrate substantial agreement and comparable overall diagnostic performance for thyroid nodule evaluation, though ACR TI-RADS yields higher sensitivity and lower specificity.
ACR TI-RADS shows higher sensitivity but lower specificity than K-TIRADS; leaves open optimal system selection for thyroid nodule stratification.
Purpose: To evaluate the inter-system agreement and diagnostic performance of experienced readers using two Thyroid Imaging Reporting and Data Systems (TI-RADS). Materials and Methods: A total of 481 thyroid US images were collected retrospectively. Four experienced radiologists independently reviewed the images and documented the US features and final assessments based on the Korean TI-RADS (K-TIRADS). The final American College of Radiology (ACR) TI-RADS score was calculated using individual US feature scores. The final assessments from both TI-RADS systems were used to evaluate inter-reader and inter-system agreement. The diagnostic performance metrics, including sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and unnecessary biopsy rate, were calculated and compared. Results: < 0.001). Conclusion: Substantial agreement was observed between the final assessments of ACR TI-RADS and K-TIRADS. The mean AUC did not differ significantly between the two TI-RADS categories, reflecting consistent image interpretation and patient management regardless of the system.
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Ryu et al. (2026) studied this question.
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