Thyroid disease

Ultrasound-Based Risk Stratification System for the Assessment of Partially Cystic Thyroid Nodules

Endocr PractPublished Diagnostic accuracy study

Authors' conclusion

Our findings demonstrated that the risk stratification system for the assessment of PCTNs showed good prediction capacities.

Study context

Population
Patients with partially cystic thyroid nodules (PCTNs) at 2 medical centers in Hangzhou, January 2020 to December 2021
Participants
285 patients301 PCTNs
Comparison
Training data set vs External validation data set
Outcome
Prediction of malignancy in PCTNs
Methodological detailsretrospective, 2 medical centers, nomogram with external validation
  • Retrospective
  • 2 medical centers
  • Nomogram with external validation

Performance

As reported in the abstract

Nomogram performance for malignancy
Test or modelAUCSensitivitySpecificity
Training data set0.86077.1%84.7%
External validation data set0.89791.7%87.0%

AUC

Training data set0.860
External validation data set0.897

Sensitivity

Training data set77.1%
External validation data set91.7%

Specificity

Training data set84.7%
External validation data set87.0%
Best nomogram total point cut-off to predict malignancy
>161

Further findings

Nodule pathology

Benign PCTNs
242
Malignant PCTNs
59

Original publication

Ultrasound-Based Risk Stratification System for the Assessment of Partially Cystic Thyroid Nodules. Endocr Pract. Published 31 March 2023. doi:10.1016/j.eprac.2023.03.275

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