Improvement in neck ultrasound report quality following the implementation of European Thyroid Association guidelines for postoperative cervical ultrasound for thyroid cancer follow-up, a prospective population study.

IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM European Thyroid Journal Pub Date : 2023-08-11 DOI:10.1530/ETJ-23-0110
Jiahui Wu, Xunyang Hu, Paula Seal, Parthiv Amin, Brendan Diederichs, Ralf Paschke
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Abstract

Objective: The aim of this study was to prospectively evaluate the quality of postoperative neck ultrasound (POU) for thyroid cancer patients after implementing European Thyroid Association (ETA) guideline-based POU assessment.

Methods: Our analysis involved 672 differentiated thyroid cancer patients. POU report quality was compared between the implementation radiology group (IRG), which implemented ETA guideline-based assessment in 2018, and all non-implementation radiology groups (NIRG). Differences in POU quality were evaluated before and after the implementation of guideline-based assessment. Additionally, we evaluated the ability of serum thyroglobulin (Tg) level <0.2 ng/mL or between 0.21 and 0.99 ng/mL and normal POU lesion status at 1-year follow-up to predict the absence of persistent disease or relapse at 3-year follow-up.

Results: IRG had significantly higher mean utility scores for POU reports of abnormal thyroid bed nodules compared to NIRG (P < 0.001). IRG's POU reports for suspicious nodules and lymph nodes were considered sufficient in 94% and 85% of cases, respectively, compared to 45% and 68% for NIRG. For patients with normal US lesion status and Tg <0.2 ng/mL or Tg 0.21-0.99 ng/mL at 1-year follow-up, the negative predictive values were 96% for both.

Conclusions: Implementation of 2013 ETA POU-reporting guidelines allowed for the provision of high-quality POU reports, which may lead to increased accuracy in assessing the response to treatment and in estimating the risk of recurrence of thyroid cancer and likely reduce unnecessary repeat POU or FNA.

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实施欧洲甲状腺协会甲状腺癌症术后颈部超声随访指南后颈部超声报告质量的改善,一项前瞻性人群研究。
目的:本研究的目的是在实施欧洲甲状腺协会(ETA)指南的甲状腺癌症患者术后颈部超声(POU)评估后,对其质量进行前瞻性评估。方法:对672例分化型甲状腺癌症患者进行分析。比较了2018年实施ETA指南评估的实施放射学组(IRG)和所有非实施放射学组的POU报告质量。在实施基于指南的评估之前和之后,评估POU质量的差异。此外,我们评估了血清甲状腺球蛋白(Tg)水平的能力。对于US病变状态和Tg正常的患者结论:2013年ETA POU报告指南的实施允许提供高质量的POU报告,这可能会提高评估治疗反应和估计甲状腺癌症复发风险的准确性,并可能减少不必要的重复POU或FNA。
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来源期刊
European Thyroid Journal
European Thyroid Journal Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.70
自引率
2.10%
发文量
156
期刊介绍: The ''European Thyroid Journal'' publishes papers reporting original research in basic, translational and clinical thyroidology. Original contributions cover all aspects of the field, from molecular and cellular biology to immunology and biochemistry, from physiology to pathology, and from pediatric to adult thyroid diseases with a special focus on thyroid cancer. Readers also benefit from reviews by noted experts, which highlight especially active areas of current research. The journal will further publish formal guidelines in the field, produced and endorsed by the European Thyroid Association.
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