Efectividad de la escala K-TIRADS en la clasificación ultrasonográfica del nódulo tiroideo para realización de PAAF tiroidea versus TI-RADS tradicional

Abstract

Abstract: Thyroid nodular pathology is considered one of the most prevalent medical consultation reasons; with the use of ultrasonography, its detection capacity has been increased.To perform its characterization and staging, ultrasound scales are used that, according to its criteria, determine the suspicion of benignity or malignancy according to its category with its respective recommendations.Faced with the problem of performing thyroid punctures excessively by the traditional TI-RADS scale, used in the HGIAL; it was necessary to determine in the present work whether the K-TIRADS scale is more effective and avoids unnecessary puncture.In the present study with a retrospective and comparative methodological design, it was determined that in the reassessment with K-TIRADS of the 58 patients previously assessed with traditional TI-RADS, K-TIRADS obtained a sensitivity (82%), a specificity (67 %), with a positive predictive value (0.69), negative predictive value (0.20), OR: 0.40, 95% CI: 1.12-0.146.In conclusion, the K-TIRADS ultrasonographicevaluation scale does avoid the indication of unnecessary punctures in patients with thyroid nodular pathology.