Evidence map›Paper›PMID 34033283›Full record

ArticleArchives of endocrinology and metabolism2021

Role of elastography strain ratio and TIRADS score in predicting malignant thyroid nodule.

Hussein Hassan Okasha, Mona Mansor, Nermine Sheriba, Maha Assem, Yasmine Abdelfattah, Omar A Ashoush, Maha Rakha, Dalia Abdelfattah, Shereen Sadik El-Sawy, Mai Elshenoufy and 3 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Archives of endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Elastography Enhances Diagnostic Accuracy of ACR TI-RADS in Thyroid Nodule Evaluation.The Journal of clinical endocrinology and metabolism · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Hussein Hassan OkashaKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt.
Mona MansorKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt.
Nermine SheribaAin Shams University, Cairo, Egypt.
Maha AssemKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt.
Yasmine AbdelfattahKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt.
Omar A AshoushKasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Maha RakhaKasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Dalia AbdelfattahBiostatistic and Cancer Epidemiology Department, National Cancer Institute, Cairo University, Cairo, Egypt.
Shereen Sadik El-SawyAin Shams University, Cairo, Egypt.
Mai ElshenoufyKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt.
Ahmed Amr MohsenNational Research Centre, Cairo, Egypt.
Heba Kamal SedrakKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt.
Abeer Awad AbdellatifKasr Al-Aini Hospitals, Cairo University, Cairo, Egypt, beero4a@yahoo.com.
Cairo University hospitals · EGCairo University · EGAin Shams University · EGNational Research Centre · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUltrasonography (US) is the most accurate and cost-effective imaging method in diagnosis of thyroid nodules. A practical thyroid imaging reporting and data system (TIRADS) for thyroid nodules has been proposed to classify nodules of the thyroid gland to solve the problem of nodule selection for fine needle aspiration cytology (FNAC). Real-time elastography and strain ratio (SR) is a method used to assess the stiffness and predict the malignancy of thyroid nodules. The objective of this study was to assess the role of elastography and SR and the TIRADS scoring system in discriminating malignant from benign thyroid nodules.

methodsFrom 2015 to 2018 at Cairo University Hospital, a series of 409 patients with thyroid nodules was referred to undergo thyroid ultrasound. Categorization of each nodule according to the TIRADS ranged from 1 to 5. The qualitative elastography score and semiquantitative SR of the nodules were evaluated. Final diagnosis was done by either post-thyroidectomy histopathological examination or US-guided FNAC.

resultsOur study included 409 patients with thyroid nodules. Their mean age was 39 ± 10 SD; 36 were males and 373 were females. There were 22 malignant nodules and 387 benign nodules. There were statistical differences between benign and malignant nodules regarding TIRADS classification, SR, anteroposterior/transverse ratio, degree of echogenicity, border, presence of calcification, and absence of halo sign (

conclusionElastography and SR proved to be of high significant value in discriminating benign from malignant nodules, so we recommend adding it to the TIRADS classification.

Indexed as

Elasticity Imaging TechniquesThyroid NeoplasmsThyroid NoduleAdultBiopsy, Fine-NeedleFemaleHumansMaleMiddle AgedUltrasonographyElastographyThyroid nodulesTIRADS

Identifiers

PMID34033283
PMCPMC10528627
OpenAlexW3081610350

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.