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Table 1 Diagnostic value of US and USE for the diagnostic of malignant thyroid nodules

From: Elastography for the diagnosis of high-suspicion thyroid nodules based on the 2015 American Thyroid Association guidelines: a multicenter study

Criteria

Benign

Malignant

Sensitivity (%)

Specificity (%)

Accuracy (%)

PPV (%)

NPV (%)

P

Microcalcification

 Yes

211

416

49.9

65.6

56.4

66.3

48.9

<0.01

 no

400

318

      

Taller than wide

 yes

55

309

37.1

91.0

59.8

84.9

51.4

<0.01

 no

556

525

      

Irregular margins

 Yes

525

83

93.9

14.1

60.1

59.9

62.8

<0.01

 no

86

51

      

ETE

 Yes

469

693

83.0

23.2

57.7

59.6

50.0

<0.01

 No

142

141

      

Disrupted rim calcification

 Yes

7

39

4.7

98.9

44.4

84.8

43.2

<0.01

 No

604

795

      

Kwak’s TI-RADS

 4a

5

2

62.2

70.2

65.6

74.0

57.7

<0.01

 4b

424

313

      

 4c

182

367

      

 5

0

152

      

Elasticity score

  > 3

240

771

92.4

60.7

79.0

76.3

85.5

<0.01

  ≤ 3

371

63

      

SR value

  > 2.99

305

676

81.1

50.1

68.9

65.9

67.9

<0.01

  ≤ 2.99

306

158

      
  1. PPV positive predictive value, NPV negative predictive value, ETE Extrathyroidal extension, TI-RADS Thyroid Imaging Reporting and Data System, SR strain ratio