European Thyroid Journal 投稿命中率-刊鹿论文编译

Taller-Than-Wide Shape: A New Definition Improves the Specificity of TIRADS Systems

Abstract:

Introduction: A taller-than-wide (TTW) shape is a suspicious feature of thyroid nodules commonly defined as an anteroposterior/transverse diameter (AP/T) ratio >1. An intraobserver variability of up to 18% in AP diameter evaluations has been described, which may lead to overreporting of this feature. To potentially improve the reliability of the TTW definition, we propose an arbitrary ratio of ≥1.2. Objective: The aim of this study was to estimate the impact of this definition on diagnostic performance. Methods: We prospectively analyzed 553 thyroid nodules referred for cytology evaluation at an academic center. Before fine-needle aspiration, two examiners jointly defined all sonographic features considered in risk stratification systems developed by the American Thyroid Association (ATA), the American Association of Clinical Endocrinologists (AACE), the American College of Radiology (ACR TIRADS), the European Thyroid Association (EU-TIRADS), and the Korean Society of Thyroid Radiology (K-TIRADS). TTW was defined according to the current definition (AP/T diameter ratio >1) and an arbitrary alternative definition (AP/T ratio >1.2). Results: The alternative definition classified fewer nodules as TTW (28, 5.1% vs. 94, 17%). The current and proposed definitions have a sensitivity of 26.2 and 11.9% (p = 0.03) and a specificity of 83.8 and 95.5% (p < 0.001). Thus, as a single feature, the arbitrary definition has a lower sensitivity and a higher specificity. When applied to sonographic risk stratification systems, however, the proposed definition would increase the number of avoided biopsies (up to 58.2% for ACR TIRADS) and the specificity of all systems, without negative impact on sensitivity or diagnostic odds ratio. Conclusions: Re-defining TTW nodules as those with an AP/T ratio ≥1.2 improves this marker’s specificity for malignancy. Using this definition in risk stratification systems will increase their specificity, reducing the number of suggested biopsies without significantly diminishing their overall diagnostic performance.

Author Listing： Giorgio Grani;Livia Lamartina;Valeria Ramundo;Rosa Falcone;Cristiano Lomonaco;Laura Ciotti;Martina Barone;Marianna Maranghi;Vito Cantisani;Sebastiano Filetti;Cosimo Durante

Volume： 9

Pages： 85 - 91

DOI： 10.1159/000504219

Language： English

Journal： European Thyroid Journal

European Thyroid Journal

EUR THYROID J

影响因子：3.5

是否综述期刊：否

是否OA：否

是否预警：不在预警名单内

发行时间：-

ISSN：2235-0640

发刊频率：-

收录数据库：SCIE/Scopus收录

出版国家/地区：Switzerland

出版社：Karger

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.

《欧洲甲状腺杂志》发表了报告基础、转化和临床甲状腺学原创研究的论文。原始贡献涵盖了该领域的所有方面，从分子和细胞生物学到免疫学和生物化学，从生理学到病理学，从儿童到成人甲状腺疾病，特别关注甲状腺癌。读者还受益于著名专家的评论，其中突出了当前研究的特别活跃的领域。该杂志将进一步出版该领域的正式指南，由欧洲甲状腺协会制作并认可。

年发文量	56
国人发稿量	7
国人发文占比	12.5%
自引率	2.9%
平均录取率	-
平均审稿周期	-
版面费	-
偏重研究方向	Medicine-Endocrinology, Diabetes and Metabolism
期刊官网	https://www.karger.com/Journal/Home/255331
投稿链接	https://www.manuscriptmanager.net/sLib/v4/login.php?paramScreen=i1WBpL4SBHSx7800v5v3oorFRtjWCi4SoTILhe0lqLo=

质量指标占比

研究类文章占比	OA被引用占比	撤稿占比	出版后修正文章占比
91.07%	74.87%	0.00%	1.96%

预警情况

时间	预警情况
2024年02月发布的2024版	不在预警名单中
2023年01月发布的2023版	不在预警名单中
2021年12月发布的2021版	不在预警名单中
2020年12月发布的2020版	不在预警名单中

JCR分区 WOS分区等级：Q2区

版本	按学科	分区
WOS期刊SCI分区（2021-2022年最新版）
	ENDOCRINOLOGY & METABOLISM	Q2

中科院分区

版本	大类学科	小类学科	Top期刊	综述期刊
	医学 3区	ENDOCRINOLOGY & METABOLISM 内分泌学与代谢 3区	否	否
2021年12月基础版	医学 3区	ENDOCRINOLOGY & METABOLISM 内分泌学与代谢 3区	否	否
2021年12月升级版	医学 4区	ENDOCRINOLOGY & METABOLISM 内分泌学与代谢 4区	否	否
2020年12月旧的升级版	医学 4区	ENDOCRINOLOGY & METABOLISM 内分泌学与代谢 4区	否	否
2022年12月最新升级版	医学 2区	ENDOCRINOLOGY & METABOLISM 内分泌学与代谢 2区	否	否