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Table 4 Diagnostic performance values of the three ultrasound classification systems for malignant thyroid nodules ≤ 10 mm

From: Malignancy risk stratification of thyroid nodules smaller than 10 mm with ACR-TIRADS, K-TIRADS, and ATA-2015 guidelines: a prospective study

Risk category

Sensitivity (%)

Specificity (%)

Positive predictive value (%)

Negative predictive value (%)

Accuracy (%)

ACR-TIRADS*

TR5

46.0

95.2

58.6

92.3

88.9

TR4 or TR5

81.1

70.8

29.1

96.2

72.1

ATA-2015**

High suspicion

40.5

96.0

60.0

91.6

88.9

Intermediate suspicion or High suspicion

59.5

86.0

38.6

93.5

82.6

K-TIRADS***

5

40.5

96.8

65.2

91.7

89.6

4 or 5

59.5

86.0

38.6

93.5

82.6

  1. *American College of Radiology—Thyroid imaging reporting and data system
  2. **American Thyroid Association
  3. ***Korean thyroid imaging reporting and data system