?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=UJI+DIAGNOSTIK+HASIL+PENCITRAAN+ULTRASONOGRAFI%0D%0AMENGGUNAKAN+THYROID+IMAGING+REPORTING+AND+DATA%0D%0ASYSTEM+DENGAN+HASIL+HISTOPATOLOGI+PADA%0D%0ANODUL+TIROID+PERIODE+TAHUN+2023-2024&rft.creator=ISTIQOMATUL+%2C+QUR%E2%80%99ANI&rft.subject=610+Ilmu+kedokteran%2C+ilmu+pengobatan+dan+ilmu+kesehatan&rft.description=Background%3A+Thyroid+nodules+are+discrete+lesions+of+the+thyroid+found+in+4-7%25+of+adults.+The+prevalence+of+benign+thyroid+nodules+is+higher+than+malignant+thyroid+nodules.+An+ultrasound+ultrasound+based+thyroid+nodule+stratification+system+in+the+form+of+the+Thyroid+Imaging+Reporting+and+Data+System+(TIRADS)+can+help+assess+thyroid+nodules+with+malignancy+risk.%0D%0AObjective%3A+This+study+is+to+find+out+how+the+diagnostic+accuracy+of+ultrasound+examination+using+TIRADS+is+compared+to+histopathological+examination+as+the+gold+standard.%0D%0AMethods%3A+The+research+is+an+observational+research+of+diagnostic+tests+with+a+cross+sectional+approach.+The+data+is+in+the+form+of+secondary+data+from+the+medical+records+of+thyroid+nodule+patients+at+Dr.+H.+Abdul+Moeloek+Hospital+of+2023-2024.+A+comparison+of+ultrasound+results+using+TIRADS+with+histopathological+results+was+carried+out.+In+this+study%2C+TIRADS+1%2C+2%2C+and+3+were+included+in+the+benign+category+and+TIRADS+4+and+5+were+included+in+the+malignant+category.%0D%0AResult%3A+The+result+of+the+diagnostic+test+of+ultrasound+examination+using+TIRADS+compared+to+histopathological+examination+obtained+were+80%25+sensitivity%3B+specificity+50%25%3B+Positive+Predictived+Value+(PPV)+46%2C5%25%3B+Negative+Predictive+Value+(NPV)+82%2C1%25%3A+and+60%2C5%25+accuracy.%0D%0AConclusion%3A+Ultrasound+using+TIRADS+has+a+fairly+high+sensitivity+and+negative+predictive+value%2C+but+the+specificity+value%2C+positive+predictive+value+and+accuracy+are+still+quite+low.+The+results+of+this+study+show+that+ultrasound+examination+using+TIRADS+cannot+be+a+diagnostic+tool+for+malignancy+in+thyroid+nodules.+From+the+results+of+the+sensitivity+value+and+negative+suspected+value%2C+the+ultrasound+examination+is+an+examination+that+helps+diagnose+and+assess+the+risk+of+malignancy+in+thyroid+nodules+before+a+histopathological+examination+is+carried+out.%0D%0AKeywords%3A+Thyroid+nodule%2C+Diagnostic+test%2C+Ultrasonography%2C+TIRADS%2C+Histopatology%0D%0A%0D%0A%0D%0ALatar+belakang%3A+Nodul+tiroid+adalah+lesi+diskrit+pada+tiroid+yang+ditemukan+pada+4-7+%25+orang+dewasa.+Prevalensi+nodul+tiroid+jinak+lebih+tinggi+daripada+nodul+tiroid+ganas.+Sistem+stratifikasi+nodul+tiroid+berbasis+ultrasonografi+(USG)+berupa+Thyroid+Imaging+Reporting+and+Data+System+(TIRADS)+dapat+membantu+menilai+nodul+tiroid+dengan+resiko+keganasan.%0D%0ATujuan%3A+Penelitian+ini+bertujuan+untuk+mengetahui+bagaimana+tingkat+akurasi+diagnostik+pemeriksaan+USG+menggunakan+TIRADS+dibandingkan+dengan+pemeriksaan+histopatologi+sebagai+baku+emas.%0D%0AMetode%3A+Penelitian+merupakan+penelitian+observasional+uji+diagnostik+dengan+pendekatan+cross+sectional.+Data+berupa+data+sekunder+dari+rekam+medik+pasien+nodul+tiroid+di+RSUD+Dr.+H.+Abdul+Moeloek+tahun+2023-2024.+Dilakukan+perbandingan+hasil+USG+menggunakan+TIRADS+dengan+hasil+histopatologi.+Pada+penelitian+ini%2C+TIRADS+1%2C+2%2C+dan+3+dimasukkan+ke+kategori+jinak+dan+TIRADS+4+dan+5+dimasukkan+ke+dalam+kategori+ganas.%0D%0AHasil%3A+Hasil+penelitian+uji+diagnostik+pemeriksaan+ultrasonografi+menggunakan+TIRADS+dibandingkan+pemeriksaan+histopatologi+yang+didapatkan+adalah+Sensitivitas+80%25%3B+Spesifisitas+50%25%3B+Nilai+Duga+Positif+(NDP)+46%2C5%25%3B+Nilai+Duga+Negatif+(NDN)+82%2C1%25%3B+dan+Akurasi+60%2C5%25.%0D%0AKesimpulan%3A+Ultrasonografi+menggunakan+TIRADS+memiliki+sensitivitas+dan+nilai+duga+negatif+yang+cukup+tinggi+hanya+saja+nilai+spesifisitas%2C+nilai+duga+positif+dan+akurasinya+masih+cukup+rendah.+Hasil+penelitian+ini+menunjukkan+pemeriksaan+USG+menggunakan+TIRADS+belum+bisa+menjadi+alat+diagnostik+keganasan+pada+nodul+tiroid.+Dari+hasil+nilai+sensitivitas+dan+nilai+duga+negatif+pemeriksaan+USG+menjadi+pemeriksaan+yang+membantu+mendiagnosis+dan+menilai+resiko+keganasan+pada+nodul+tiroid+sebelum+dilakukan+pemeriksaan+histopatologi.%0D%0AKata+kunci+%3A+Nodul+tiroid%2C+Uji+diagnostik%2C+Ultrasonografi%2C+TIRADS%2C+Histopatologi&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2024-12-23&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F81333%2F1%2FABSTRACT.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F81333%2F2%2FSKRIPSI%2520FULL..pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F81333%2F3%2FSKRIPSI%2520TANPA%2520BAB%2520PEMBAHASAN.pdf&rft.identifier=++ISTIQOMATUL+%2C+QUR%E2%80%99ANI++(2024)+UJI+DIAGNOSTIK+HASIL+PENCITRAAN+ULTRASONOGRAFI+MENGGUNAKAN+THYROID+IMAGING+REPORTING+AND+DATA+SYSTEM+DENGAN+HASIL+HISTOPATOLOGI+PADA+NODUL+TIROID+PERIODE+TAHUN+2023-2024.++FAKULTAS+KEDOKTERAN%2C+UNIV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