1Ahmed Adam Osman

1Somali Turkish Education and Research Hospital


In this paper, we investigate thyroid nodules in Somalia using high-resolution ultrasonography over a 6-month period, and we compare the TRIADS and Bethesda thyroid reporting cytopathology systems

Material(s) and Method(s):

This was a prospective study including 59 patients. Between January 1, 2020, and June 1, 2020, patients referred to the Interventional Radiology Department of our hospital for fine-needle aspiration biopsy due to a thyroid nodule were analyzed.Adult patients older than 18 years were included in this prospectively planned study. Sonographic features of all nodules were recorded for TI-RADS scoring before biopsy, and TI-RADS scoring was performed by the radiologist. Accordingly, five features were sonographically evaluated (composition, echogenicity, shape, margin, and echogenic foci). Sonographic images were evaluated and recorded by a 4-year radiology assistant before biopsy. It was compared with the cytopathological Bethesda scoring.All analyses were performed using SPSS software version 22.0 (IBM SPSS Statistics Version 22.0, Armonk, NY: IBM Corp.)


Of the 59 patients included in the study, 16 (27.1%) were male and 43 (72.9%) were female. The mean age of the patients was 34.1 12.6 years (range, 19–60 years).Of the biopsied nodules, 31 (52.5%) were localized in the right lobe and 28 (47.5%) in the left lobe.The mean longest diameter of the nodules was 35.9 13.9 mm (range, 13-70 mm). The TI-RADS category was also significantly higher in those with larger nodule diameters (p = 0.026)


According to the findings of our study, there is a moderate agreement between TI-RADS scoring and Bethesda. However, the rate of compliance was increasing in nodules classified as malignant nodules (TI-RADS 4).