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84) and 86.7% (Kappa = 0.73), respectively. The area under the curve (AUC) of the ACR-TIRADS and EU-TIRADS were 0.871 and 0.828, respectively (p 0.001). The EU-TIRADS had the best SEN and NPV, whereas the ACR-TIRADS had the best SPE, PPV, and ACC. Only 33.4% of the nodules followed the FNA size criteria suggested by the ACR-TIRADS. ACR-TIRADS and EU-TIRADS had good diagnostic performances. However, most aspirated nodules did not follow the TIRADS indication; thus, the overuse of FNA as a diagnostic tool was observed. ACR-TIRADS and
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