ClinicalTrials.gg
Enrolling by invitationNCT07928284Updated Nov 10, 2026

Diagnostic Accuracy of Fine Needle Aspiration Cytology (FNAC) Compared to TI-RADS 3 in the Evaluation of Thyroid Nodules: A Prospective Study

An interventional study of Ultrasound-Guided Fine Needle Aspiration Cytology (FNAC) in Thyroid Nodules, sponsored by Sohag University. Enrolling by invitation at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Sohag University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Apr 2026, registered Oct 2026).
Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Thyroid nodules are common clinical findings, and accurate differentiation between benign and malignant nodules is essential for appropriate patient management. Ultrasonography is the primary imaging modality for thyroid nodule evaluation, while the American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) provides a standardized approach for malignancy risk assessment.

Fine Needle Aspiration Cytology (FNAC) is an important diagnostic procedure for evaluating thyroid nodules, with cytological results classified according to the Bethesda System.

This prospective study aims to evaluate and compare the diagnostic accuracy of FNAC and ACR TI-RADS 3 classification in the assessment of thyroid nodules.

The study will include 30 adult patients with TI-RADS 3 thyroid nodules at Sohag University Hospital. All participants will undergo clinical examination, thyroid ultrasonography, TI-RADS classification, and ultrasound-guided FNAC. Cytological findings will be reported according to the Bethesda System. Histopathological examination of surgically excised thyroid specimens will be performed whenever available.

The diagnostic performance will be assessed using sensitivity, specificity, positive predictive value, and negative predictive value. Statistical analysis will be performed using SPSS.

02

Conditions studied

  • Thyroid Nodules

Browse trials for

03

In context

Thyroid Nodule

207 studies on the registry are indexed under Thyroid Nodule; 64 are open to participants now.

This study's planned enrollment of 30 is below the median of 75 across 121 interventional studies indexed under Thyroid Nodule.

Browse Thyroid Nodule studies →

Lead sponsor

Sohag University is the lead sponsor of 1,230 studies on the registry; 636 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with thyroid nodules classified as ACR TI-RADS 3.
  • Age ≥18 years.
  • Patients who provide to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years.
  • Previous history of thyroid cancer.
  • Previous thyroid surgery.
  • Incomplete evaluation.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    TI-RADS 3 Thyroid Nodules Group

    Adult patients aged 18 years or older with ACR TI-RADS 3 thyroid nodules who undergo clinical examination, thyroid ultrasonography, and ultrasound-guided Fine Needle Aspiration Cytology (FNAC). Cytological findings will be classified according to the Bethesda System. Histopathological examination of surgically excised thyroid specimens will be performed whenever available.

    Procedure: Ultrasound-Guided Fine Needle Aspiration Cytology (FNAC)

Interventions

  • ProcedureUltrasound-Guided Fine Needle Aspiration Cytology (FNAC)

    Ultrasound-guided Fine Needle Aspiration Cytology (FNAC) of TI-RADS 3 thyroid nodules. The procedure will be performed to obtain cytological samples for evaluation. Cytological findings will be reported according to the Bethesda System for Reporting Thyroid Cytopathology.

06

What researchers measure

Primary outcomes

  1. Diagnostic Performance of Fine Needle Aspiration Cytology (FNAC) Compared with Histopathological Findings in ACR TI-RADS 3 Thyroid Nodules

    The diagnostic performance of ultrasound-guided FNAC will be evaluated by comparing cytological findings classified according to the Bethesda System with histopathological findings in participants who undergo surgery and have available histopathological results. Sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy will be calculated.

    Time frame: through study completion, an average of 1 year

Secondary outcomes

  1. Distribution of FNAC Cytological Results According to the Bethesda System in ACR TI-RADS 3 Thyroid Nodules

    FNAC cytological findings will be classified according to the Bethesda System (Categories I-VI). The number and percentage of participants in each Bethesda category will be reported.

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
08

References and documents

Publications

  • Singh Ospina N, Brito JP, Maraka S, Espinosa de Ycaza AE, Rodriguez-Gutierrez R, Gionfriddo MR, Castaneda-Guarderas A, Benkhadra K, Al Nofal A, Erwin P, Morris JC, Castro MR, Montori VM. Diagnostic accuracy of ultrasound-guided fine needle aspiration biopsy for thyroid malignancy: systematic review and meta-analysis. Endocrine. 2016 Sep;53(3):651-61. doi: 10.1007/s12020-016-0921-x. Epub 2016 Apr 12. PubMed 27071659 ↗
  • Bongiovanni M, Spitale A, Faquin WC, Mazzucchelli L, Baloch ZW. The Bethesda System for Reporting Thyroid Cytopathology: a meta-analysis. Acta Cytol. 2012;56(4):333-9. doi: 10.1159/000339959. Epub 2012 Jul 25. PubMed 22846422 ↗
  • Cibas ES, Ali SZ. The 2017 Bethesda System for Reporting Thyroid Cytopathology. Thyroid. 2017 Nov;27(11):1341-1346. doi: 10.1089/thy.2017.0500. PubMed 29091573 ↗
  • Gharib H, Papini E, Garber JR, Duick DS, Harrell RM, Hegedus L, Paschke R, Valcavi R, Vitti P; AACE/ACE/AME Task Force on Thyroid Nodules. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS, AMERICAN COLLEGE OF ENDOCRINOLOGY, AND ASSOCIAZIONE MEDICI ENDOCRINOLOGI MEDICAL GUIDELINES FOR CLINICAL PRACTICE FOR THE DIAGNOSIS AND MANAGEMENT OF THYROID NODULES--2016 UPDATE. Endocr Pract. 2016 May;22(5):622-39. doi: 10.4158/EP161208.GL. PubMed 27167915 ↗
  • Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, Cronan JJ, Beland MD, Desser TS, Frates MC, Hammers LW, Hamper UM, Langer JE, Reading CC, Scoutt LM, Stavros AT. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017 May;14(5):587-595. doi: 10.1016/j.jacr.2017.01.046. Epub 2017 Apr 2. PubMed 28372962 ↗
  • Remonti LR, Kramer CK, Leitao CB, Pinto LC, Gross JL. Thyroid ultrasound features and risk of carcinoma: a systematic review and meta-analysis of observational studies. Thyroid. 2015 May;25(5):538-50. doi: 10.1089/thy.2014.0353. Epub 2015 Mar 31. PubMed 25747526 ↗
  • Durante C, Grani G, Lamartina L, Filetti S, Mandel SJ, Cooper DS. The Diagnosis and Management of Thyroid Nodules: A Review. JAMA. 2018 Mar 6;319(9):914-924. doi: 10.1001/jama.2018.0898. PubMed 29509871 ↗
  • Dean DS, Gharib H. Epidemiology of thyroid nodules. Best Pract Res Clin Endocrinol Metab. 2008 Dec;22(6):901-11. doi: 10.1016/j.beem.2008.09.019. PubMed 19041821 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers. Study data will be used for the purposes of this research and may be presented in scientific publications in an aggregated and anonymized form.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2026 (actual). Primary completion is estimated for Apr 2027, 12 months after the start.

Of 67 non-industry interventional studies with no phase under Thyroid Nodule, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 46. This study's planned 12 months is below that.

Counting every sponsor, half of 71 studies reached it within 30 months; a quarter within 14 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 30, 2026
First posted
Nov 10, 2026
StartActual
Apr 26, 2026
Primary completionEst.
Apr 26, 2027
CompletionEst.
May 26, 2027
Last update
Nov 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07928284
Lead sponsor
Sohag University
Responsible party
Mahmoud Magdy Abdelmaaboud (Resident in Diagnostic and Interventional Radiology Department, Sohag University) — Principal investigator
First posted
Nov 10, 2026
Start date
Apr 26, 2026
Primary completion
Apr 26, 2027 (estimated)
Completion
May 26, 2027 (estimated)
Last update
Nov 10, 2026

Study contacts

Mahmoud Magdy Abd-Elma'aboud Abd-Elghafar
principal investigator · Faculty of Medicine, Sohag University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion