Combinational American Thyroid Association: photoacoustic score as a novel classification method for thyroid cancer nodules in vivo

We report a novel photoacoustic (PA) scoring method for the risk stratification of thyroid nodules, which is combination of the American Thyroid Association (ATA) and PA malignancy probability. We performed multi-spectral PA imaging and multi-parametric PA analysis for thyroid cancer patients (23 malignancy and 29 benign cases). Initial multi-parametric PA analysis showed that malignancy of the thyroid nodules can be diagnosed with a 78% sensitivity and 93% specificity. Moreover, our novel score called ATAP improved the sensitivity to 83% while maintaining the specificity. The results suggest that the ATAP may help physicians examine thyroid nodules, thus reducing unnecessary biopsies.