Personalize surgery extension

Avoid unnecessary surgeries

Molecular Classifier for Indeterminate Thyroid Nodule (Bethesda III or IV)

mir-THYpe full can help prevent diagnostic surgeries.

There are a high number of thyroid surgeries
that can be AVOIDED

Up to 0 %
of indeterminate thyroid nodules (Bethesda III or IV) undergoing surgery are reclassified as benign after surgery¹
mir-THYpe full can help prevent diagnostic surgeries by reclassifying the indeterminate nodule as negative (benign) or positive (malignant).

National and International Guidelines

approve the use of molecular tests

The use of molecular classifiers to assist in the management of patients with an indeterminate thyroid nodule is suggested by the following guidelines

American Thyroid Association

Haugen BR, et al.  2016 Thyroid.

NCCN (National Comprehensive Cancer Network)

NCCN Thyroid Carcinoma Clinical Practice Guidelines, v1.2017.

Brazilian Consensus

Rosário PW, et al, 2015 Thyroid nodule and differentiated thyroid cancer: update on the Brazilian consensus. Arq Bras Endocrinol Metab 57(4):240-2642

Indeterminate nodules
(Bethesda III or IV) on FNA

Talk to our team now and ask for your test.

The mir-THYpe full can also

help in your surgery

Molecular prognostic markers may predict a more or less aggressive behavior of the thyroid nodule.

Nodules with negative prognostic markers may be eligible for minor surgeries, such as partial surgery, which can preserve part of the thyroid function .

Know the advantages

of mir-THYpe full

Customize your medical management with mir-THYpe full´s diagnostic and prognostic markers

Strong

scientific evidences

- 0 %
Reduction of Potentially Unnecessary Surgeries
0 %
Influence on Medical Decision Making
0 %
Positive Predictive Value (PPV)
0 %
Negative Predictive Value (NPV)

Logistics

simple and practical

It is very simple to request your test. Check out the step-by-step below.

1. Fill in the medical form

Ask your physician to complete, sign and stamp the medical form

2. Order your transport kit

With the medical order in hand, contact us and request your kit.

1. Fill in the medical form

Ask your doctor to complete, sign and stamp this medical form

2. Order your transport kit

With the medical order in hand, contact us and request your kit.

3. Submit your sample and forms

Follow the instructions in your kit and mail us your sample and forms

4. Receive the
result

That´s it! Soon, you and your physician will have the complete report and analysis in hand.

3. Submit your sample and forms

Follow the instructions in your kit and mail us your sample and forms

4. Receive the result

That´s it! Soon, you and your doctor will have the complete report and analysis in hand.

Technical information

TUSS Code: 4.03.14.60.0

Patent No. BR 102018003587-8

The molecular classification test for an indeterminate thyroid nodule is indicated only for patients with indeterminate thyroid nodules, that is, those who in the cytological analysis of the slide(s) s) of PAAF were classified in the Bethesda System of categories III or IV and, in selected cases, V. The exam analyzes the mutational status of the BRAF V600E gene and the promoter region of the TERT gene C228T and C250T, markers of clinical diagnostic utility and prognosis. The test also analyzes a microRNA expression profile and, through a proprietary algorithm, accurately assists in the classification of indeterminate thyroid nodules by evaluating the molecular behavior of the sample for malignancy in “positive” or “negative”. The performance of the exam was calculated based on a validation study1 that compared the results obtained by mir-THYpe® full using genetic material extracted from samples of FNAC cytology slides from patients with indeterminate thyroid nodules, with the results of the exam post-surgical histology of the same nodules (according to the consensus of at least two independent cytopathologists). The classification algorithm has not been trained on samples from thyroid nodules with Bethesda classification I, II or VI or other tumor types and biological samples. The test also analyzes the isolated expression of microRNAs miR-146b (a biomarker that predicts potentially more aggressive behavior in papillary carcinoma) and miR-375 (a biomarker for medullary thyroid carcinoma). The results obtained using this test should be interpreted together and in context with other diagnostic and clinical findings to decide on the medical/clinical approach to be followed, especially on whether or not any surgical procedure is necessary, including surgical extension and the total or partial removal of the thyroid gland. The results obtained using this exam are only relevant to the nodule that was analyzed.

Marcos Tadeu dos Santos, Ph.D. – Molecular Biologist - CRBio No. 113094/01-D. Member of the Latin America Thyroid Society (LATS) and of the Thyroid Department of the Brazilian Society of Endocrinology and Metabolism (SBEM).

  1. Bongiovanni M, et al. 2012 Acta Cytologica
  2. Haugen BR, et al.  2016 Thyroid.
  3. NCCN Thyroid Carcinoma Clinical Practice Guidelines, v1.2017.
  4. Rosário PW, et al, 2015 Thyroid nodule and differentiated thyroid cancer: update on the Brazilian consensus. Arq Bras Endocrinol Metab 57(4):240-2642
  5. Santos MT et al., 2018 Molecular Classification of Thyroid Nodules with Indeterminate Cytology: Development and Validation of a Highly Sensitive and Specific New miRNA-Based Classifier Test Using Fine-Needle Aspiration Smear Slides Thyroid 28(12) 1618-1626
  6. Santos, M. T., Rodrigues, B. M., Shizukuda, S., Oliveira, A. F., Oliveira, M., Figueiredo, D., Melo, G. M., Silva, R. A., Fainstein, C., Dos Reis, G. F., Corbo, R., Ramos, H. E., Camacho, C. P., Vaisman, F., & Vaisman, M. (2022). Clinical decision support analysis of a microRNA-based thyroid molecular classifier: A real-world, prospective and multicentre validation study. The Lancet Discovery Science (eBioMedicine), 82, 104137. Advance online publication. https://doi.org/10.1016/j.ebiom.2022.104137

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