Thyroid Nodule Classification by Ultrasound: TI-RADS A to Z

IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Cameron Fateri, Scott E. Cramer, Jeanette Meraz, David Horton, Nathan Feil, Thanh-Lan Bui, M. Nguyentat, R. Houshyar, Mohammad Helmy
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引用次数: 0

Abstract

Thyroid cancer screening tripled from 1975 to 2009, whereas mortality due to thyroid cancer has not significantly changed, suggesting an overdiagnosis of thyroid cancer. Thyroid nodules are typically first assessed with ultrasound and followed up with fine needle aspiration (FNA), if indicated. Thyroid imaging reporting and data system (TI-RADS) is designed to improve diagnostic accuracy and risk stratification, leading to a decrease in unnecessary FNA procedures and follow-up examinations. TI-RADS assigns scores in five categories—composition, echogenicity, shape, margins, and echogenic foci—which are totaled to yield a final overall TI-RADS score and classification. The final classification has been shown to correlate with the likelihood of malignancy.
甲状腺结节的超声分类:TI-RADS A-Z
从1975年到2009年,甲状腺癌症筛查增加了两倍,而甲状腺癌症导致的死亡率没有显著变化,这表明甲状腺癌症诊断过度。甲状腺结节通常首先通过超声波进行评估,如果需要,随后进行细针抽吸(FNA)。甲状腺成像报告和数据系统(TI-RADS)旨在提高诊断准确性和风险分层,从而减少不必要的FNA程序和随访检查。TI-RADS将分数分为五类——成分、回声、形状、边缘和回声灶——将其相加,得出最终的TI-RADS总分和分类。最终的分类已被证明与恶性肿瘤的可能性相关。
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