提高ACR TI-RADS诊断甲状腺结节一致性的提示

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
G. Low, Meredith Bara, Yang Du, P. Katlariwala, Roger Croutze, Katrin Resch, J. Porter, Medica Sam, M. Wilson
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引用次数: 0

摘要

摘要甲状腺结节在普通人群中非常常见。大多数是良性的,甚至是恶性的通常生长缓慢,不需要治疗。甲状腺结节的过度诊断和过度治疗导致了巨大的医疗费用。开发ACR TI-RADS是为了解决这些问题,并减少不必要的活检次数和随访间隔。ACR TI-RADS提供了一个基于点的风险分层系统,该系统以五个超声特征为中心:一致性、回声、形状、边缘和回声灶。虽然该系统具有显著的优势,并且与其他可用的风险分层系统(ATA、EU-TIRADS和K-TIRADS)具有可比的准确性,但存在与次优读者间一致性相关的固有挑战。在这篇文章中,我们包含了10个教育技巧,这些技巧可能有助于超声从业者提高结节解释与ACR TI-RADS的一致性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tips for improving consistency of thyroid nodule interpretation with ACR TI-RADS
Abstract Thyroid nodules are very common in the general population. Most are benign and even those that are malignant are typically slow-growing and do not require treatment. Overdiagnosis and overtreatment of thyroid nodules has resulted in significant healthcare costs. ACR TI-RADS was developed to address these concerns, and reduce the number of unnecessary biopsies and follow-up intervals. ACR TI-RADS offers a point-based risk stratification system centered on five sonographic features: consistency, echogenicity, shape, margins and echogenic foci. While the system has noticeable benefits and comparable accuracy with other available risk stratification systems (ATA, EU-TIRADS and K-TIRADS), there are inherent challenges relating to suboptimal inter-reader agreement. In this article, we include 10 educational tips that may be helpful to the ultrasound practitioner for improving the consistency of nodule interpretation with ACR TI-RADS.
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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
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