European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS
European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS
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DOI：
10.1159/000478927
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发表时间：
2017-01-01
影响因子：
4.7
通讯作者：
Leenhardt, Laurence
中科院分区：
文献类型：
--
作者：
Russ, Gilles;Bonnema, Steen J.;Leenhardt, Laurence
甲状腺超声（US）是治疗甲状腺结节的关键检查。甲状腺超声检查方便、无创、成本效益高，是甲状腺结节检查的强制性步骤。该方法的主要缺点是它依赖于操作员。甲状腺超声评估恶性肿瘤的风险是至关重要的结节患者，以选择那些谁应该有细针穿刺（FNA）活检进行。由于甲状腺超声在结节患者管理中的关键作用，欧洲甲状腺协会召集了一个国际专家小组，制定了关于甲状腺结节美国风险分层的欧洲指南。基于文献回顾和美国临床内分泌学家协会，美国甲状腺协会和韩国指南，该小组创建了新的欧洲甲状腺成像和报告数据系统，称为EU-TIRADS。这包括甲状腺US词典;标准化报告;良性和低、中和高风险肿瘤的定义，以及每个类别中恶性肿瘤的估计风险;以及FNA的适应症。通过大量的美国图像说明，EU-TIRADS旨在为医生的临床实践提供服务，以提高观察者之间描述的可重复性，并简化结果的交流。(C)2017年欧洲甲状腺协会由S. Karger AG，巴塞尔
Thyroid ultrasound (US) is a key examination for the management of thyroid nodules. Thyroid US is easily accessible, noninvasive, and cost-effective, and is a mandatory step in the workup of thyroid nodules. The main disadvantage of the method is that it is operator dependent. Thyroid US assessment of the risk of malignancy is crucial in patients with nodules, in order to select those who should have a fine needle aspiration (FNA) biopsy performed. Due to the pivotal role of thyroid US in the management of patients with nodules, the European Thyroid Association convened a panel of international experts to set up European guidelines on US risk stratification of thyroid nodules. Based on a review of the literature and on the American Association of Clinical Endocrinologists, American Thyroid Association, and Korean guidelines, the panel created the novel European Thyroid Imaging and Reporting Data System, called EU-TIRADS. This comprises a thyroid US lexicon; a standardized report; definitions of benign and low-, intermediate-, and high-risk nod-ules, with the estimated risks of malignancy in each category; and indications for FNA. Illustrated by numerous US images, the EU-TIRADS aims to serve physicians in their clinical practice, to enhance the interobserver reproducibility of descriptions, and to simplify communication of the results. (C) 2017 European Thyroid Association Published by S. Karger AG, Basel