ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee
ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee
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DOI：
10.1016/j.jacr.2017.01.046
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发表时间：
2017-05-01
影响因子：
4.5
通讯作者：
Stavros, A. Thomas
中科院分区：
文献类型：
--
作者：
Tessler, Franklin N.;Middleton, William D.;Stavros, A. Thomas
甲状腺结节是颈部超声检查的常见发现。大多数结节是良性的；因此，许多结节活检，以确定少数是恶性或需要手术明确诊断。自2009年以来，许多专业协会和研究人员提出了基于超声的风险分层系统，以确定需要活检或超声随访的结节。由于其中一些系统是建立在广泛用于乳腺成像的BI-RADS (R)分类基础上的，因此作者选择使用首字母缩略词TI-RADS，即甲状腺成像，报告和数据系统。2012年，ACR召集委员会(1)为偶发甲状腺结节的报告提供建议，(2)为超声报告制定一套标准术语（词典），(3)在词典的基础上提出TI-RADS。两个委员会在2015年公布了前两次努力的结果。在这篇文章中，作者介绍了ACR TI-RADS委员会的建议，这些建议为甲状腺结节的超声表现提供了指导。作者还描述了委员会的未来方向。
Thyroid nodules are a frequent finding on neck sonography. Most nodules are benign; therefore, many nodules are biopsied to identify the small number that are malignant or require surgery for a definitive diagnosis. Since 2009, many professional societies and investigators have proposed ultrasound-based risk stratification systems to identify nodules that warrant biopsy or sonographic follow-up. Because some of these systems were founded on the BI-RADS (R) classification that is widely used in breast imaging, their authors chose to apply the acronym TI-RADS, for Thyroid Imaging, Reporting and Data System. In 2012, the ACR convened committees to (1) provide recommendations for reporting incidental thyroid nodules, (2) develop a set of standard terms (lexicon) for ultrasound reporting, and (3) propose a TI-RADS on the basis of the lexicon. The committees published the results of the first two efforts in 2015. In this article, the authors present the ACR TI-RADS Committee's recommendations, which provide guidance regarding management of thyroid nodules on the basis of their ultrasound appearance. The authors also describe the committee's future directions.