International Expert Consensus on US Lexicon for Thyroid Nodules

被引:34
作者
Durante, Cosimo [1 ]
Hegedus, Laszlo [2 ]
Na, Dong Gyu [3 ]
Papini, Enrico [4 ]
Sipos, Jennifer A. [5 ]
Baek, Jung Hwan [6 ,7 ]
Frasoldati, Andrea [8 ]
Grani, Giorgio [1 ]
Grant, Edward [9 ]
Horvath, Eleonora [10 ]
Hoang, Jenny K. [11 ]
Mandel, Susan J. [12 ]
Middleton, William D. [13 ]
Ngu, Rose [14 ,15 ]
Orloff, Lisa Ann [16 ]
Shin, Jung Hee [17 ]
Trimboli, Pierpaolo [18 ]
Yoon, Jung Hyun [19 ]
Tessler, Franklin N. [20 ]
机构
[1] Sapienza Univ Rome, Dept Translat & Precis Med, Rome, Italy
[2] Odense Univ Hosp, Dept Endocrinol & Metab, Odense, Denmark
[3] Univ Ulsan, Gangneung Asan Hosp, Dept Radiol, Coll Med, Seoul, South Korea
[4] Regina Apostolorum Hosp, Dept Endocrinol & Metab, Rome, Italy
[5] Ohio State Univ, Wexner Med Ctr, Dept Internal Med, Div Endocrinol Diabet & Metab, Columbus, OH 43210 USA
[6] Univ Ulsan, Coll Med, Dept Radiol, Seoul, South Korea
[7] Univ Ulsan, Res Inst Radiol, Coll Med, Seoul, South Korea
[8] Arcispedale S Maria Nuova IRCCS, Endocrinol Unit, Reggio Emilia, Italy
[9] Univ Southern Calif, Keck Hosp USC, Dept Radiol, Los Angeles, CA USA
[10] Univ Desarrollo, Dept Imaging, Clin Alemana Santiago, Santiago, Chile
[11] Johns Hopkins Bayview Med Ctr, Dept Radiol, Baltimore, MD USA
[12] Univ Penn, Perelman Ctr Adv Med, Perelman Sch Med, Div Endocrinol Diabet & Metab, Philadelphia, PA USA
[13] Washington Univ, Mallinckrodt Inst Radiol, Sch Med, St Louis, MO USA
[14] Guys & St Thomas NHS Fdn Trust, Dept Dent Radiol Imaging, London, England
[15] Kings Coll London, Dent Inst, London, England
[16] Stanford Univ, Stanford Canc Ctr, Dept Otolaryngol Head & Neck Surg, Sch Med, Stanford, South Africa
[17] Sungkyunkwan Univ, Samsung Med Ctr, Dept Radiol, Sch Med, Seoul, South Korea
[18] Ente Osped Cantonale, Clin Endocrinol & Diabetol, Lugano, Switzerland
[19] Yonsei Univ, Severance Hosp, Dept Radiol, Res Inst Radiol Sci,Coll Med, Seoul, South Korea
[20] Univ Alabama Birmingham, Dept Radiol, Heersink Sch Med, 619 19th St S, Birmingham, AL 35249 USA
关键词
DATA SYSTEM; RISK STRATIFICATION; SONOGRAPHIC FEATURES; ASSOCIATION GUIDELINES; ULTRASOUND FEATURES; PREDICTIVE-VALUE; ECHOGENIC FOCI; CANCER; CARCINOMA; BIOPSY;
D O I
10.1148/radiol.231481
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Multiple US-based systems for risk stratification of thyroid nodules are in use worldwide. Unfortunately, the malignancy probability assigned to a nodule varies, and terms and definitions are not consistent, leading to confusion and making it challenging to compare study results and craft revisions. Consistent application of these systems is further hampered by interobserver variability in identifying the sonographic features on which they are founded. In 2018, an international multidisciplinary group of 19 physicians with expertise in thyroid sonography (termed the International Thyroid Nodule Ultrasound Working Group) was convened with the goal of developing an international system, tentatively called the International Thyroid Imaging Reporting and Data System, or I-TIRADS, in two phases: (phase I) creation of a lexicon and atlas of US descriptors of thyroid nodules and (phase II) development of a system that estimates the malignancy risk of a thyroid nodule. This article presents the methods and results of phase I. The purpose herein is to show what has been accomplished thus far, as well as generate interest in and support for this effort in the global thyroid community.
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页数:14
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