ACR TI-RADS: An advance in the management of thyroid nodules or Pandora's box of surveillance?

被引:15
作者
Fradin, Joel M. [1 ]
机构
[1] Johns Hopkins Bayview Med Ctr, Imaging Dept, 4940 Eastern Ave, Baltimore, MD 21224 USA
关键词
ACR TI-RADS; ATA guidelines; thyroid nodules; ultrasound; WHITE PAPER; CANCER; RISK; ULTRASOUND; CARCINOMA; ULTRASONOGRAPHY; COMPLICATIONS; MAMMOGRAPHY; PREVALENCE; CYTOLOGY;
D O I
10.1002/jcu.22772
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Numerous sets of guidelines have been proposed regarding ultrasound of thyroid nodules. None has been universally accepted. American College of Radiology-Thyroid Imaging, Reporting and Data System (ACR-TIRADS) has been promoted as an improvement to existing guidelines such as the 2015 revised American Thyroid Association (ATA) guidelines. This commentary compares and contrasts these two guidelines. Adoption of TI-RADS is likely to result in large-scale, costly surveillance without clear benefit. Replacement of 2015 revised ATA guidelines by TI-RADS is not justified. The shortcomings that exist in the ATA guidelines can be addressed as described in this commentary.
引用
收藏
页码:3 / 6
页数:4
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