Thyroid imaging reporting and data system: Difference between revisions

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'''Thyroid imaging reporting and data system''', abbreviated '''TIRADS''' and '''TI-RADS''', is a standardized system for reporting thyroid radiology.<ref>{{Cite journal  | last1 = Russ | first1 = G. | last2 = Leboulleux | first2 = S. | last3 = Leenhardt | first3 = L. | last4 = Hegedüs | first4 = L. | title = Thyroid incidentalomas: epidemiology, risk stratification with ultrasound and workup. | journal = Eur Thyroid J | volume = 3 | issue = 3 | pages = 154-63 | month = Sep | year = 2014 | doi = 10.1159/000365289 | PMID = 25538897 }}</ref>
'''Thyroid imaging reporting and data system''', abbreviated '''TIRADS''' and '''TI-RADS''', is a standardized system for reporting thyroid radiology.<ref>{{Cite journal  | last1 = Russ | first1 = G. | last2 = Leboulleux | first2 = S. | last3 = Leenhardt | first3 = L. | last4 = Hegedüs | first4 = L. | title = Thyroid incidentalomas: epidemiology, risk stratification with ultrasound and workup. | journal = Eur Thyroid J | volume = 3 | issue = 3 | pages = 154-63 | month = Sep | year = 2014 | doi = 10.1159/000365289 | PMID = 25538897 }}</ref>


==Scoring==
== ACR TIRADS ==
=== ACR TIRADS ===
The ''American College of Radiology'' (abbreviated ''ACR'') came out with a TIRADS version that is known as ''ACR TIRADS'' in 2017.<ref name=pmid28372962>{{cite journal |authors=Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, Cronan JJ, Beland MD, Desser TS, Frates MC, Hammers LW, Hamper UM, Langer JE, Reading CC, Scoutt LM, Stavros AT |title=ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee |journal=J Am Coll Radiol |volume=14 |issue=5 |pages=587–595 |date=May 2017 |pmid=28372962 |doi=10.1016/j.jacr.2017.01.046 |url=}}</ref> It is often abbreviated ''TR''.<ref name=pmid31603734>{{cite journal |authors=Tappouni RR, Itri JN, McQueen TS, Lalwani N, Ou JJ |title=ACR TI-RADS: Pitfalls, Solutions, and Future Directions |journal=Radiographics |volume=39 |issue=7 |pages=2040–2052 |date=2019 |pmid=31603734 |doi=10.1148/rg.2019190026 |url=}}</ref>
The ''American College of Radiology'' came out with a TIRADS version that is known as ''ACR TIRADS'' in 2017.  It is often abbreviated ''TR''.


{| class="wikitable sortable"  
{| class="wikitable sortable"  
! TR
! ACR TIRADS
! Points  
! Points  
! Meaning
! Meaning
! Typical management
! Management
|-
|-
| TR1  
| TR1  
| 0 points
| 0 points
| benign
| benign
|
| No FNA
|-
|-
| TR2
| TR2
| 2 points
| 2 points
| benign finding(s)
| benign finding(s)
|
| No FNA
|-
|-
| TR3  
| TR3  
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|}
|}


 
=="Original" TIRADS==
==="Original" TIRADS===
The original TIRADS is broadly similar to [[BI-RADS]] and consists of six possible categorizations:<ref name=pmid19276237>{{Cite journal  | last1 = Horvath | first1 = E. | last2 = Majlis | first2 = S. | last3 = Rossi | first3 = R. | last4 = Franco | first4 = C. | last5 = Niedmann | first5 = JP. | last6 = Castro | first6 = A. | last7 = Dominguez | first7 = M. | title = An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management. | journal = J Clin Endocrinol Metab | volume = 94 | issue = 5 | pages = 1748-51 | month = May | year = 2009 | doi = 10.1210/jc.2008-1724 | PMID = 19276237 }}</ref>
The scoring is broadly similar to the [[BI-RADS]] and consists of six possible categorizations:<ref name=pmid19276237>{{Cite journal  | last1 = Horvath | first1 = E. | last2 = Majlis | first2 = S. | last3 = Rossi | first3 = R. | last4 = Franco | first4 = C. | last5 = Niedmann | first5 = JP. | last6 = Castro | first6 = A. | last7 = Dominguez | first7 = M. | title = An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management. | journal = J Clin Endocrinol Metab | volume = 94 | issue = 5 | pages = 1748-51 | month = May | year = 2009 | doi = 10.1210/jc.2008-1724 | PMID = 19276237 }}</ref>


{| class="wikitable sortable"  
{| class="wikitable sortable"  
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*There is a ''French TIRADS'' with five categories.<ref name=pmid26324117/>
*There is a ''French TIRADS'' with five categories.<ref name=pmid26324117/>


====Subdivision of score 4====
===Subdivision of score 4===
Category 4 has been subdivided as per Kwak ''et al.'':<ref name=pmid26324117/>
Category 4 has been subdivided as per Kwak ''et al.'':<ref name=pmid26324117/>
{| class="wikitable sortable"
{| class="wikitable sortable"
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==References==
==References==
{{Reflist|1}}
{{Reflist|2}}


==External links==
==External links==
Retrieved from "https://librepathology.org/wiki/Thyroid_imaging_reporting_and_data_system"