Difference between revisions of "Thyroid imaging reporting and data system"

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(Scoring: grade)
 
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'''Thyroid imaging reporting and data system''', abbreviated '''TIRADS''', 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>
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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>
  
 
==Scoring==
 
==Scoring==

Latest revision as of 12:41, 31 October 2019

Thyroid imaging reporting and data system, abbreviated TIRADS and TI-RADS, is a standardized system for reporting thyroid radiology.[1]

Scoring

The scoring is broadly similar to the BI-RADS and consists of six possible categorizations:[2]

Score Meaning Typical management
0 incomplete come back for more imaging
1 negative
2 benign finding(s)
3 probably benign often short follow-up
4 ‡ suspicious abnormality needs biopsy
5 highly suggestive of malignancy biopsy to confirm impression
6 pathologist says there is a malignancy excision

Notes:

  • ‡ Category 4 has been subdivided (see below).[3]
  • There is a French TIRADS with five categories.[3]

Subdivision of score 4

Category 4 has been subdivided as per Kwak et al.:[3]

Score Definition Risk of malignancy
4a one suspicious feature 3.3%
4b two suspicious features 9.2%
4c three or four suspicious features 44.4-72.4%

See also

References

  1. Russ, G.; Leboulleux, S.; Leenhardt, L.; Hegedüs, L. (Sep 2014). "Thyroid incidentalomas: epidemiology, risk stratification with ultrasound and workup.". Eur Thyroid J 3 (3): 154-63. doi:10.1159/000365289. PMID 25538897.
  2. Horvath, E.; Majlis, S.; Rossi, R.; Franco, C.; Niedmann, JP.; Castro, A.; Dominguez, M. (May 2009). "An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management.". J Clin Endocrinol Metab 94 (5): 1748-51. doi:10.1210/jc.2008-1724. PMID 19276237.
  3. 3.0 3.1 3.2 Kwak, JY.; Han, KH.; Yoon, JH.; Moon, HJ.; Son, EJ.; Park, SH.; Jung, HK.; Choi, JS. et al. (Sep 2011). "Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk.". Radiology 260 (3): 892-9. doi:10.1148/radiol.11110206. PMID 21771959.

External links