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

Jump to navigation Jump to search

Thyroid imaging reporting and data system (view source)

Revision as of 16:36, 6 August 2021

3,628 bytes added ,  16:36, 6 August 2021
→‎ACR TIRADS
(create)
 
 
(19 intermediate revisions by the same user not shown)
Line 1: Line 1:
'''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>
'''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>
 
== 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>
 
{| class="wikitable sortable"
! ACR TIRADS
! Points
! Meaning
! Management
|-
| TR1
| 0 points
| benign
| No FNA
|-
| TR2
| 2 points
| benign finding(s)
| No FNA
|-
| TR3
| 3 points
| mildly suspicious for malignancy
| FNA if lesion >= 2.5 cm; follow-up if lesion >= 1.5 cm
|-
| TR4
| 4 to 6 points
| moderately suspicious for malignancy
| FNA if lesion >= 1.5 cm; follow-up if lesion >= 1.0 cm
|-
| TR5
| 7 or more points
| highly suspicious for malignancy
| FNA if lesion >= 1.0 cm; follow-up if lesion >= 0.5 cm
|-
|}
 
=="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>
 
{| class="wikitable sortable"
! 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).<ref name=pmid26324117>{{Cite journal  | last1 = Kwak | first1 = JY. | last2 = Han | first2 = KH. | last3 = Yoon | first3 = JH. | last4 = Moon | first4 = HJ. | last5 = Son | first5 = EJ. | last6 = Park | first6 = SH. | last7 = Jung | first7 = HK. | last8 = Choi | first8 = JS. | last9 = Kim | first9 = BM. | title = Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. | journal = Radiology | volume = 260 | issue = 3 | pages = 892-9 | month = Sep | year = 2011 | doi = 10.1148/radiol.11110206 | PMID = 21771959 }}</ref>
*There is a ''French TIRADS'' with five categories.<ref name=pmid26324117/>
 
===Subdivision of score 4===
Category 4 has been subdivided as per Kwak ''et al.'':<ref name=pmid26324117/>
{| class="wikitable sortable"
! 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==
==See also==
Line 7: Line 105:


==References==
==References==
{{Reflist|1}}
{{Reflist|2}}


==External links==
==External links==
Michael
48,466

edits

Retrieved from "https://librepathology.org/wiki/Special:MobileDiff/45858...51392"

Navigation menu