Difference between revisions of "Thyroid imaging reporting and data system"
Jump to navigation
Jump to search
(→Scoring: tweak) |
|||
| Line 2: | Line 2: | ||
==Scoring== | ==Scoring== | ||
=== ACR TIRADS === | |||
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" | |||
! TR | |||
! Points | |||
! Meaning | |||
! Typical management | |||
|- | |||
| TR1 | |||
| 0 points | |||
| benign | |||
| | |||
|- | |||
| TR2 | |||
| 2 points | |||
| benign finding(s) | |||
| | |||
|- | |||
| 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 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> | 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> | ||
| Line 43: | Line 81: | ||
*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" | ||