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

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 Americ...

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Publicado en:Journal of Clinical Ultrasound Vol. 48; no. 1; pp. 3 - 7
Autor principal: Fradin, Joel M.
Formato: review Journal Article
Publicado: Wiley-Blackwell Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: ACR TI-RADS: An advance in the management of thyroid nodules or Pandora's box of surveillance?
      aug:
        au: Fradin, Joel M.
        affil: Imaging Department, Johns Hopkins Bayview Medical Center, Baltimore Maryland
      sug:
        subj:
          Practice Guidelines
          Thyroid Nodule
          Biopsy
          Thyroid Nodule Pathology
          Ultrasonography
          Medical Organizations
          Thyroid Gland
          United States
          Diagnosis, Differential
          Early Detection of Cancer Standards
          Thyroid Gland Pathology
          Psychological Tests
      ab: 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.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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