American College of Radiology Thyroid Imaging Reporting and Data System standardises reporting of thyroid ultrasounds.
Background: Thyroid nodules are common, the majority benign. The small risk of malignancy leads to excessive workup. Thyroid ultrasound is essential for risk stratification and management guidance. Without an organised reporting guideline, reports do not add significant value to referring clinicians...
| Publicado en: | South African Journal of Radiology Vol. 24; no. 1; pp. 1 - 8 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
African Online Scientific Information System PTY LTD
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148388142&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148388142 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1027202X 39WP jtl: South African Journal of Radiology issn: 1027202X maglogo: N pubinfo: dt: 2020 vid: 24 iid: 1 pid: 56831 pub: African Online Scientific Information System PTY LTD place: , <Blank> artinfo: ui: 148388142 148388142 148388142 10.4102/sajr.v24i1.1804 148388142 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: American College of Radiology Thyroid Imaging Reporting and Data System standardises reporting of thyroid ultrasounds. aug: au: Botha, Mariska Kisansa, Margaret Greeff, Wim affil: Department of Health, Faculty of Radiology, Sefako Makgatho Health Sciences University, Pretoria, South Africa sug: subj: Radiology Information Systems Thyroid Nodule Ultrasonography Risk Assessment Practice Guidelines Documentation Standards Human Academic Medical Centers Biopsy, Needle Descriptive Statistics Unnecessary Procedures Quality Improvement ab: Background: Thyroid nodules are common, the majority benign. The small risk of malignancy leads to excessive workup. Thyroid ultrasound is essential for risk stratification and management guidance. Without an organised reporting guideline, reports do not add significant value to referring clinicians. The American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) was developed to aid ultrasound reporting, lessen excessive biopsies and diagnose thyroid cancers. Objectives: To standardise reporting of thyroid ultrasounds by utilising an organised reporting guideline based on ACR TI-RADS. Method: Thyroid ultrasound reports generated by radiology registrars at an academic hospital were studied in two phases. In Phase 1, the reports were generated as free text, and in Phase 2, using a guideline based on ACR TI-RADS. The percentages of reports that described the maximum size, the five ACR TI-RADS features and a management recommendation were compared. Results: A total of 130 reports were studied. Significant improvement was observed in the description of all five ACR TI-RADS categories (p < 0.0001) from Phase 1 to Phase 2. Of all the reports, 89% included a management recommendation. Reports including an ACR TI-RADS-based recommendation increased from 48% to 75% (p < 0.05). Recommendation for biopsy increased from 35.4% to 53.8% (p < 0.05). Conclusion: Introduction of an organised reporting guideline based on ACR TI-RADS, standardised reporting of thyroid ultrasounds by increasing description of thyroid nodule features and ensuring appropriate management recommendations. This, in future, will prevent underdiagnosis of thyroid cancer and unnecessary workup of benign nodules. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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