超声因其安全、无创、低价、方便等优点,成为甲状腺结节检测的首选方法,目前国内外有数个版本甲状腺影像报告和数据系统(Thyroid Imaging Reporting and Data System,TI-RADS)用于甲状腺结节恶性风险的分层管理。不同版本TI-RADS对同一甲状腺结节的分类及其是否需要进行细针穿刺活检(fine-needle aspiration biospy,FNAB)的建议存在差异。本文对各TI-RADS版本在甲状腺结节风险分层管理方面的应用、优势与局限性,以及其最新的研究进展进行了述评。
Abstract
Ultrasound
characterized by its safety
non-invasive
economy
and convenience
is the preferred modality for the evaluation of thyroid nodules. Currently
several versions of the Thyroid Imaging Reporting and Data System (TI-RADS) havebeen developed for the risk stratification and management of thyroid nodules. Classifications of the same nodule can vary across different TI-RADS versions
leading to discrepancies in the management strategies
particularly regarding the necessity for fine- needle aspiration biopsy (FNAB) for suspected malignant nodules. This article provided a review of the application
advantages
and limitations of various TI-RADS versions in thyroid nodule risk stratification management
ATA guidelines, Kwak TI-RADS, ACR TI-RADS, and C TI - RADS are compared for the diagnostic performance of thyroid nodules in children
Value of TI-RADS, BRAF V600E mutation analysis and BSRTC in differential diagnosis of thyroid nodules
Fine-needle aspiration biopsy of thyroid nodules: performances of ACR TI-RADS and ATA guideline
Research advances in multimodal imaging for pathological nipple discharge
A preliminary study on the application of Sonazoid contrast-enhanced ultrasound in improving the detection rate of liver nodules
Related Author
GAO Wenhui
SUN Yinghua
JI Xiangpeng
GUO Man
WEN Baojie
ZHANG Jie
JIN Zhibin
YU Pengli
Related Institution
Department of Ultrasonic Diagnosis, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School
Department of Ultrasound, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Department of Ultrasound, Tibet Autonomous Region People&rsquo
Department of Ultrasound, China-Japan Friendship Hospital
Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College