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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Bibliographic Details
Published in:Journal of clinical ultrasound 2020-01, Vol.48 (1), p.3-6
Main Author: Fradin, Joel M.
Format: Article
Language:English
Subjects:
ACR TI‐RADS
ATA guidelines
Biopsy
Diagnosis, Differential
Early Detection of Cancer - standards
Guidelines
Humans
Nodules
Practice Guidelines as Topic
Radiology
Societies, Medical
Surveillance
Thyroid
Thyroid gland
Thyroid Gland - diagnostic imaging
Thyroid Gland - pathology
Thyroid Nodule - diagnostic imaging
Thyroid Nodule - pathology
thyroid nodules
Ultrasonic imaging
Ultrasonography
Ultrasound
United States
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Description
Summary: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.
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.22772