Su Henry K, Dos Reis Laura L, Lupo Mark A, Milas Mira, Orloff Lisa A, Langer Jill E, Brett Elise M, Kazam Elias, Lee Stephanie L, Minkowitz Gerald, Alpert Erin H, Dewey Eliza H, Urken Mark L
1 Thyroid, Head and Neck Cancer Foundation , New York, New York.
Thyroid. 2014 Sep;24(9):1341-9. doi: 10.1089/thy.2014.0110. Epub 2014 Jul 23.
The use of high-resolution ultrasound (US) imaging is a mainstay of the initial evaluation and long-term management of thyroid nodules and thyroid cancer. To fully capitalize on the diagnostic capabilities of a US examination in the context of thyroid disease, many clinicians consider it desirable to establish a universal format and standard of US reporting. The goals of this interdisciplinary consensus statement are twofold. First, to create a standardized set of US features to characterize thyroid nodules and cervical lymph nodes accurately, and second, to create a standardized system for tracking sequential changes in the US examination of thyroid nodules and cervical lymph nodes for the purpose of determining risk of malignancy.
The Thyroid, Head and Neck Cancer (THANC) Foundation convened a panel of nine specialists from a variety of medical disciplines that are actively involved in the diagnosis and treatment of thyroid nodules and thyroid cancer. Consensus was achieved on the following topics: US evaluation of the thyroid gland, US evaluation of thyroid nodules, US evaluation of cervical lymph nodes, US-guided fine needle aspiration (FNA) of thyroid nodules, and US-guided FNA of cervical lymph nodes.
We propose that this statement represents a consensus within a multidisciplinary team on the salient and essential elements of a comprehensive and clinically significant thyroid and neck US report with regards to content, terminology, and organization. This reporting protocol supplements previous US performance guidelines by not only capturing categories of findings that may have important clinical implications, but also delineating findings that are clinically relevant within those categories as specifically as possible. Additionally, we have included the specific features of diagnostic and therapeutic interventions that have not been previously addressed.
高分辨率超声（US）成像的应用是甲状腺结节和甲状腺癌初始评估及长期管理的主要手段。为了在甲状腺疾病背景下充分利用超声检查的诊断能力，许多临床医生认为建立通用的超声报告格式和标准是可取的。本跨学科共识声明有两个目标。第一，创建一套标准化的超声特征，以准确描述甲状腺结节和颈部淋巴结；第二，创建一个标准化系统，用于跟踪甲状腺结节和颈部淋巴结超声检查的连续变化，以确定恶性风险。
甲状腺、头颈癌（THANC）基金会召集了一个由九位来自积极参与甲状腺结节和甲状腺癌诊断与治疗的不同医学学科的专家组成的小组。就以下主题达成了共识：甲状腺的超声评估、甲状腺结节的超声评估、颈部淋巴结的超声评估、甲状腺结节的超声引导细针穿刺活检（FNA）以及颈部淋巴结的超声引导FNA。
我们建议本声明代表了一个多学科团队在全面且具有临床意义的甲状腺和颈部超声报告的重要及关键要素方面达成的共识，这些要素涉及内容、术语和组织。本报告协议补充了先前的超声操作指南，不仅涵盖了可能具有重要临床意义的发现类别，还尽可能具体地描述了这些类别中具有临床相关性的发现。此外，我们还纳入了先前未涉及的诊断和治疗干预的具体特征。
