1 Department of Radiology, Ajou University School of Medicine , Suwon, Korea.
2 Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine , Asan Medical Center, Seoul, Korea.
Thyroid. 2017 Dec;27(12):1463-1468. doi: 10.1089/thy.2016.0654. Epub 2017 Nov 1.
Two types of risk-stratification system-a qualitative grading system or a quantitative scoring system-have been used for the effective management of thyroid nodules on ultrasonography.
The concept of the Thyroid Imaging Reporting and Data System (TI-RADS), based on the quantitative scoring system, was introduced in the late 2000s, and its format has been constantly evolving and developing. Understanding the role and appropriate utilization of risk-stratification systems including TI-RADS could facilitate the effective interpretation and communication of thyroid ultrasonography findings among referring physicians and cytopathologists.
This comprehensive review provides a developmental overview of the use of risk-stratification systems in thyroid nodules, including TI-RADS proposals, and describes the future developmental direction of TI-RADS for the personalized and optimized management of thyroid nodules.
两种类型的风险分层系统——定性分级系统或定量评分系统——已被用于超声检查中甲状腺结节的有效管理。
基于定量评分系统的甲状腺影像报告和数据系统(TI-RADS)的概念于 2000 年代后期引入,其形式不断发展和完善。了解包括 TI-RADS 在内的风险分层系统的作用和合理应用,可以促进转诊医生和细胞病理学家之间对甲状腺超声检查结果的有效解释和沟通。
本综述全面介绍了风险分层系统在甲状腺结节中的应用,包括 TI-RADS 建议,并描述了 TI-RADS 的未来发展方向,以实现甲状腺结节的个性化和优化管理。