Chintapalli Ravi Theja V, Harmath Carla B
Department of Radiology, University of Chicago, Chicago, Illinois.
Division of Abdominal Imaging, Department of Radiology, University of Chicago, Chicago, Illinois.
Semin Intervent Radiol. 2024 Dec 10;41(5):494-499. doi: 10.1055/s-0044-1792123. eCollection 2024 Oct.
Thyroid nodules are prevalent, estimated to affect up to 68% of the population, and the incidence increases with age. With the advances in medical imaging utilization, the detection of incidental thyroid nodules continues to rise, and given the low rate of malignancy in incidentally discovered thyroid nodules (4-15%), diagnostic guidelines are imperative for their management. Several guidelines have been developed: the most commonly used guidelines in the United States include the American Thyroid Association (ATA) Guidelines and the American College of Radiology Thyroid Imaging Reporting Data System (TI-RADS). These guidelines call for the utilization of a biopsy of nodules depending on a sonographic morphologic categorization. This article aims to briefly review these two main guidelines and discuss the techniques for ultrasound-guided biopsy of thyroid nodules.
甲状腺结节很常见，据估计影响高达68%的人口，且发病率随年龄增长而增加。随着医学影像应用的进展，偶然发现的甲状腺结节的检出率持续上升，鉴于偶然发现的甲状腺结节的恶性率较低（4%-15%），制定诊断指南对其管理至关重要。已经制定了多项指南：美国最常用的指南包括美国甲状腺协会（ATA）指南和美国放射学会甲状腺影像报告和数据系统（TI-RADS）。这些指南要求根据超声形态学分类对结节进行活检。本文旨在简要回顾这两个主要指南，并讨论甲状腺结节超声引导下活检的技术。
