2021 Korean Thyroid Imaging Reporting and Data System and Imaging-Based Management of Thyroid Nodules: Korean Society of Thyroid Radiology Consensus Statement and Recommendations
- 주제(키워드) Thyroid nodule , Thyroid neoplasm , Lymph nodes , Ultrasonography , Computed tomography , Fine needle aspiration
- 주제(기타) Radiology, Nuclear Medicine & Medical Imaging
- 설명문(일반) [Ha, Eun Ju] Ajou Univ, Dept Radiol, Sch Med, Suwon, South Korea; [Chung, Sae Rom; Baek, Jung Hwan; Lee, Jeong Hyun] Univ Ulsan, Asan Med Ctr, Dept Radiol, Coll Med, Seoul, South Korea; [Chung, Sae Rom; Baek, Jung Hwan; Lee, Jeong Hyun] Univ Ulsan, Asan Med Ctr, Res Inst Radiol, Coll Med, Seoul, South Korea; [Na, Dong Gyu] Univ Ulsan, GangNeung Asan Hosp, Dept Radiol, Coll Med, 38 Bangdong Gil, Kangnung 25440, South Korea; [Ahn, Hye Shin] Chung Ang Univ, Chung Ang Univ Hosp, Dept Radiol, Coll Med, Seoul, South Korea; [Chung, Jin] Ewha Womans Univ, Dept Radiol, Sch Med, Seoul, South Korea; [Lee, Ji Ye; Yoo, Roh-Eul; Kim, Ji-Hoon] Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Radiol, Coll Med, Seoul, South Korea; [Park, Jeong Seon] Hanyang Univ, Hanyang Univ Hosp, Dept Radiol, Coll Med, Seoul, South Korea; [Baek, Sun Mi] Haeundae Sharing & Happiness Hosp, Dept Radiol, Busan, South Korea; [Cho, Seong Whi] Kangwon Natl Univ Hosp, Dept Radiol, Chunchon, South Korea; [Choi, Yoon Jung] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Radiol, Sch Med, Seoul, South Korea; [Hahn, Soo Yeon; Shin, Jung Hee] Sungkyunkwan Univ, Samsung Med Ctr, Dept Radiol, Sch Med, Seoul, South Korea; [Hahn, Soo Yeon; Shin, Jung Hee] Sungkyunkwan Univ, Samsung Med Ctr, Ctr Imaging Sci, Sch Med, Seoul, South Korea; [Jung, So Lyung] Catholic Univ Korea, Coll Med, Dept Radiol, Yeouido St Marys Hosp, Seoul, South Korea; [Kim, Seul Kee] Chonnam Natl Univ, Med Sch, Dept Radiol, Hwasun Hosp, Hwasun, South Korea; [Kim, Soo Jin] New Korea Hosp, Dept Radiol, Gimpo, South Korea; [Lee, Chang Yoon] Natl Canc Ctr, Res Inst & Hosp, Dept Radiol, Goyang, South Korea; [Lee, Ho Kyu] Jeju Natl Univ, Dept Radiol, Jeju, South Korea; [Lee, Young Hen] Korea Univ, Ansan Hosp, Dept Radiol, Coll Med, Ansan, South Korea; [Lim, Hyun Kyung] Soonchunhyang Univ, Dept Radiol, Seoul Hosp, Seoul, South Korea; [Sim, Jung Suk] Withsim Clin, Dept Radiol, Seongnam, South Korea; [Sung, Jin Young] Daerim St Marys Hosp, Dept Radiol, Seoul, South Korea; [Sung, Jin Young] Daerim St Marys Hosp, Thyroid Ctr, Seoul, South Korea; [Yoon, Jung Hyun] Yonsei Univ, Res Inst Radiol Sci, Dept Radiol, Coll Med, Seoul, South Korea; [Choi, Miyoung] Natl Evidence Based Healthcare Collaborating Agcy, Div Healthcare Technol Assessment Res, Seoul, South Korea
- 등재 SCIE, SCOPUS, KCI등재
- OA유형 Green Published
- 발행기관 KOREAN RADIOLOGICAL SOC
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000190761
- 본문언어 영어
- Published As https://doi.org/10.3348/kjr.2021.0713
- PubMed https://pubmed.ncbi.nlm.nih.gov/34719893
초록/요약
Incidental thyroid nodules are commonly detected on ultrasonography (US). This has contributed to the rapidly rising incidence of low-risk papillary thyroid carcinoma over the last 20 years. The appropriate diagnosis and management of these patients is based on the risk factors related to the patients as well as the thyroid nodules. The Korean Society of Thyroid Radiology (KSThR) published consensus recommendations for US-based management of thyroid nodules in 2011 and revised them in 2016. These guidelines have been used as the standard guidelines in Korea. However, recent advances in the diagnosis and management of thyroid nodules have necessitated the revision of the original recommendations. The task force of the KSThR has revised the Korean Thyroid Imaging Reporting and Data System and recommendations for US lexicon, biopsy criteria, US criteria of extrathyroidal extension, optimal thyroid computed tomography protocol, and US follow-up of thyroid nodules before and after biopsy. The biopsy criteria were revised to reduce unnecessary biopsies for benign nodules while maintaining an appropriate sensitivity for the detection of malignant tumors in small (1-2 cm) thyroid nodules. The goal of these recommendations is to provide the optimal scientific evidence and expert opinion consensus regarding US-based diagnosis and management of thyroid nodules.
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