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Ultrasound imaging classifications of thyroid nodules for malignancy risk stratification and clinical management: state of the art.


ABSTRACT: Assessing the risk of malignancy in the thyroid with ultrasound (US) is crucial in patients with nodules, as it can aid in selecting those who should have a fine-needle aspiration (FNA) biopsy performed. Many studies have examined whether the US characteristics of thyroid nodules are useful indicators of histological malignancy. Overall, these investigations have identified a few US features that are significantly more frequent in malignant thyroid nodules which can be coalesced into a defining set to be used as an indicator of a higher risk of malignancy. Despite these efforts, none of these classifications have been widely adopted worldwide, and there are still conflicting recommendations from different institutions. Understanding the role and appropriate utilization of these systems could facilitate the effective interpretation and communication of thyroid US findings among referring physicians and radiologists. In this comprehensive review, we outline the major US classification systems of thyroid nodules published in the last few years.

SUBMITTER: Floridi C 

PROVIDER: S-EPMC6755949 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Ultrasound imaging classifications of thyroid nodules for malignancy risk stratification and clinical management: state of the art.

Floridi Chiara C   Cellina Michaela M   Buccimazza Giorgio G   Arrichiello Antonio A   Sacrini Andrea A   Arrigoni Francesco F   Pompili Giovanni G   Barile Antonio A   Carrafiello Gianpaolo G  

Gland surgery 20190901 Suppl 3


Assessing the risk of malignancy in the thyroid with ultrasound (US) is crucial in patients with nodules, as it can aid in selecting those who should have a fine-needle aspiration (FNA) biopsy performed. Many studies have examined whether the US characteristics of thyroid nodules are useful indicators of histological malignancy. Overall, these investigations have identified a few US features that are significantly more frequent in malignant thyroid nodules which can be coalesced into a defining  ...[more]

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