Clinical guidelineThyroid cancer

ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee

Journal of the American College of Radiology · 2017
Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, et al. Journal of the American College of Radiology. 2017. 14:587-595
Study type
Clinical guideline
Study name
ACR TI-RADS
Design
Official committee report (White Paper) with expert recommendations; not a clinical trial
Source
Journal of the American College of Radiology · 2017

In plain words

Thyroid nodules (small lumps) are very common on neck ultrasound, and most of them are benign. The ACR TI-RADS system is a standard method radiologists use to assess nodules by how they look on ultrasound. The aim is to decide which nodules need a biopsy or follow-up with ultrasound and which do not. The final decision about biopsy or follow-up is made by your own doctor.

Study population

This document is not a clinical study and no specific patients were enrolled. The recommendations concern thyroid nodules, which are commonly seen on neck ultrasound.

Endpoints

This document has no statistical endpoints. Its aim is to provide guidance on managing thyroid nodules based on their ultrasound appearance (ultrasound-based risk stratification) to identify the nodules that need biopsy or sonographic follow-up.

Safety and side effects

According to the abstract, no safety or adverse-event data are reported; this document is an imaging guideline.

Clinical significance and place in guidelines

According to the abstract, this document presents the ACR committee's recommendations for managing thyroid nodules based on ultrasound appearance and builds on a standardised reporting lexicon. Details of the scoring, size thresholds for biopsy or follow-up and its impact on clinical practice are not given in the abstract and should be checked in the full text of the paper. Its adoption in other guidelines should also be checked separately.

Limitations

The abstract gives no information on how the recommendations were developed, the level of evidence or limitations. These should be checked in the full text of the paper. The authors also describe the committee's future directions.

This summary was prepared by the editorial team from the published paper; the original paper is the final reference. Read the original abstract on PubMed.