摘要
超声因其安全、无创、低价、方便等优点,成为甲状腺结节检测的首选方法,目前国内外有数个版本甲状腺影像报告和数据系统(Thyroid Imaging Reporting and Data System,TI-RADS)用于甲状腺结节恶性风险的分层管理。不同版本TI-RADS对同一甲状腺结节的分类及其是否需要进行细针穿刺活检(fine-needle aspiration biospy,FNAB)的建议存在差异。本文对各TI-RADS版本在甲状腺结节风险分层管理方面的应用、优势与局限性,以及其最新的研究进展进行了述评。
Ultrasound,characterized by its safety,non-invasive,economy,and convenience,is the preferred modality for the evaluation of thyroid nodules.Currently,several versions of the Thyroid Imaging Reporting and Data System(TI-RADS)have been developed for the risk stratification and management of thyroid nodules.Classifications of the same nodule can vary across different TI-RADS versions,leading to discrepancies in the management strategies,particularly regarding the necessity for fineneedle aspiration biopsy(FNAB)for suspected malignant nodules.This article provided a review of the application,advantages,and limitations of various TI-RADS versions in thyroid nodule risk stratification management,as well as the latest research progress.
作者
徐陈柯
俞丽芳
龚云
徐栋
XU Chenke;YU Lifang;Gongyun;XU Dong(Department of Ultrasound,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Hangzhou 310006,Zhejiang Province,China;Department of Ultrasound,The Fourth Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310006,Zhejiang Province,China;Department of Pediatrics,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Hangzhou 310006,Zhejiang Province,China;Department of Ultrasound,Zhejiang Cancer Hospital,Hangzhou 310005,Zhejiang Province,China)
出处
《肿瘤影像学》
2024年第3期213-219,共7页
Oncoradiology
基金
浙江省医药卫生科技计划项目(2024KY1333)。
关键词
甲状腺结节
超声
甲状腺影像报告和数据系统
细针穿刺活检
风险分层管理
Thyroid nodules
Ultrasound
Thyroid Imaging Reporting and Data System
Fine-needle aspiration biospy
Risk stratification management
