Thyroid Ultrasound Reporting Lexicon: White Paper of the ACR Thyroid Imaging, Reporting and Data System (TIRADS) Committee  Edward G. Grant, MD, Franklin.

Slides:



Advertisements
Similar presentations
2015 Alzheimer's disease facts and figures Alzheimer's & Dementia: The Journal of the Alzheimer's Association Volume 11, Issue 3, Pages (March.
Advertisements

The “no reflow” phenomenon following acute myocardial infarction: Mechanisms and treatment options Sanjiv Kaul, MD Journal of Cardiology Volume 64, Issue.
Platelet survival and serotonin content after placement of arterial prostheses in dogs: Effects of neointimal coverage and high- and low-dose aspirin G.Patrick.
Lumbar disc nomenclature: version 2.0
The State of Radiologic Teaching Practice in Preclinical Medical Education: Survey of American Medical, Osteopathic, and Podiatric Schools Zachary Rubin,
Update on lichen planus and its clinical variants Gillian Weston, MSIII, Michael Payette, MD, MBA International Journal of Women's Dermatology Volume 1,
Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:
Application of Ultrasound and Ultrasound-Guided Intervention for Evaluating Elbow Joint Pathologies Chia-Wei Lin, Yan-Hao Chen, Wen-Shiang Chen Journal.
Developing a Technologist-Focused Quality Improvement Program
Managing Incidental Thyroid Nodules Detected on Imaging: White Paper of the ACR Incidental Thyroid Findings Committee  Jenny K. Hoang, MBBS, Jill E. Langer,
Fundamentals of Quality and Safety in Diagnostic Radiology
A New Model for Imaging and Radiation Therapy Quality Assurance in the National Clinical Trials Network of the National Cancer Institute  Thomas J. FitzGerald,
2013 Appropriate Utilization of Cardiovascular Imaging
Hyperbaric Oxygenation in Cardiac and Pulmonary Disease
Effect of antibacterials on biofilms
Air Pollution and Chest Disease
Manuel J. Antunes, MD, PhD, DSc 
Utilization of the Family and Medical Leave Act in Radiology Practices According to the 2016 ACR Commission on Human Resources Workforce Survey  Elizabeth.
Andrew B. Rosenkrantz, MD, MPA, James V. Rawson, MD 
Lincoln L. Berland, MD, Stuart G. Silverman, MD, Richard M
Forgotten Dialysis Catheter Caps
Adoption and Meaningful Use of Computerized Physician Order Entry With an Integrated Clinical Decision Support System for Radiology: Ten-Year Analysis.
Use of Social Media in Radiology Education
Recurrent thromboembolism in patients with vena cava filters
Alec J. Megibow, MD, MPH, Mark E. Baker, MD, Desiree E
Franklin N. Tessler, MD, CM, William D. Middleton, MD, Edward G
Peritoneal dialysis American Journal of Kidney Diseases
The Hyperlipidemia Effect: Pseudohyponatremia in Pancreatic Cancer
What Can We Learn About the Spiritual Needs of Palliative Care Patients From the Research Literature?  Mark Cobb, MA, Christopher Dowrick, MD, FRCGP,
Journal of Thoracic Oncology 
Imaging for the Management of Community-Acquired Pneumonia
Malcolm O. Perry, MD, Richard Kempczinski, MD 
C. Cameron McCoy, MD, Thomas A. D'Amico, MD 
The lord of the rings  Antonio Miceli, MD, PhD 
Gadolinium radiologic contrast is a useful alternative for hysterosalpingography in patients with iodine allergy  Dorette Noorhasan, M.D., Michael J.
Recurrent thromboembolism in patients with vena cava filters
The future of vascular surgery
Juan N. Pulido, MD  The Journal of Thoracic and Cardiovascular Surgery 
Erratum The American Journal of Human Genetics
A first start for lung transplantation?
Get it right the first time
Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD 
Michael Lanuti, MD  The Journal of Thoracic and Cardiovascular Surgery 
AGA technical review on osteoporosis in gastrointestinal diseases
Reviewer Acknowledgment
Autophagy: Nobel Prize 2016 and allergy and asthma research
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Calvin B. Ernst, MD  Journal of Vascular Surgery 
Volume 155, Issue 6, Pages (December 2018)
Routine postendarterectomy duplex surveillance: Does it prevent late stroke?  William C. Mackey, MD, Michael Belkin, MD, Rakesh Sindhi, MD, Harold Welch,
Cardiovascular surgery—The rocket and its stars: Presidential address
H. Edward Garrett, MD, Robert W. Heidepriem, MD, L. Paul Broadbent, MD 
Research and research funding in vascular surgery
Supportive care for patients with renal disease: Time for action
Modification of the nail psoriasis severity index
Discussion The Journal of Thoracic and Cardiovascular Surgery
Tai Ji: The law of inflammatory response
The future of cardiac surgery training: A survival guide
Aortic root surgery for young patients: The elephant in the room
Building a clinical program in a single institution
Blake Cady, MD, Thomas Miner, MD, Abraham Morgentaler, MD 
“The more things change…”: The challenges ahead
Gaps in pain management in dermatology: A needs assessment from Canada
Bhagwan Satiani, MD, MBA, Thomas E. Williams, MD, PhD, Michael R
True Radial Artery Aneurysm: Diagnosis and Treatment
George D. Lilly 1906–1988 Journal of Vascular Surgery
James A. DeWeese, MD  Journal of Vascular Surgery 
Franklin N. Tessler, MD, CM, William D. Middleton, MD, Edward G
Of mice and men… The Journal of Thoracic and Cardiovascular Surgery
Edward Y. Chan, MD, Michael J. Reardon, MD 
Presentation transcript:

Thyroid Ultrasound Reporting Lexicon: White Paper of the ACR Thyroid Imaging, Reporting and Data System (TIRADS) Committee  Edward G. Grant, MD, Franklin N. Tessler, MD, Jenny K. Hoang, MBBS, Jill E. Langer, MD, Michael D. Beland, MD, Lincoln L. Berland, MD, John J. Cronan, MD, Terry S. Desser, MD, Mary C. Frates, MD, Ulrike M. Hamper, MD, William D. Middleton, MD, Carl C. Reading, MD, Leslie M. Scoutt, MD, A. Thomas Stavros, MD, Sharlene A. Teefey, MD  Journal of the American College of Radiology  Volume 12, Issue 12, Pages 1272-1279 (December 2015) DOI: 10.1016/j.jacr.2015.07.011 Copyright © 2015 American College of Radiology Terms and Conditions

Fig 1A Composition. (A) Solid nodule: 46-year-old man with 3.5-cm solid, hypoechoic nodule. Margins are smooth. Macrocalcifications were identified on other sections. Diagnosis: medullary carcinoma. Figures 1B to 1D available online. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 2C Echogenicity. Very hypoechoic nodule: 55-year-old woman with 1.0-cm very hypoechoic left lobe nodule (N). Margins are smooth. Note that nodule is less echogenic than adjacent strap muscles (S) and essentially isoechoic to the common carotid artery (C). Diagnosis: papillary carcinoma. Figures 2A and 2B available online. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 3 Shape: 56-year-old woman with taller-than-wide nodule in left lobe of thyroid. Dimensions measured in the transverse plane are 1.4 cm transverse × 1.8 cm anteroposterior. Diagnosis: follicular variant, papillary carcinoma. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 4B Irregular margin: 47-year-old woman with heterogeneously hyperechoic 16-mm nodule with irregular margins. Note angulated borders anteriorly. Diagnosis: papillary carcinoma. Figures 4A, 4C, 4D available online. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 5A Echogenic foci. Punctate echogenic foci: 44-year-old woman with 3.2-cm isoechoic smoothly marginated nodule. Note numerous punctate echogenic foci with no posterior acoustic artifacts. Diagnosis: colloid nodule (Bethesda 2). Figures 5B to 5D available online. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 1B Predominately solid nodule: 63 year old female with a 1.6 cm predominately solid, hyperechoic nodule. Margins are smooth. Note presence of punctate echogenic foci and foci with small comet tail artifacts. Diagnosis: colloid nodule (Bethesda 2). Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 1C Predominately cystic nodule: 26 year old male with a 4.5 cm predominately cystic nodule. Note solid components along superior/posterior wall (arrow). Diagnosis: Cystic nodule, non-diagnostic (Bethesda 1). Appearance of aspirate was consistent with old blood. Nodule recurred but no change over two year follow up. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 1D Spongiform nodule: 49 year old female with 1.9 cm spongiform nodule in left lobe of thyroid. Diagnosis: Colloid nodule based on appearance, biopsy not performed. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 2A Hyperechoic nodule: 63 year old female with 1.6 cm hyperechoic predominately solid, smooth nodule. Note punctate echogenic foci. Diagnosis: colloid nodule (Bethesda 2). Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 2B Hypoechoic nodule: 62 year old male with 1.6 cm hypoechoic, solid nodule with smooth margins. Note large comet tail artifact along inferior border. Diagnosis: papillary carcinoma. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 4A Smooth margin: 49 year old female with 2.2 cm hypoechoic nodule with a smooth margin. Diagnosis: Benign follicular nodule (Bethesda 2). Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 4C Lobulated margin: 56 year old man with 3.4 cm lobulated, hyperechoic nodule. Macrocalcifications were present in other sections. Diagnosis: Papillary carcinoma. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 4D Extra-thyroidal extension: 73 year old male with a large, lobulated hypoechoic mass involving isthmus and left lobe. Note loss of definition of tissue planes anteriorly suggesting extra-thyroidal invasion. Diagnosis: Anaplastic carcinoma. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 5B Macrocalcifications: 49 year old female with a 1.7 cm hypoechoic, ill-defined nodule at the junction of the right lobe and isthmus. Large shadowing echogenic structure (macrocalcification) is present in posterior portion of the nodule. Diagnosis: Colloid nodule (Bethesda 2). Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 5C Peripheral calcifications: 43 year old female with 3.1 cm solid, hyperechoic nodule with peripheral calcifications. Diagnosis: Follicular carcinoma. Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions

Fig 5D Echogenic foci with large comet tail artifacts: 41 year old male with 2.7 cm cystic nodule containing multiple, mobile, echogenic foci with large comet tail artifacts. Note tapering of comet tails posteriorly. Diagnosis: Colloid nodule (Bethesda 2). Journal of the American College of Radiology 2015 12, 1272-1279DOI: (10.1016/j.jacr.2015.07.011) Copyright © 2015 American College of Radiology Terms and Conditions