European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927.

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European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 1. Example of a drawing to locate and number thyroid nodules. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 2. EU-TIRADS 2: pure/anechoic cyst. Transverse (left) and longitudinal (right) planes. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 3. EU-TIRADS 2: spongiform nodule. Transverse plane. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 4. EU-TIRADS 3: low-risk isoechoic nodule with an oval shape and smooth margins without any high-risk features. Longitudinal (left) and transverse (right) planes. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 5. EU-TIRADS 3: low-risk hyperechoic nodule with an oval shape and smooth margins without any high-risk features. Longitudinal (left) and transverse (right) planes. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 6. EU-TIRADS 3: grouped low-risk isoechoic nodules with an oval shape and smooth margins without any high-risk features. Longitudinal plane. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 7. EU-TIRADS 4: intermediate-risk, mildly hypoechoic nodule with an oval shape and smooth margins without any high-risk features. Longitudinal (left) and transverse (right) planes. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 8. EU-TIRADS 5: high-risk nodule with a taller-than-wide shape, irregular margins, microcalcifications, and marked hypoechogenicity. Longitudinal (left) and transverse (right) planes. 11 × 8 × 11 mm (length × width × thickness). © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 9. EU-TIRADS 5: high-risk nodule with a non-oval shape, spiculated margins, microcalcifications, and marked hypoechogenicity. Longitudinal (left) and transverse (right) planes. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 10. EU-TIRADS 5: two different examples of high-risk hypoechoic nodules with lobulated margins in the transverse (left picture) and longitudinal (right picture) planes. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 11. EU-TIRADS 5: high-risk nodule with a taller-than-wide shape in the transverse plane. © 2017 S. Karger AG, Basel

European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS - DOI:10.1159/000478927 Fig. 12. Algorithm of EU-TIRADS for malignancy risk stratification and fine-needle aspiration (FNA) decision-making. * FNA should be performed in case suspicious lymph nodes are found. © 2017 S. Karger AG, Basel