Acr White Paper Thyroid Nodules

Acr ti rads is a reporting system for thyroid nodules on ultrasound proposed by the american college of radiology acr 1.

Acr white paper thyroid nodules. Jacr white paper aim and aims of project acr white paper algorithm for managing itn aims to provide practical approach to itn and reduce unnecessary thyroid nodule workup project. The american college of radiology acr has issued a new white paper aimed at reducing the number of incidentally discovered thyroid nodules referred for further workup. This white paper describes consensus recommendations representing this committee s review of the literature and their practice experience. The acr formed the incidental thyroid findings committee to derive a practical approach to managing itns on ct mri nuclear medicine and ultrasound studies.

This white paper describes the consensus process and the resultant lexicon. In 2012 the acr convened committees to 1 provide recommendations for reporting incidental thyroid nodules 2 develop a set of standard terms lexicon for ultrasound reporting and 3 propose a ti rads on the basis of the lexicon. In 2017 the thyroid imaging reporting and data system ti rads committee of the american college of radiology acr published a white paper that presented a new risk stratification system for classifying thyroid nodules on the basis of their appearance at ultrasonography us. The committees published the results of the first two efforts in 2015.

Thyroid imaging reporting data system ti rads thyroid nodules are exceedingly common leading to costly interventions for many lesions that ultimately prove benign. This white paper describes consensus recom mendations representing this committee s review of the literature and their practice experience. The acr formed the incidental thyroid findings committee to derive a practical approach to managing itns on ct mri nuclear medicine and ultrasound studies. Classifying a nodule as benign and avoiding follow up.

But the paper is generating. Develop management guidelines for nodules that are discovered incidentally on ct mri pet or ultrasound. The american college of radiology has formed an incidental thyroid nodules committee and published a white paper 15 based on the duke 3 tiered system reporting guidelines for incidental thyroid nodules on ct and mri. The duke 3 tiered system guidelines have now been studied in several cohorts.

The following is a summary of the findings. Determine impact of following all algorithm steps.