机构地区: 广东省人民医院
出 处: 《中华耳鼻咽喉头颈外科杂志》 2019年第1期73-77,共5页
摘 要: 甲状腺结节临床上常见,超声已成为诊断和鉴别结节良恶性的最有效影像学方法。因有关超声评估的TI-RADS版本较多,部分分级系统指标复杂,使得临床应用受限。2017年美国放射学会(American College of Radiology,ACR)推出了基于常规二维图像的TI—RADS分级,以期减少对于操作者的依赖性,便于与临床医师沟通。ACR推出TI—RADS目的是对甲状腺结节建立一个危险分层系统,指导临床医生选择治疗方案。本文对ACR TI—RADS分级系统做一解读,主要内容包括ACRTI—RADS发展、概述、特征分类及临床应用体会。 Thyroid nodules are extremely common.Ultrasonography is the most effective imaging modality to diagnose and differentiate thyroid nodules.There are many versions of thyroid image reporting and data system(TI-RADS)evaluated by ultrasound,but some classification system indexes are complicated and clinical application is chaotic.In 2017,the American College of Radiology (ACR)published white papers that introduced a TI-RADS classification system based on conventional ultrasound to reduce the dependence on operators and facilitate communication with physicians.The purpose of the ACR TI-RADS is to establish the risk classification system for managing thyroid nodules and guide the physicians to make professional judgments.The ACR TI-RADS risk classification system is interpreted in this article,including the development,overview and feature categories of ACR TI-RADS,and authors'experiences in clinical application.
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