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Related Experiment Video

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A Swin Transformer-Based Model for Thyroid Nodule Detection in Ultrasound Images

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US-based risk stratification "guidelines" for thyroid nodules: Quō Vādis?

Archie A Alexander¹

¹Dept. of Health Admin, Louisiana State University-Shreveport (LSUS), Shreveport, Los Angels.

Journal of Clinical Ultrasound : JCU

|January 21, 2020

Summary

Numerous thyroid nodule guidelines exist, but none achieve universal acceptance. This review highlights the varied performance and quality evaluations of these management systems, including the ACR TI-RADS™.

Keywords:

guideline nodule risk stratification thyroid ultrasound

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Area of Science:

Endocrinology
Radiology
Medical Informatics

Background:

The proliferation of guidelines for managing adult thyroid nodules (GMTNs) presents challenges.
The American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS™-2017) is one such guideline, but its role and consistency are debated.

Purpose of the Study:

To conduct a rapid scoping review evaluating the commentary on the ACR TI-RADS™-2017.
To assess the landscape of existing guidelines for managing adult thyroid nodules.

Main Methods:

A rapid scoping review of peer-reviewed articles comparing two or more guidelines for managing adult thyroid nodules (GMTNs) was performed.
Searches were conducted in Medline (PubMed), EBSCO, Google, and Google Scholar for articles published between 2010 and 2019.

Main Results:

Twelve distinct guidelines were identified across 28 reviewed articles.
Most articles focused on diagnostic performance (26/28) rather than quality measures (2/28).
Commonly reviewed guidelines included ATA-2015, ACR TI-RADS™-2017, South Korean, and EU TI-RADS, with no single guideline universally accepted.

Conclusions:

A significant number of guidelines for managing adult thyroid nodules (GMTNs) are available.
No single guideline has achieved general acceptance, and their performance and quality evaluations are inconsistent.