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Assessment of thyroid nodule risk stratification knowledge and utilization among Polish physicians: a pilot study
Lukasz Janicki1, Agastya Patel2,3, Tomasz Nowicki4
1Department of Surgical Oncology, Medical University of Gdansk, Gdansk, Poland.
Polish Journal of Radiology
|November 7, 2024
Summary
Thyroid Imaging Reporting & Data System (TIRADS) use is low among Polish physicians, though users understand its benefits. Increased training and adoption of TIRADS, including EU-TIRADS-PL, are recommended.
Area of Science:
- Medical Imaging
- Endocrinology
- Diagnostic Ultrasound
Background:
- Ultrasonography is the primary method for thyroid nodule evaluation.
- Thyroid Imaging Reporting & Data System (TIRADS) standardizes assessment and reduces unnecessary biopsies.
- Risk stratification of thyroid nodules is crucial for clinical management.
Purpose of the Study:
- To assess the knowledge and utilization of TIRADS among Polish physicians.
- To evaluate physicians' perceptions of TIRADS usefulness and feature knowledge.
- To identify factors influencing TIRADS adoption in clinical practice.
Main Methods:
- An internet-based questionnaire was distributed to members of the Polish Ultrasound Society.
- Data collected included physician experience with thyroid ultrasound and TIRADS knowledge/use.
- Statistical analysis was performed to identify correlations and significant differences.
Main Results:
- Only 33.4% of physicians used TIRADS, despite 43.4% awareness.
- EU-TIRADS was the most common classification (50.9%).
- TIRADS users were younger, more likely radiologists, and worked in academic hospitals, performing more thyroid ultrasounds.
Conclusions:
- TIRADS utilization in Poland is limited but awareness exists.
- Physicians using TIRADS demonstrate satisfactory knowledge of its purpose and features.
- Encouraging further training and adoption of TIRADS, particularly EU-TIRADS-PL, is advised.

