The New Era of TIRADSs to Stratify the Risk of Malignancy of Thyroid Nodules: Strengths, Weaknesses and Pitfalls - Sorbonne Université
Journal Articles Cancers Year : 2021

The New Era of TIRADSs to Stratify the Risk of Malignancy of Thyroid Nodules: Strengths, Weaknesses and Pitfalls

Gilles Russ
  • Function : Author
  • PersonId : 1110756
Pierpaolo Trimboli
  • Function : Author
  • PersonId : 1110757
Camille Buffet
  • Function : Author
  • PersonId : 1099618

Abstract

Since 2009, thyroid imaging reporting and data systems (TI-RADS) have been playing an increasing role in the field of thyroid nodules (TN) imaging. Their common aims are to provide sonologists of varied medical specialties and clinicians with an ultrasound (US) based malignancy risk stratification score and to guide decision making of fine-needle aspiration (FNA). Schematically, all TI-RADSs scores can be classified as either pattern-based or point-based approaches. The main strengths of these systems are their ability (i) to homogenize US TN descriptions among operators, (ii) to facilitate and shorten communication on the malignancy risk of TN between sonologists and clinicians, (iii) to provide quantitative ranges of malignancy risk assessment with high sensitivity and negative predictive values, and (iv) to reduce the number of unnecessary FNAs. Their weaknesses are (i) the remaining inter-observer discrepancies and (ii) their insufficient sensitivity for the diagnosis of follicular cancers and follicular variant of papillary cancers. Most common pitfalls are degenerating shrinking nodules and confusion between individual and coalescent nodules. The benefits of all TI-RADSs far outweigh their shortcomings, explaining their rising use, but the necessity to improve and merge the different existing systems remains.

Domains

Cancer
Fichier principal
Vignette du fichier
cancers-13-04316-v2.pdf (850.85 Ko) Télécharger le fichier
Origin Publication funded by an institution

Dates and versions

hal-03350406 , version 1 (21-09-2021)

Identifiers

Cite

Gilles Russ, Pierpaolo Trimboli, Camille Buffet. The New Era of TIRADSs to Stratify the Risk of Malignancy of Thyroid Nodules: Strengths, Weaknesses and Pitfalls. Cancers, 2021, 13 (17), pp.4316. ⟨10.3390/cancers13174316⟩. ⟨hal-03350406⟩
25 View
51 Download

Altmetric

Share

More