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2021 Korean Thyroid Imaging Reporting and Data System and Imaging-Based Management of Thyroid Nodules: Korean Society of Thyroid Radiology Consensus Statement and Recommendations

Korean Journal of Radiology 2021³â 22±Ç 12È£ p.2094 ~ 2123
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ÇÏÀºÁÖ ( Ha Eun-Ju ) 
Ajou University School of Medicine Department of Radiology

Á¤»õ·Ò ( Chung Sae-Rom ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
³ªµ¿±Ô ( Na Dong-Gyu ) 
University of Ulsan College of Medicine Gangneung Asan Hospital Department of Radiology
¾ÈÇý½Å ( Ahn Hye-Shin ) 
Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Radiology
Á¤Áø ( Chung Jin ) 
Ewha Womans University School of Medicine Department of Radiology
ÀÌÁö¿¹ ( Lee Ji-Ye ) 
Seoul National University College of Medicine Seoul National University Hospital Department of Radiology
¹ÚÁ¤¼± ( Park Jeong-Seon ) 
Hanyang University College of Medicine Hanyang University Hospital Department of Radiology
À¯³ëÀ» ( Yoo Roh-Eul ) 
Seoul National University College of Medicine Seoul National University Hospital Department of Radiology
¹éÁ¤È¯ ( Baek Jung-Hwan ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
¹é¼±¹Ì ( Baek Sun-Mi ) 
Haeundae Sharing and Happiness Hospital Department of Radiology
Á¶¼ºÈÖ ( Cho Seong-Whi ) 
Kangwon National University Hospital Department of Radiology
ÃÖÀ±Á¤ ( Choi Yoon-Jung ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Radiology
ÇѼö¿¬ ( Hahn Soo-Yeon ) 
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Radiology
Á¤¼Ò·É ( Jung So-Lyung ) 
Catholic University College of Medicine Yeouido St. Mary¡¯s Hospital Department of Radiology
±èÁöÈÆ ( Kim Ji-Hoon ) 
Seoul National University College of Medicine Seoul National University Hospital Department of Radiology
±è½½±â ( Kim Seul-Kee ) 
Chonnam National University Medical School Chonnam National University Hospital Departments of Radiology
±è¼öÁø ( Kim Soo-Jin ) 
New Korea Hospital Department of Radiology
ÀÌâÀ± ( Lee Chang-Yoon ) 
National Cancer Center Department of Radiology
ÀÌÈ£±Ô ( Lee Ho-Kyu ) 
Jeju National University Hospital Department of Radiology
ÀÌÁ¤Çö ( Lee Jeong-Hyun ) 
University of Ulsan College of Medicine Asan Medical Center Department of Radiology
ÀÌ¿µÈç ( Lee Young-Hen ) 
Korea University College of Medicine Ansan Hospital Department of Radiology
ÀÓÇö°æ ( Lim Hyun-Kyung ) 
Soonchunhyang University Seoul Hospital Department of Radiology
½ÅÁ¤Èñ ( Shin Jung-Hee ) 
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Radiology
½ÉÁ¤¼® ( Sim Jung-Suk ) 
Withsim Clinic Department of Radiology
¼ºÁø¿µ ( Sung Jin-Young ) 
Daerim St. Mary¡¯s Hospital Department of Radiology
À±Á¤Çö ( Yoon Jung-Hyun ) 
Yonsei University College of Medicine Department of Radiology
Ãֹ̿µ ( Choi Mi-Young ) 
National Evidence-Based Healthcare Collaborating Agency Division for Healthcare Technology Assessment Research

Abstract


Incidental thyroid nodules are commonly detected on ultrasonography (US). This has contributed to the rapidly rising incidence of low-risk papillary thyroid carcinoma over the last 20 years. The appropriate diagnosis and management of these patients is based on the risk factors related to the patients as well as the thyroid nodules. The Korean Society of Thyroid Radiology (KSThR) published consensus recommendations for US-based management of thyroid nodules in 2011 and revised them in 2016. These guidelines have been used as the standard guidelines in Korea. However, recent advances in the diagnosis and management of thyroid nodules have necessitated the revision of the original recommendations. The task force of the KSThR has revised the Korean Thyroid Imaging Reporting and Data System and recommendations for US lexicon, biopsy criteria, US criteria of extrathyroidal extension, optimal thyroid computed tomography protocol, and US follow-up of thyroid nodules before and after biopsy. The biopsy criteria were revised to reduce unnecessary biopsies for benign nodules while maintaining an appropriate sensitivity for the detection of malignant tumors in small (1?2 cm) thyroid nodules. The goal of these recommendations is to provide the optimal scientific evidence and expert opinion consensus regarding US-based diagnosis and management of thyroid nodules.

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Thyroid nodule; Thyroid neoplasm; Lymph nodes; Ultrasonography; Computed tomography; Fine needle aspiration

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