超声甲状腺影像报告和数据系统在甲状腺结节诊治中的应用及进展  

The application and progress of Thyroid Imaging Reporting and Data System in the diagnosis and treatment of thyroid nodules

作　　者：徐陈柯 俞丽芳 龚云 徐栋[4] XU Chenke;YU Lifang;Gongyun;XU Dong(Department of Ultrasound,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Hangzhou 310006,Zhejiang Province,China;Department of Ultrasound,The Fourth Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310006,Zhejiang Province,China;Department of Pediatrics,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Hangzhou 310006,Zhejiang Province,China;Department of Ultrasound,Zhejiang Cancer Hospital,Hangzhou 310005,Zhejiang Province,China)

机构地区：[1]西湖大学医学院附属杭州市第一人民医院超声影像科,浙江杭州310006 [2]浙江中医药大学第四临床医学院超声影像科,浙江杭州310006 [3]西湖大学医学院附属杭州市第一人民医院儿科,浙江杭州310006 [4]浙江省肿瘤医院超声医学科,浙江杭州310005

出　　处：《肿瘤影像学》2024年第3期213-219,共7页Oncoradiology

基　　金：浙江省医药卫生科技计划项目(2024KY1333)。

摘　　要：超声因其安全、无创、低价、方便等优点,成为甲状腺结节检测的首选方法,目前国内外有数个版本甲状腺影像报告和数据系统(Thyroid Imaging Reporting and Data System,TI-RADS)用于甲状腺结节恶性风险的分层管理。不同版本TI-RADS对同一甲状腺结节的分类及其是否需要进行细针穿刺活检(fine-needle aspiration biospy,FNAB)的建议存在差异。本文对各TI-RADS版本在甲状腺结节风险分层管理方面的应用、优势与局限性,以及其最新的研究进展进行了述评。Ultrasound,characterized by its safety,non-invasive,economy,and convenience,is the preferred modality for the evaluation of thyroid nodules.Currently,several versions of the Thyroid Imaging Reporting and Data System(TI-RADS)have been developed for the risk stratification and management of thyroid nodules.Classifications of the same nodule can vary across different TI-RADS versions,leading to discrepancies in the management strategies,particularly regarding the necessity for fineneedle aspiration biopsy(FNAB)for suspected malignant nodules.This article provided a review of the application,advantages,and limitations of various TI-RADS versions in thyroid nodule risk stratification management,as well as the latest research progress.

关 键 词：甲状腺结节 超声 甲状腺影像报告和数据系统 细针穿刺活检 风险分层管理 

分 类 号：R736.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]