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J Am Coll Radiol. 2015 Feb;12(2):143-50. doi: 10.1016/j.jacr.2014.09.038. Epub 2014 Nov 1.

Managing incidental thyroid nodules detected on imaging: white paper of the ACR Incidental Thyroid Findings Committee.

Author information

1
Duke University Medical Center, Durham, North Carolina. Electronic address: jennykh@gmail.com.
2
The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
3
Washington University School of Medicine, St. Louis, Missouri.
4
Massachusetts General Hospital, Boston, Massachusetts.
5
Hammers Healthcare Imaging, LLC, and Yale School of Medicine, New Haven, Connecticut.
6
Brown University, Providence, Rhode Island.
7
University of Alabama at Birmingham, Birmingham, Alabama.
8
Keck School of Medicine, University of Southern California, Los Angeles, California.

Abstract

The incidental thyroid nodule (ITN) is one of the most common incidental findings on imaging studies that include the neck. An ITN is defined as a nodule not previously detected or suspected clinically, but identified by an imaging study. The workup of ITNs has led to increased costs from additional procedures, and in some cases, to increased risk to the patient because physicians are naturally concerned about the risk of malignancy and a delayed cancer diagnosis. However, the majority of ITNs are benign, and small, incidental thyroid malignancies typically have indolent behavior. The ACR formed the Incidental Thyroid Findings Committee to derive a practical approach to managing ITNs on CT, MRI, nuclear medicine, and ultrasound studies. This white paper describes consensus recommendations representing this committee's review of the literature and their practice experience.

KEYWORDS:

Incidental findings; imaging; incidentaloma; thyroid cancer; thyroid nodule

Comment in

PMID:
25456025
DOI:
10.1016/j.jacr.2014.09.038
[Indexed for MEDLINE]

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