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Reappraising the role of thyroid scintigraphy in the era of TIRADS: A clinically-oriented viewpoint
Endocrine ( IF 3.7 ) Pub Date : 2024-04-16 , DOI: 10.1007/s12020-024-03825-0
Pierpaolo Trimboli , Joerg Bojunga , Maurilio Deandrea , Francesco Frasca , Alessio Imperiale , Andrea Leoncini , Gaetano Paone , Fabian Pitoia , Mario Rotondi , Ramin Sadeghi , Lorenzo Scappaticcio , Giorgio Treglia , Arnoldo Piccardo

Thyroid nodules (TNs) are a common entity, with the majority being benign. Therefore, employing an accurate rule-out strategy in clinical practice is essential. In the thyroid field, the current era is significantly marked by the worldwide diffusion of ultrasound (US)-based malignancy risk stratification systems of TN, usually reported as Thyroid Imaging Reporting And Data System (TIRADS). With the advent of US (and later TIRADS), the role of thyroid scintigraphy (TS) in clinical practice has gradually diminished. The authors of the present paper believe that the role of TS should be reappraised, also considering its essential role in detecting autonomously functioning thyroid nodules and its limited contribution to detecting thyroid cancers. Thus, this document aims to furnish endocrinologists, radiologists, surgeons, and nuclear medicine physicians with practical information to appropriately use TS.



中文翻译:

重新评估甲状腺闪烁扫描在 TIRADS 时代的作用:面向临床的观点

甲状腺结节(TN)是一种常见的实体,其中大多数是良性的。因此,在临床实践中采用准确的排除策略至关重要。在甲状腺领域,当前时代的显着特点是基于超声 (US) 的 TN 恶性肿瘤风险分层系统在全球范围内的传播,通常被报告为甲状腺成像报告和数据系统 (TIRADS)。随着US(以及后来的TIRADS)的出现,甲状腺闪烁扫描(TS)在临床实践中的作用逐渐减弱。本文的作者认为,应该重新评估 TS 的作用,同时考虑到其在检测自主功能甲状腺结节中的重要作用以及其在检测甲状腺癌方面的有限贡献。因此,本文件旨在为内分泌科医生、放射科医生、外科医生和核医学医生提供正确使用 TS 的实用信息。

更新日期:2024-04-16
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