The American Thyroid Association (ATA) guidelines for assessment of thyroid nodules are meant to improve inter- and intra-reader consistency during assessment of thyroid nodules on ultrasound, and to facilitate communication with referring endocrinologists.. The 2015 guidelines stress the importance of the sonographic pattern of the nodule for risk stratification.
Nodules—a type of abnormality detected by ultrasound—are extremely common in the thyroid gland. Up to two-thirds of adults have nodules in this gland, and most are benign or only cause a slow ...
The American Thyroid Association guidelines for management of thyroid nodule offers a system for classifying thyroid nodules from benign to very low, low, intermediate and highly suspicious for thyroid cancer depending on the findings of ultrasound. This helps clinicians to choose the right thyroid nodule for thyroid biopsy.
(5)Head Neck and Thyroid Imaging, Department of Radiology, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, UK. Thyroid ultrasound (US) is a key examination for the management of thyroid nodules. Thyroid US is easily accessible, noninvasive, and cost-effective, and is a mandatory step in the workup of thyroid nodules.
Ultrasound-guided fine-needle aspiration of a thyroid nodule. Guidelines from the American Thyroid Association specify that the evaluation of a thyroid nodule should include fine-needle aspiration of nodules that meet the appropriate size and ultrasound criteria.
ATA ® Guidelines Development. The members of the American Thyroid Association ® are thyroid specialists dedicated to transforming thyroid care through clinical excellence, education, scientific discovery and advocacy in a collaborative community.. The Guidelines were compiled by American Thyroid Association ® Guidelines Taskforces selected for their expertise on the topic.
All the guidelines advocate ultrasound evaluation of thyroid nodules along with measurement of serum thyroid-stimulating hormone (TSH) levels to determine whether a fine needle aspiration biopsy (FNAB) is indicated.
Ultrasound is the first-line imaging modality for assessment of thyroid nodules found on clinical examination or incidentally on another imaging modality. This article is an overview of ultrasonographic features of thyroid nodules, which are used to determine the need for biopsy with fine needle aspiration.Specific management guidelines from various professional societies are covered in ...
RESULTS: The revised guidelines for the management of thyroid nodules include recommendations regarding initial evaluation, clinical and ultrasound criteria for fine-needle aspiration biopsy, interpretation of fine-needle aspiration biopsy results, use of molecular markers, and management of benign thyroid nodules.
McCartney CR, Stukenborg GJ. Decision analysis of discordant thyroid nodule biopsy guideline criteria. J Clin Endocrinol Metab 2008; 93:3037. Tang AL, Falciglia M, Yang H, et al. Validation of American Thyroid Association Ultrasound Risk Assessment of Thyroid Nodules Selected for Ultrasound Fine-Needle Aspiration. Thyroid 2017; 27:1077.