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TIRADS Classification for Thyroid Nodules

This document discusses the TIRADS (Thyroid Imaging Reporting and Data System) classification system for thyroid nodules seen on ultrasound. It provides descriptions of different benign, probably benign, low suspicion, intermediate suspicion, and high suspicion ultrasound features and assigns a TIRADS score ranging from 1 to 5 based on combinations of features. Scores determine whether fine needle aspiration or follow up is recommended based on nodule size. The document also includes a case example with ultrasound images and discusses the TIRADS score assigned.

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Siti Nirwanah
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109 views15 pages

TIRADS Classification for Thyroid Nodules

This document discusses the TIRADS (Thyroid Imaging Reporting and Data System) classification system for thyroid nodules seen on ultrasound. It provides descriptions of different benign, probably benign, low suspicion, intermediate suspicion, and high suspicion ultrasound features and assigns a TIRADS score ranging from 1 to 5 based on combinations of features. Scores determine whether fine needle aspiration or follow up is recommended based on nodule size. The document also includes a case example with ultrasound images and discusses the TIRADS score assigned.

Uploaded by

Siti Nirwanah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Kelompok :

Amara muthia TIRADS


Anna nanistia PRECEPTOR
Annisa permatasari dr. Heny Damajanti,
Ressy Nirmala Sp.Rad,Msc
Nisrina fadilla
TIRADS
1
Normal Thyroid
BENIGN ASPECTS
 Simple cyst
 Spongiform nodule TIRADS 2
 ‘White knight’ aspect
 Isolated macrocalcification
 Typical subaute thyroiditis
PROBABLY BINAGN ASPECT
 None of the hight suspicious
aspect
 Isoechogenic TIRADS 3
 Hyperechogenic
LOW SUSPICIOUS ASPECT
TIRADS 4A
 None of the higt suspicious
suspect
 Moderately hypoechogenic
Intermediate suspicion
1 or 2 sign and no adenopathy:
 Taller-than-wide shape TIRADS 4B
 Irregular or microlobulated
margins
 Microcalcifications
 Marked hypoechogenicity
TIRADS
4B
Moderate Suspicion
Intermediate suspicion
≥3 signs and / or adenopathy:
 Taller-than-wide shape TIRADS
 Irregular or microlobulated
margins 5
 Microcalcifications
 Marked hypoechogenicity
Points
One score is assigned from each of the following categories:
 
Composition: (choose one)  
 
o Cystic or completely cystic 0
o Spongiform 0
1
o Mixed cystic and solid 2

o Solid or almost completely solid


Echogenicity: (choose one)  
 
o Anechoic 0
o Hyper- or isoechoic 1
2
o Hypoechoic 3

o Very hypoechoic
Shape: (choose one) (assessed on the transverse plane)  
 
o Wider than tall 0
o 3
Taller than wide
 
Margin: (choose one)  
 
o Smooth 0
o Ill-defined 0
2
o Lobulated/irregular 3

o Extra-thyroidal extension
*Any and all findings in the final category are also added to the other four scores.
echogenic foci: (choose one or more)  
 
o none 0
o large comet-tail artifact 0
1
o macrocalcifications 2
3
o peripheral/rim calcifications
o punctate echogenic foci
Scoring and classification
TR1: 0 points
 benign  No FNA
TR2: 2 points
 not suspicious  No FNA
TR3: 3 points
 mildly suspicious  FNA if ≥2,5 cm, Follow up if
≥1,5 cm
TR4: 4-6 points
 moderately suspicious  FNA if ≥1,5 cm, Follow up if ≥
1,0 cm
TR5: ≥7 points
 highly suspicious  FNA if ≥1,0 cm, Follow up if ≥0.5
cm
CASE
CASE
CASE
TERIMAKASI
H

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