Title |
Managing Incidental Thyroid Nodules Detected on Imaging: White Paper of the ACR Incidental Thyroid Findings Committee
|
---|---|
Published in |
Journal of the American College of Radiology, November 2014
|
DOI | 10.1016/j.jacr.2014.09.038 |
Pubmed ID | |
Authors |
Jenny K. Hoang, Jill E. Langer, William D. Middleton, Carol C. Wu, Lynwood W. Hammers, John J. Cronan, Franklin N. Tessler, Edward G. Grant, Lincoln L. Berland |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 19 | 24% |
Japan | 4 | 5% |
United Kingdom | 4 | 5% |
Mexico | 2 | 3% |
Canada | 2 | 3% |
Spain | 2 | 3% |
Australia | 1 | 1% |
Netherlands | 1 | 1% |
Germany | 1 | 1% |
Other | 3 | 4% |
Unknown | 41 | 51% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 54 | 68% |
Practitioners (doctors, other healthcare professionals) | 17 | 21% |
Scientists | 5 | 6% |
Science communicators (journalists, bloggers, editors) | 4 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | <1% |
Netherlands | 1 | <1% |
Brazil | 1 | <1% |
Italy | 1 | <1% |
Canada | 1 | <1% |
United Kingdom | 1 | <1% |
Unknown | 316 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 70 | 22% |
Researcher | 33 | 10% |
Student > Doctoral Student | 32 | 10% |
Student > Postgraduate | 28 | 9% |
Professor > Associate Professor | 28 | 9% |
Other | 69 | 21% |
Unknown | 64 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 213 | 66% |
Engineering | 5 | 2% |
Agricultural and Biological Sciences | 4 | 1% |
Computer Science | 4 | 1% |
Nursing and Health Professions | 3 | <1% |
Other | 14 | 4% |
Unknown | 81 | 25% |