2020 Imaging Guidelines for Thyroid Nodules and Differentiated Thyroid Cancer: Korean Society of Thyroid Radiology

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Authors: Ji Ye Lee ; Jung Hwan Baek ; Eun Ju Ha ; Jin Yong Sung ; Jung Hee Shin ; Ji Hoon Kim ; Min Kyoung Lee ; So Lyung Jung ; Young Hen Lee ; Hye Shin Ahn ; Jung Hyun Yoon ; Yoon Jung Choi ; Jeong Seon Park ; Yoo Jin Lee ; Miyoung Choi ; Dong Gyu Na

MeSH: Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Imaging ; Neck / diagnostic imaging ; Postoperative Care ; Republic of Korea ; Societies, Medical ; Thorax / diagnostic imaging ; Thyroglobulin / blood ; Thyroid Neoplasms / diagnosis* ; Thyroid Neoplasms / diagnostic imaging ; Thyroid Neoplasms / surgery ; Thyroid Nodule / diagnosis* ; Thyroid Nodule / diagnostic imaging ; Thyroid Nodule / surgery ; Tomography, X-Ray Computed ; Ultrasonography

Keywords: Guideline ; Thyroid ; Thyroid malignancy ; Thyroid nodule ; Thyroid recurrent cancers

Abstract: Imaging plays a key role in the diagnosis and characterization of thyroid diseases, and the information provided by imaging studies is essential for management planning. A referral guideline for imaging studies may help physicians make reasonable decisions and minimize the number of unnecessary examinations. The Korean Society of Thyroid Radiology (KSThR) developed imaging guidelines for thyroid nodules and differentiated thyroid cancer using an adaptation process through a collaboration between the National Evidence-based Healthcare Collaborating Agency and the working group of KSThR, which is composed of radiologists specializing in thyroid imaging. When evidence is either insufficient or equivocal, expert opinion may supplement the available evidence for recommending imaging. Therefore, we suggest rating the appropriateness of imaging for specific clinical situations in this guideline.