Managing incidental thyroid nodules detected on imaging: White paper of the ACR incidental thyroid findings committee

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

Research output: Contribution to journalArticle

133 Scopus citations

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.

Original languageEnglish
Pages (from-to)143-150
Number of pages8
JournalJournal of the American College of Radiology
Volume12
Issue number2
DOIs
StatePublished - Feb 1 2015

Keywords

  • Incidental findings
  • imaging
  • incidentaloma
  • thyroid cancer
  • thyroid nodule

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