Korean J Radiol.  2018 Aug;19(4):623-631. 10.3348/kjr.2018.19.4.623.

Primary Imaging Test and Appropriate Biopsy Methods for Thyroid Nodules: Guidelines by Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency

Affiliations
  • 1Department of Radiology, Ajou University School of Medicine, Suwon 16499, Korea.
  • 2Department of Radiology, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea. merhen98@gmail.com
  • 3Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea.
  • 4Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, Korea.
  • 5Division for Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul 04554, Korea.
  • 6Department of Radiology, GangNeung Asan Hospital, Gangneung 25440, Korea.
  • 7Department of Radiology, Human Medical Imaging and Intervention Center, Seoul 06524, Korea.

Abstract

The Korean Society of Radiology and the National Evidence-based Healthcare Collaborating Agency developed guidelines for primary imaging tests and appropriate biopsy methods for thyroid nodules. These guidelines were developed using an adaptation process by collaboration between the development committee and the working group. The development committee, composed of research methodology experts, established the overall plan and provided support about methodological strategies. The working group, composed of radiologist experts in thyroid imaging, wrote the proposals. The guidelines recommend neck ultrasound (US) as a first-line imaging modality for the diagnosis of thyroid nodules in patients with suspected nodules, and US-guided fine-needle aspiration as a primary method for histologic examination of thyroid nodules.

Keyword

Thyroid nodule; Ultrasound; Guideline; Fine-needle aspiration; Diagnosis; Recommendation

MeSH Terms

Biopsy*
Biopsy, Fine-Needle
Cooperative Behavior
Diagnosis
Evidence-Based Practice*
Humans
Methods*
Neck
Research Design
Thyroid Gland*
Thyroid Nodule*
Ultrasonography

Figure

  • Fig. 1 Flow diagram of guideline selection (Key Question 1).

  • Fig. 2 Flow diagram of guideline selection (Key Question 2).


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