ACR Appropriateness Criteria® Thyroid Disease

Expert Panel on Neurological Imaging:; Jenny K Hoang; Jorge D Oldan; Susan J Mandel; Bruno Policeni; Vikas Agarwal; Judah Burns; Julie Bykowski; H Benjamin Harvey; Amy F Juliano; Tabassum A Kennedy; Gul Moonis; Jeffrey S Pannell; Matthew S Parsons; Jason W Schroeder; Rathan M Subramaniam; Matthew T Whitehead; Amanda S Corey

doi:10.1016/j.jacr.2019.02.004

ACR Appropriateness Criteria^® Thyroid Disease

J Am Coll Radiol. 2019 May;16(5S):S300-S314. doi: 10.1016/j.jacr.2019.02.004.

Authors

Expert Panel on Neurological Imaging:; Jenny K Hoang¹, Jorge D Oldan², Susan J Mandel³, Bruno Policeni⁴, Vikas Agarwal⁵, Judah Burns⁶, Julie Bykowski⁷, H Benjamin Harvey⁸, Amy F Juliano⁹, Tabassum A Kennedy¹⁰, Gul Moonis¹¹, Jeffrey S Pannell¹², Matthew S Parsons¹³, Jason W Schroeder¹⁴, Rathan M Subramaniam¹⁵, Matthew T Whitehead¹⁶, Amanda S Corey¹⁷

Affiliations

¹ Duke University Medical Center, Durham, North Carolina. Electronic address: [email protected].
² Research Author, University of North Carolina Hospital, Chapel Hill, North Carolina.
³ Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania; American Thyroid Association.
⁴ Panel Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
⁵ University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
⁶ Montefiore Medical Center, Bronx, New York.
⁷ UC San Diego Health Center, San Diego, California.
⁸ Massachusetts General Hospital, Boston, Massachusetts.
⁹ Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
¹⁰ University of Wisconsin Hospital and Clinic, Madison, Wisconsin.
¹¹ Columbia University Medical Center, New York, New York.
¹² University of California San Diego Medical Center, San Diego, California.
¹³ Mallinckrodt Institute of Radiology, Saint Louis, Missouri.
¹⁴ Walter Reed National Military Medical Center, Bethesda, Maryland.
¹⁵ UT Southwestern Medical Center, Dallas, Texas.
¹⁶ Children's National Health System, Washington, District of Columbia.
¹⁷ Specialty Chair, Emory University, Atlanta, Georgia.

PMID: 31054756
DOI: 10.1016/j.jacr.2019.02.004

Abstract

There are a wide variety of diseases that affect the thyroid gland ranging from hyperplastic to neoplastic, autoimmune, or inflammatory. They can present with functional abnormality or a palpable structural change. Imaging has a key role in diagnosing and characterizing the thyroid finding for management. Imaging is also essential in the management of thyroid cancer. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Keywords: AUC; Appropriate Use Criteria; Appropriateness Criteria; Hyperthyroidism; Medullary; Papillary; Thyroid; Thyroid malignancy; Thyroid nodule.

Publication types

Practice Guideline

MeSH terms

Contrast Media
Diagnosis, Differential
Evidence-Based Medicine
Humans
Societies, Medical
Thyroid Diseases / diagnostic imaging*
United States

Substances

Contrast Media