Abstract：
To evaluate reasons for performing ultrasonography (US) and completeness of US reports in patients undergoing endocrine consultation with the first diagnosis of nodular disease.
Since January 1 to June 30, 2021, we prospectively collected patient data (age and thyroid-stimulating hormone concentrations), reasons for performing thyroid US, and completeness of reports regarding the description of the thyroid gland and nodules. In the case of multiple nodules, we considered the nodule suspected of malignancy and the largest one. To evaluate the accuracy of thyroid nodule description, we referred to the five characteristics suggested by the ACR TI-RADS system.
A total of 341 patients with thyroid nodules received endocrine consultation (female, 78%). The most frequent reasons for performing thyroid US were unrelated to a suspected thyroid disease (31.7%), followed by incidentaloma (23.5%), dysfunction or positivity for thyroid antibodies (19.1%), symptomatic or visible nodules (17.6%), and family history of any thyroid disease (8.2%). Gland texture was not reported in 41.9%. The depth of the lobes was the dimension reported most frequently (42.2%), but any diameter was not reported in 57.8% of the cases. As regards the description of the most relevant nodule, length was reported more frequently (75.9%). Margins and echogenicity were more frequently described (54.5% and 44.3%, respectively) than other characteristics (composition: 27%; shape: 8.8%; echogenic foci: 6.7%). No reports had indicated the malignancy risk stratification.
The results of the study demonstrate that in patients undergoing endocrine consultation with first detected thyroid nodules, US was mostly performed in asymptomatic cases, US reports were incomplete, and no risk stratification system was reported.
Since January 1 to June 30, 2021, we prospectively collected patient data (age and thyroid-stimulating hormone concentrations), reasons for performing thyroid US, and completeness of reports regarding the description of the thyroid gland and nodules. In the case of multiple nodules, we considered the nodule suspected of malignancy and the largest one. To evaluate the accuracy of thyroid nodule description, we referred to the five characteristics suggested by the ACR TI-RADS system.
A total of 341 patients with thyroid nodules received endocrine consultation (female, 78%). The most frequent reasons for performing thyroid US were unrelated to a suspected thyroid disease (31.7%), followed by incidentaloma (23.5%), dysfunction or positivity for thyroid antibodies (19.1%), symptomatic or visible nodules (17.6%), and family history of any thyroid disease (8.2%). Gland texture was not reported in 41.9%. The depth of the lobes was the dimension reported most frequently (42.2%), but any diameter was not reported in 57.8% of the cases. As regards the description of the most relevant nodule, length was reported more frequently (75.9%). Margins and echogenicity were more frequently described (54.5% and 44.3%, respectively) than other characteristics (composition: 27%; shape: 8.8%; echogenic foci: 6.7%). No reports had indicated the malignancy risk stratification.
The results of the study demonstrate that in patients undergoing endocrine consultation with first detected thyroid nodules, US was mostly performed in asymptomatic cases, US reports were incomplete, and no risk stratification system was reported.
摘要：
目的：评估首次诊断为结节性疾病的内分泌会诊患者进行超声检查（US）的原因和US报告的完整性。
方法：自2021年1月1日至6月30日以来，我们前瞻性收集了患者数据（年龄和促甲状腺激素浓度），进行甲状腺检查的原因，以及有关甲状腺和结节描述的报告的完整性。在多结节的情况下，我们认为怀疑是恶性的结节和最大的一个。评估甲状腺结节描述的准确性，我们提到了ACRTI-RADS系统建议的五个特征。
结果：共341例甲状腺结节患者接受内分泌会诊（女，78%)。进行甲状腺超声检查的最常见原因与可疑甲状腺疾病无关（31.7％），其次是偶发瘤(23.5%)，甲状腺抗体功能障碍或阳性（19.1％），有症状或可见结节（17.6%），和任何甲状腺疾病的家族史（8.2％）。没有报道压盖质地为41.9%。裂片的深度是最常见的尺寸（42.2％），但在57.8%的病例中未报告任何直径。关于最相关结节的描述，长度报告频率更高(75.9%).边缘和回声的描述频率更高(54.5%和44.3%，分别）比其他特征（组成：27％；形状：8.8％；回声灶：6.7％）。没有报告显示恶性肿瘤危险分层。
结论：研究结果表明，在接受内分泌咨询并首次检测到甲状腺结节的患者中，美国主要在无症状病例中进行，美国的报告不完整，并且没有报告风险分层系统。
方法：自2021年1月1日至6月30日以来，我们前瞻性收集了患者数据（年龄和促甲状腺激素浓度），进行甲状腺检查的原因，以及有关甲状腺和结节描述的报告的完整性。在多结节的情况下，我们认为怀疑是恶性的结节和最大的一个。评估甲状腺结节描述的准确性，我们提到了ACRTI-RADS系统建议的五个特征。
结果：共341例甲状腺结节患者接受内分泌会诊（女，78%)。进行甲状腺超声检查的最常见原因与可疑甲状腺疾病无关（31.7％），其次是偶发瘤(23.5%)，甲状腺抗体功能障碍或阳性（19.1％），有症状或可见结节（17.6%），和任何甲状腺疾病的家族史（8.2％）。没有报道压盖质地为41.9%。裂片的深度是最常见的尺寸（42.2％），但在57.8%的病例中未报告任何直径。关于最相关结节的描述，长度报告频率更高(75.9%).边缘和回声的描述频率更高(54.5%和44.3%，分别）比其他特征（组成：27％；形状：8.8％；回声灶：6.7％）。没有报告显示恶性肿瘤危险分层。
结论：研究结果表明，在接受内分泌咨询并首次检测到甲状腺结节的患者中，美国主要在无症状病例中进行，美国的报告不完整，并且没有报告风险分层系统。
