ACR TI-RADS: An advance in the management of thyroid nodules or Pandora's box of surveillance?

Research output: Contribution to journalReview article


Numerous sets of guidelines have been proposed regarding ultrasound of thyroid nodules. None has been universally accepted. American College of Radiology-Thyroid Imaging, Reporting and Data System (ACR-TIRADS) has been promoted as an improvement to existing guidelines such as the 2015 revised American Thyroid Association (ATA) guidelines. This commentary compares and contrasts these two guidelines. Adoption of TI-RADS is likely to result in large-scale, costly surveillance without clear benefit. Replacement of 2015 revised ATA guidelines by TI-RADS is not justified. The shortcomings that exist in the ATA guidelines can be addressed as described in this commentary.

Original languageEnglish (US)
JournalJournal of Clinical Ultrasound
Publication statusAccepted/In press - Jan 1 2019



  • ATA guidelines
  • thyroid nodules
  • ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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