Abstract Archives of the RSNA, 2014
NRE316
Fine Needle Aspiration of Thyroid Nodules: Why, When and How to Do It
Education Exhibits
Presented in 2014
Steven Raeymaeckers, Presenter: Nothing to Disclose
Tim I.J. Vanderhasselt MD, Abstract Co-Author: Nothing to Disclose
Johan De Mey, Abstract Co-Author: Research Grant, General Electric Company
The learner should understand that thyroid nodules are frequent and incidental, thyroid cancer however is rare
Anatomopathological diagnosis is the golden standard, but performing FNA of all thyroid nodules is no option
The learner should know key alarm symptoms (pain, rapid growth, nodules in children...) and must understand the importance of ultrasonographic key-features of malignancy
The TIRADS-system as proposed in Radiology (Radiology, 2011, Vol.260: 892-899, 10.1148/radiol.11110206) is an easy and reproducible classification, it scores nodules based on 5 ultrasonographic features
This system allows for an adequate risk-assessment of malignancy and can help to select those nodules with the highest risk-profile for FNA
The learner will learn how to perform an adequate fine needle aspiration and what material to use
Epidemiology of thyroid nodules/thyroid cancer
Prognosis of thyroid cancer
Anatomopathological diagnosis
Bethesda classification and it's repercussions
TIRADS-system
1. The criteria
2. Some examples
3. The risk-assessment for malignancy associated with the different categories
Which nodules to puncture?
How to puncture
1. Materials
2. Technique
Results, outcome and follow up
http://abstract.rsna.org/uploads/2014/14013945/14013945_mgkh.pdf
Raeymaeckers, S,
Vanderhasselt, T,
De Mey, J,
Fine Needle Aspiration of Thyroid Nodules: Why, When and How to Do It. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14013945.html