Purpose: The objective of the study was to design and implement an electronic synoptic report for thyroid sonography that incorporates the thyroid imaging reporting and data system (TIRADS) and assess potential for re...Purpose: The objective of the study was to design and implement an electronic synoptic report for thyroid sonography that incorporates the thyroid imaging reporting and data system (TIRADS) and assess potential for reducing unnecessary fine needle aspiration biopsies (FNAB) of thyroid nodules. Methods: The electronic synoptic report was developed using a relational database based on elements from TIRADS and a multidisciplinary consensus statement for thyroid reporting. A retrospective analysis of 138 patients with previously reported thyroid sonographic exams was evaluated for the presence of these elements. The electronic synoptic report calculates the TIRADS score and generates a formal report. Using the TIRADS score the potential decrease in unnecessary FNAB was estimated. Results: Key TIRADS elements were variously reported ranging from 43% for the thyroid nodule’s architecture as solid or cystic. Thyroid nodule echogenicity and calcification was commented in 27% and 23%, respectively. Other features of the TIRADS score were commented in 0% to 8% of the official reports. Estimated reduction for potentially reduced need for FNAB was 34.5%. Conclusions: This study is the first implementation of synoptic reporting using a relational database for sonography of thyroid nodules. Implementation of an electronic standardized synoptic reporting system may facilitate more accurate, and more comprehensive reporting for thyroid ultrasound scanning of thyroid nodules. The use of TIRADS was estimated to be able to potentially reduce the need for FNAB which was significant.展开更多
Background: Thyroid nodules are common and fine needle aspiration (FNA) or surgery is used to assess for malignancy. Thyroid Imaging, Reporting and Data System (TI-RADS) use ultrasound for non-invasive risk stratifica...Background: Thyroid nodules are common and fine needle aspiration (FNA) or surgery is used to assess for malignancy. Thyroid Imaging, Reporting and Data System (TI-RADS) use ultrasound for non-invasive risk stratification of thyroid nodules and reduce unnecessary biopsies. This project used an online calculator and education to facilitate the application of TI-RADS in clinical practice. Methods: Retrospective review defined the baseline reporting of thyroid nodule ultrasound features. Web-based resource and presentation were used to integrate TI-RADS in reporting thyroid ultrasounds and measure the improvements in comprehensive reporting of thyroid nodules and guiding management. Results: The percentage of thyroid ultrasound reporting using TI-RADS within six months increased from 0% to 27% during the project period. Reports with TI-RADS provided twice as many recommendations compared to reports without TI-RADS. Conclusion: Online TI-RADS calculator and education have successfully facilitated the integration of TI-RADS in thyroid ultrasound reporting to provide more accurate and comprehensive reports and guide management.展开更多
文摘Purpose: The objective of the study was to design and implement an electronic synoptic report for thyroid sonography that incorporates the thyroid imaging reporting and data system (TIRADS) and assess potential for reducing unnecessary fine needle aspiration biopsies (FNAB) of thyroid nodules. Methods: The electronic synoptic report was developed using a relational database based on elements from TIRADS and a multidisciplinary consensus statement for thyroid reporting. A retrospective analysis of 138 patients with previously reported thyroid sonographic exams was evaluated for the presence of these elements. The electronic synoptic report calculates the TIRADS score and generates a formal report. Using the TIRADS score the potential decrease in unnecessary FNAB was estimated. Results: Key TIRADS elements were variously reported ranging from 43% for the thyroid nodule’s architecture as solid or cystic. Thyroid nodule echogenicity and calcification was commented in 27% and 23%, respectively. Other features of the TIRADS score were commented in 0% to 8% of the official reports. Estimated reduction for potentially reduced need for FNAB was 34.5%. Conclusions: This study is the first implementation of synoptic reporting using a relational database for sonography of thyroid nodules. Implementation of an electronic standardized synoptic reporting system may facilitate more accurate, and more comprehensive reporting for thyroid ultrasound scanning of thyroid nodules. The use of TIRADS was estimated to be able to potentially reduce the need for FNAB which was significant.
文摘Background: Thyroid nodules are common and fine needle aspiration (FNA) or surgery is used to assess for malignancy. Thyroid Imaging, Reporting and Data System (TI-RADS) use ultrasound for non-invasive risk stratification of thyroid nodules and reduce unnecessary biopsies. This project used an online calculator and education to facilitate the application of TI-RADS in clinical practice. Methods: Retrospective review defined the baseline reporting of thyroid nodule ultrasound features. Web-based resource and presentation were used to integrate TI-RADS in reporting thyroid ultrasounds and measure the improvements in comprehensive reporting of thyroid nodules and guiding management. Results: The percentage of thyroid ultrasound reporting using TI-RADS within six months increased from 0% to 27% during the project period. Reports with TI-RADS provided twice as many recommendations compared to reports without TI-RADS. Conclusion: Online TI-RADS calculator and education have successfully facilitated the integration of TI-RADS in thyroid ultrasound reporting to provide more accurate and comprehensive reports and guide management.
