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Thyroid US assessment of the risk of malignancy is crucial in patients with nodules, in order to select those who should have a fine needle aspiration (FNA) biopsy performed. Due to the pivotal role of thyroid US in the management of patients with nodules, the European Thyroid Association convened a panel of international experts to set up European guidelines on US risk stratification of thyroid nodules. Based on a review of the literature and on the American Association of Clinical Endocrinologists, American Thyroid Association, and Korean guidelines, the panel created the novel European Thyroid Imaging and Reporting Data System, called EU-TIRADS. This comprises a thyroid US lexicon; a standardized report; definitions of benign and low-, intermediate-, and high-risk nodules, with the estimated risks of malignancy in each category; and indications for FNA. Illustrated by numerous US images, the EU-TIRADS aims to serve physicians in their clinical practice, to enhance the interobserver reproducibility of descriptions, and to simplify communication of the results.<\/jats:p>","DOI":"10.1159\/000478927","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T17:01:21Z","timestamp":1502211681000},"page":"225-237","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-17","source":"Crossref","is-referenced-by-count":1155,"title":["European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS"],"prefix":"10.1530","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8036-6050","authenticated-orcid":false,"given":"Gilles","family":"Russ","sequence":"first","affiliation":[{"name":"1Thyroid and Endocrine Tumors, Institute of Endocrinology, Piti\u00e9 Salp\u00eatri\u00e8re Hospital, Pierre and Marie Curie University, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steen\u00a0J.","family":"Bonnema","sequence":"additional","affiliation":[{"name":"2Department of Endocrinology, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0867-6393","authenticated-orcid":false,"given":"Murat\u00a0Faik","family":"Erdogan","sequence":"additional","affiliation":[{"name":"3Department of Endocrinology and Metabolism, University of Ankara School of Medicine, \u0130bni Sina Hastanesi, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosimo","family":"Durante","sequence":"additional","affiliation":[{"name":"4Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Ngu","sequence":"additional","affiliation":[{"name":"5Head Neck and Thyroid Imaging, Department of Radiology, Guy\u2019s and St Thomas\u2019 Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Leenhardt","sequence":"additional","affiliation":[{"name":"1Thyroid and Endocrine Tumors, Institute of Endocrinology, Piti\u00e9 Salp\u00eatri\u00e8re Hospital, Pierre and Marie Curie University, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2017,8,8]]},"reference":[{"key":"2026070712500173700_ref1","doi-asserted-by":"crossref","unstructured":"Russ G, Leboulleux S, Leenhardt L, Heged\u00fcs L: Thyroid incidentalomas: epidemiology, risk stratification with ultrasound and workup. 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