new guidelines in management of thyroid nodule when to biopsy and when to follow

lack of unified system in characterizing and reporting thyroid nodules is deeply felt almost in every institution and is a source of confusion among diagnostic radiologists, pathologists, thyroid surgeons, oncologists, endocrinologists and interventionalists. elaborate systems exist but they are not easy to use. therefore many of those systems cannot be utilized widely in general radiology practice. a simplified approach to thyroid nodule is a crucial need to prevent unnecessary work up, follow up or procedures. a combination of tirads and acr guidelines probably would strike a balance between high sensitivity with acceptable specificity.