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Research ArticleHead & Neck

High Variability in Radiologists' Reporting Practices for Incidental Thyroid Nodules Detected on CT and MRI

J.K. Hoang, A. Riofrio, M.R. Bashir, P.G. Kranz and J.D. Eastwood
American Journal of Neuroradiology June 2014, 35 (6) 1190-1194; DOI: https://doi.org/10.3174/ajnr.A3834
J.K. Hoang
aFrom the Departments of Radiology, Division of Neuroradiology (J.K.H., A.R., P.G.K., J.D.E.)
cRadiation Oncology (J.K.H.), Duke University Medical Center, Durham North Carolina.
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A. Riofrio
aFrom the Departments of Radiology, Division of Neuroradiology (J.K.H., A.R., P.G.K., J.D.E.)
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M.R. Bashir
bAbdominal Imaging (M.R.B.)
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P.G. Kranz
aFrom the Departments of Radiology, Division of Neuroradiology (J.K.H., A.R., P.G.K., J.D.E.)
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J.D. Eastwood
aFrom the Departments of Radiology, Division of Neuroradiology (J.K.H., A.R., P.G.K., J.D.E.)
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    Fig 1.

    Degree of agreement for the most commonly selected response for all radiologists. Responses were the following: B = report only in body and D = recommend sonography. The degree of agreement was categorized into high (≥75%), moderate (50%–74%), and low (<50%). Scenarios included 12F = 12-year-old girl, 30M = 30-year-old man, 30F = 30-year-old woman, and 60F = 60-year-old woman.

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    Table 1:

    The 14 survey scenariosa

    Scenario
    8-mm nodule
        12-year-old girl
        30-year-old woman
        30-year-old man
        60-year-old woman
    10-mm nodule
        12-year-old girl
        30-year-old woman
        30-year-old man
        60-year-old woman
    15-mm nodule
        12-year-old girl
        30-year-old woman
        30-year-old man
        60-year-old woman
    8-mm nodule in 60-year-old woman with history of treated lung cancer
    10-mm nodule in 60-year-old woman with 7 thyroid nodules
    • ↵a Radiologists were given an introduction that an indeterminate thyroid nodule was incidentally seen on CT or MRI with the above descriptions of nodule size and patient history.

    • View popup
    Table 2:

    Characteristics of survey respondents

    Characteristics of GroupsNo. of Respondents
    Total153
    Years in practice
        Fellow27 (18%)
        Attending <10 years76 (50%)
        Attending ≥10 years50 (33%)
    Practice type
        Academic108 (71%)
        Private or hybrid45 (29%)
    Subspecialty training
        Neuroradiology100 (65%)
        Abdominal radiology17 (11%)
        Combinations or other36 (24%)
    Survey group
        Duke Radiology41 (27%)
        ACR CME course28 (18%)
        ASNR members84 (56%)
    • Note:—ACR CME indicates the American College of Radiology Continuing Medical Education.

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American Journal of Neuroradiology: 35 (6)
American Journal of Neuroradiology
Vol. 35, Issue 6
1 Jun 2014
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High Variability in Radiologists' Reporting Practices for Incidental Thyroid Nodules Detected on CT and MRI
J.K. Hoang, A. Riofrio, M.R. Bashir, P.G. Kranz, J.D. Eastwood
American Journal of Neuroradiology Jun 2014, 35 (6) 1190-1194; DOI: 10.3174/ajnr.A3834

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High Variability in Radiologists' Reporting Practices for Incidental Thyroid Nodules Detected on CT and MRI
J.K. Hoang, A. Riofrio, M.R. Bashir, P.G. Kranz, J.D. Eastwood
American Journal of Neuroradiology Jun 2014, 35 (6) 1190-1194; DOI: 10.3174/ajnr.A3834
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