Ultrasound Imaging Criteria and Protocols for Active Surveillance of Low-Risk Thyroid Cancer: A Review of International Consensus Guidelines Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.3803/enm.2024.2319
Given the indolent nature and favorable outcomes of papillary thyroid microcarcinoma (PTMC), active surveillance (AS) has been adopted as an alternative management option to immediate surgery. However, the meticulous selection of patients based on individual and tumor-specific characteristics, as well as ultrasound (US) findings, is crucial in AS. Regular US monitoring is performed during AS to detect indicators of tumor progression, such as growth, the emergence of new US features suggestive of gross extrathyroidal extension, and lymph node metastasis. Thus, imaging-based evaluations play a pivotal role in guiding the decision to continue AS or proceed with surgical intervention. This review introduces the Korean Society of Thyroid Radiology (KSThR) guideline for the standardized US imaging of patients with low-risk PTMC under AS, which provide practical recommendations for tumor assessment during the initiation and follow-up phases of AS. This review compared the key features of the KSThR guideline with those of major international guidelines and identified the similarities and differences in imaging methodologies and follow-up strategies. The primary objective of this review is to support the broader implementation of AS and improve outcomes for patients with low-risk PTMC by emphasizing imaging protocols.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3803/enm.2024.2319
- https://www.e-enm.org/upload/pdf/enm-2024-2319.pdf
- OA Status
- diamond
- Cited By
- 1
- References
- 44
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408878872
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4408878872Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3803/enm.2024.2319Digital Object Identifier
- Title
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Ultrasound Imaging Criteria and Protocols for Active Surveillance of Low-Risk Thyroid Cancer: A Review of International Consensus GuidelinesWork title
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reviewOpenAlex work type
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enPrimary language
- Publication year
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2025Year of publication
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2025-03-27Full publication date if available
- Authors
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Ji Ye Lee, Dong Gyu NaList of authors in order
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https://doi.org/10.3803/enm.2024.2319Publisher landing page
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https://www.e-enm.org/upload/pdf/enm-2024-2319.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.e-enm.org/upload/pdf/enm-2024-2319.pdfDirect OA link when available
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Medicine, Thyroid cancer, Consensus conference, Ultrasound, Medical physics, Radiology, Cancer, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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44Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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