Guideline Current American College of Radiology 2017

ACR TI-RADS

Structured reportUpdated Jul 5, 2026
Applies to
  • Adults with thyroid nodules
  • Diagnostic thyroid ultrasound
Classification
  • TR level TR1
  • TR level TR2
  • TR level TR3
  • TR level TR4
  • TR level TR5
Exclusions
  • Pediatric patients
  • Known thyroid cancer under surveillance
  • Post-thyroidectomy neck ultrasound
Interactive

Decision tree

Enter a finding to compute a recommendation without leaving the page.

Recommendation builder

Select the TR category computed from ultrasound descriptors, then enter the maximum nodule diameter.

Computed from composition, echogenicity, shape, margins, and echogenic foci.

Evidence

References

  1. PrimaryTessler FN, Middleton WD, Grant EG, et al. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017;14(5):587-595.
FAQ

Frequently asked

Does this guideline apply to oncology patients?

No — patients with known malignancy fall outside the scope unless the guideline states otherwise. Follow oncologic surveillance protocols instead.