Onkologie up2date, Table of Contents Onkologie up2date 2020; 2(03): 223-236DOI: 10.1055/a-1176-6293 Tumoren der endokrinen Organe TI-RADS und andere sonografische Klassifikationssysteme für Schilddrüsenknoten Authors Julian M. M. Rogasch Christoph Wetz Winfried Brenner Recommend Article Abstract Buy Article(opens in new window) All articles of this category(opens in new window) Mehrere Arbeitsgruppen und Fachgesellschaften haben in den letzten Jahren Klassifikationssysteme für die sonografische Dignitätsbeurteilung von Schilddrüsenknoten vorgeschlagen, häufig unter dem Überbegriff „TI-RADS“. Diese Systeme zielen auf eine vereinheitlichte und möglichst umfassende Beurteilung von Knoten anhand definierter sonografischer Kriterien ab. Für verschiedene Befundkonstellationen leitet sich so eine jeweilige Malignomwahrscheinlichkeit ab, und die Rate an unnötigen Feinnadelpunktionen kann nachweislich reduziert werden. Es soll zudem verhindert werden, dass wichtige Einzelaspekte der Malignitätsabschätzung im Befund nicht adressiert werden. Der Beitrag stellt eine Übersicht der relevanten Klassifikationssysteme dar, erläutert die Definitionen der einzelnen sonografischen Kriterien unterstützt durch Bildbeispiele und fasst die aktuelle Evidenz zu den genannten Systemen zusammen. Full Text References Literatur 1 Giovanella L. [Thyroid nodules: clinical management and differential diagnosis]. Praxis (Bern 1994) 2009; 98: 83-90 2 Reiners C, Wegscheider K, Schicha H. et al. Prevalence of thyroid disorders in the working population of Germany: ultrasonography screening in 96,278 unselected employees. Thyroid 2004; 14: 926-932 3 Robert Koch-Institut. Krebs in Deutschland. 3.24 Schilddrüse (06.12.2017). 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