Reply to Linking Management to Thyroid Risk Stratification: A Proposed Extension to ACR TI-RADS

Summary: The ACR TI-RADS is an ultrasound-based risk stratification system for thyroid nodules that has been shown to have higher specificity and reduce unnecessary biopsies compared to other systems. It also mitigates the risk of missing significant cancers through follow-up recommendations for nodules that do not meet biopsy criteria. Practices implementing ACR TI-RADS must engage their radiologists to address overdiagnosis and unnecessary surgeries by reducing unnecessary biopsies.