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Table 3 Summary of points awarded depending on the US characteristics

From: Proposed algorithm for management of patients with thyroid nodules/focal lesions, based on ultrasound (US) and fine-needle aspiration biopsy (FNAB); our own experience

Most important characteristic (each feature – 3 points)

G

Growth of nodules (resulting in rapid enlargement)

L

Pathologically altered lymph nodes

Major prognostic characteristic (each feature – 1 point)

O

Orientation (shape)

C1

Calcifications (especially microcalcifications)

V

Vascularity (intranodular increased or absent)

E

Echogenicity (in particular hypoechogenicity)

Minor prognostic characteristic (each feature – 0.5 point)

M

Margin (blurred and poorly defined)

H

Halo (absent or irregular and thick)

C2

Composition (solid)

D

Diameter (longer than 3.0 cm)