Soto's TI-RADS+ Calculator by Dr.Lakdhesz.

Soto's TI-RADS Scoring Calculator

Composition Cystic or almost completely cystic - 0 pts Spongiform - 0 pts Mixed cystic and solid - 1 pt Solid or almost completely solid - 2 pts Echogenicity Anechoic - 0 pts Isoechoic or hyperechoic - 1 pt Hypoechoic - 2 pts Very hypoechoic - 3 pts Shape Wider-than-tall - 0 pts Taller-than-wide - 3 pts Margins Smooth - 0 pts Ill-defined - 0 pts Lobulated or irregular - 2 pts Extra-thyroidal extension - 3 pts Echogenic Foci None or comet-tail - 0 pts Macrocalcifications - 1 pt Peripheral (rim) calcifications - 2 pts Punctate echogenic foci - 3 pts Nodule Size (cm)

Total Points: -

TI-RADS Category: -

Recommendation: -

Suggested Follow-Up: -

Note: This calculator follows ACR TI-RADS 2017 and Soto's TI-RADS+ scoring rules. - TR5: Highly suspicious — consider FNA ≥1.0 cm, follow-up at 1 year if smaller. - TR4: Moderately suspicious — consider FNA ≥1.5 cm, follow-up at 1, 2, 3, and 5 years if smaller. - TR3: Mildly suspicious — consider FNA ≥2.5 cm, follow-up at 1, 3, and 5 years. - TR2 & TR1: No routine FNA, repeat ultrasound only if clinical concern arises.