To evaluate the utilization of the Chinese thyroid imaging reporting and data system (C-TIRADS)-based structured ultrasound report for thyroid nodules among ultrasound physicians across various medical institutions.

From March 1, 2024 to January 31, 2025, 117 physicians undergoing further training in the Department of Ultrasound of Peking University Third Hospital were surveyed. Their evaluations on the C-TIRADS-based structured report for thyroid nodules were collected in the form of an online questionnaire and analyzed. The survey encompassed the advantages and disadvantages of the template, as well as potential barriers to its widespread promotion.

A total of 117 valid questionnaires were finally included in this study. The C-TIRADS-based structured report demonstrated several advantages over free-text reports, such as enhanced report quality (108/117, 92.31%), standardized diagnostic thinking and writing practices (101/117, 86.32%), increased rigor and logical coherence in classification diagnosis (99/117, 84.62%), reduced text-related errors (96/117, 82.05%), time efficiency (93/117, 79.49%), facilitation of standardized resident physician training (82/117, 70.09%), and improved communication among clinicians, radiologists, and patients (65/117, 55.56%). The areas that need improvement mainly focus on the inconvenience of text editing (16/34, 47.06%) and the rigid structure with limited autonomy (17/34, 50.00%). The majority (98.29%, 115/117) of the physicians believed that it is necessary to promote the usage of the structured report in standardized thyroid ultrasound scanning and quality control processes. The primary obstacles were attributed to the awareness of ultrasound doctors in the department (50/117, 42.74%), hardware conditions (39/117, 33.33%), and technical proficiency of ultrasound doctors (16/117, 13.68%).

The C-TIRADS-based structured ultrasound report for thyroid nodules has significant advantages and represents a standardized and normalized reporting approach, which is worthy of promotion in clinical practice.