By H. Jack Baskin Sr., Sr., H. Jack Baskin, Daniel S. Duick, Robert A. Levine
Since the 1st booklet of Thyroid Ultrasound and UGFNA in 2000, ultrasound has turn into demonstrated as a main software for diagnosing and dealing with thyroid affliction. certainly, during the last 10 years ultrasound has turn into a catalyst for bringing jointly endocrinologists, surgeons, radiologists, and pathologists to create a multidisciplinary method of the administration of thyroid sickness that's and may proceed to profit our patients.
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Extra resources for Thyroid Ultrasound and Ultrasound-Guided FNA
Example text
A. LEVINE cold nodules, or nodules only >1 cm. In contrast, Moon included nodules regardless of size, echogenicity, or results of radioisotope scan [5]. It has been suggested that a pattern of central versus peripheral vascularity may be more predictive of malignancy, and this was not considered in the Moon series [6, 7]. The current ATA and AACE/AME guidelines for the management of thyroid nodules consider intranodular vascularity to be a risk factor [8, 9]. However, recently revised guidelines published by the Korean Society of Radiology have eliminated vascularity as a risk factor [10].
They further stated that, “Addition of color-flow Doppler US improves the diagnostic spectrum and accuracy through its ability to quantify thyroid vascularity. This method accurately distinguishes GD from destructive thyroiditis” [21]. Because there is an overlap in color Doppler imaging between Graves’ disease and destructive thyroiditis, attempts have been made to apply quantitative techniques to differentiate the two. Kurita et al. [22] calculated the “thyroid blood flow area” (TBFA) by measuring the percentage of thyroid area exhibiting Doppler flow.
24. 25. FIG. 25. After application of spatial compound imaging there is a reduction of speckle artifact, less noise, and overall improved image quality. frequencies, but the depth of imaging suffers. Image artifacts such as shadowing and enhancement provide useful information, rather than just interfering with creation of a clear image. The current image quality, affordable cost, and ease of performance make real time ultrasound an integral part of the clinical evaluation of the thyroid patient.