Ultrasound Diagnostics Of Thyroid Diseases

As the basis for this book, the authors have analyzed more than 100,000 ultrasound examinations performed between 1995 and 2008 in patients with thyroid and parathyroid disease, as well as many thousands of diagnostic and therapeutic ultrasound-guided minimally invasive procedures. The opening chapters include discussion of current ultrasound techniques, pitfalls, and ultrasound examination of the thyroid in children. Detailed attention is then devoted to findings in the normal thyroid and in the presence of diffuse and focal changes. Further chapters focus on such topics as the role of ultrasound after thyroid surgery and ultrasound diagnosis of parathyroid disease, recurrent goiter, and neck masses. Ultrasound-guided minimally invasive techniques, such as fine-needle aspiration biopsy and percutaneous laser ablation, are considered in depth. This up-to-date and richly illustrated book will interest and assist specialists in ultrasound diagnostics, radiologists, endocrinologists, and neck surgeons.

This book is a wide-ranging and up-to-date guide to the use of ultrasound for imaging of the thyroid that will meet the needs of novices while providing more experienced professionals with advanced information. All of the techniques employed in modern thyroid ultrasound are covered, from conventional grayscale and Doppler imaging to elastography and contrast-enhanced ultrasound, with a focus on practical aspects and with detailed analysis of their diagnostic value and limitations. The characteristic ultrasound findings of the normal thyroid and a wide range of thyroid diseases and disorders are described with the aid of hundreds of high-quality images. Diffuse changes and thyroid lesions are discussed in depth, paying close attention to aspects of importance for early detection and differential diagnosis. In this context the authors summarize their personal experiences in the use of qualitative parameters of compression elastography and quantitative data of shear-wave elastography. In addition, a practical approach to the risk stratification of thyroid nodules is proposed. The book concludes with a resumé of the main challenges and pitfalls in thyroid ultrasound.

Over the past two decades ultrasound has undergone numerous advances in technology such as gray-scale imaging, real-time sonography, high resolution 7.5-10 MHz transducers, and color-flow Doppler. This makes ultrasound unsurpassed in its ability to provide very accurate images of the thyroid gland quickly, inexpensively, and safely. However, in spite of these advances, ultrasound remains drastically underutilized by endocrinologists. In part, this is due to a lack of understanding of the ways in which ultrasound can aid in the diagnosis of various thyroid conditions and to a lack of experience in the ultrasound technique by the clinician. Thyroid Ultrasound and Ultrasound-Guided FNA Biopsy presents a `hands-on' approach to using ultrasound in the clinical evaluation and management of thyroid disease. It is written specifically for the clinician and discusses the subtleties one needs to be aware of in using this technique. Particular attention is paid to using ultrasound in conjunction with FNA biopsy. New technology such as three-dimensional ultrasound, color-flow Doppler, and percutaneous injection of cysts and nodules are discussed and demonstrated. Numerous ultrasound examples are used to show the interactions between ultrasound and tissue characteristics and explain their clinical significance. Also presented is the work of several groups of investigators worldwide who have explored new applications of ultrasound, that has led to novel techniques that are proving clinically useful.

Since the first publication of Thyroid Ultrasound and UGFNA in 2000, ultrasound has become established as a primary tool for diagnosing and managing thyroid disease. Indeed, over the last 10 years ultrasound has become a catalyst for bringing together endocrinologists, surgeons, radiologists, and pathologists to create a multidisciplinary approach to the management of thyroid disease which is and will continue to benefit our patients.

In this concise, gold-standard 4th edition book, the volume editors and authors synthesize the prior three editions and provide a comprehensive and expanded review on the latest in the diagnosis and management of thyroid nodules, as well as an update on parathyroid disease and non-endocrine lesions of the neck. This user-friendly edition again emphasizes a multidisciplinary approach to thyroid ultrasound and UGFNA, offering all the new information and subtleties clinicians must know in the application of this technique, now firmly established as a primary tool for diagnosing and managing thyroid disease. Developed by renowned experts in thyroid and parathyroid disease, the book covers not only thyroid and parathyroid disease, but also imaging of the salivary glands and other non-endocrine lesions of the neck. In this edition, the authors expand the chapters on both surgical and non-surgical management. Given the increased use of molecular markers in thyroid evaluation, an excellent chapter addresses this topic. Finally, as more endocrinologists and surgeons perform ultrasounds in their office practices, a chapter on authoring ultrasound reports is now included. Combining the collective wisdom of specialists who treat patients with thyroid nodules, thyroid cancer and parathyroid disease, Handbook of Thyroid and Parathyroid Ultrasound and Ultrasound-Guided FNA, 4th Edition is an invaluable resource and will continue serving as the “go to” guide for surgeons, endocrinologists, fellows and residents. Foreword by Peter A. Singer, MD, Chief of Clinical Endocrinology and Director, Thyroid Diagnostic Center, Keck School of Medicine of USC, Los Angeles, CA.

This is a "user friendly" book, written specifically for the clinician, and offers a hands-on approach to using ultrasound in the evaluation and management of thyroid disease. It discusses new information regarding ultrasound and the subtleties one needs to know in the application of this technique. The book also presents many new innovative uses of ultrasound that are being implemented worldwide. This continues to be an important book, filling a void that exists in this field.

Thyroid Ultrasonography and Fine Needle Aspiration Biopsy: A Practical Guide and Picture Atlas is a concise and visual reference for diagnostic ultrasonography and needle biopsy of the human thyroid gland. The book provides the reader essential information on how to 1) distinguish between normal and abnormal thyroid sonograms, 2) differentiate low suspicion for malignancy thyroid nodules from sonographically high suspicion nodules, 3) evaluate cervical lymph nodes and parathyroid glands, and 4) examine post-thyroidectomy patients with differentiated thyroid cancer. The reader is also introduced to the different thyroid nodule risk stratification systems in ultrasound imaging, when and how to perform thyroid fine needle aspiration biopsies, and the use of percutaneous ethanol injections for cystic thyroid nodules. Key Features: -11 chapters which begin with an introduction to thyroid ultrasound and progressively explain relevant diagnostic imaging and biopsy procedures for different thyroid diseases (including thyroid cancer and autoimmune diseases) -multiple tables and figures which summarize and highlight important points -more than 60 ultrasound images which illustrate various ultrasound signs and artefacts from patients -a summary of the current standards for the evaluation and clinical management of thyroid nodules based on clinical practice guidelines -a detailed list of references, abbreviations and symbols The textbook is an essential reference for both practicing and training endocrine surgeons, endocrinologists, radiologists, cytopathologists, sonographers as well as any health care worker with an interest in managing thyroid and parathyroid diseases in their daily practice.

This text provides a comprehensive review of ultrasound in thyroid and parathyroid diseases. These topics are presented from a vantage point of complex decision-making encountered in real clinical scenarios. The sections are organized according to a logical structure covering benign and malignant thyroid conditions, parathyroid disease, and ultrasound technology, ultrasound-guided interventions, and innovations. The style of the chapters provide practical, actionable information that is richly illustrated with figures and links to video cine-clips. The chapter topics aim to show how different specialists uniquely apply ultrasound in given clinical scenarios. The text illustrates the optimal incorporation of current practice guidelines, as this remains varied and inconsistent among clinicians. The content is written by invited experts who perform ultrasound in their daily clinical practices and participate in teaching ultrasound nationally and internationally. It conveys the most up-to-date scientific and clinical information in an interactive and visual format. Advanced Thyroid and Parathyroid Ultrasound fills a gap in currently available resources by serving as a single resource unifying information relevant to multiple specialists interested in advanced thyroid and parathyroid ultrasound. It provides a practical, concise yet comprehensive summary of the current status of the field that will help guide patient management.