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Thyroid and parathyroid imaging

C R Hopkins1, C C Reading

  • 1Department of Radiology, Mayo Clinic and Foundation, Rochester, MN 55905, USA.

Seminars in Ultrasound, CT, and MR
|August 1, 1995
PubMed
Summary
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This review highlights the evolving role of imaging, particularly ultrasound, in diagnosing thyroid and parathyroid disorders. Advances in technology and diagnostics have refined imaging

Area of Science:

  • Endocrinology
  • Radiology
  • Medical Imaging

Background:

  • Imaging plays a crucial role in diagnosing thyroid and parathyroid disorders.
  • Traditional imaging modalities include nuclear medicine, ultrasound, CT, and MRI.
  • Indications for these imaging studies have recently evolved.

Purpose of the Study:

  • To review the current applications of imaging in the diagnosis of thyroid and parathyroid disorders.
  • To emphasize the importance of ultrasound evaluation in this context.
  • To discuss how advancements influence diagnostic protocols.

Main Methods:

  • Review of current literature on thyroid and parathyroid imaging.
  • Emphasis on ultrasound evaluation techniques.
  • Discussion of nuclear medicine, CT, and MRI roles.

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Main Results:

  • High-resolution ultrasound and ultrasound-guided fine-needle aspiration (FNA) biopsy augment diagnostic protocols for thyroid nodular disease.
  • Radionuclide imaging and color Doppler sonography are valuable for diffuse thyroid disease.
  • Sonography and scintigraphy, especially with technetium-99m sestamibi, aid in parathyroid adenoma localization for primary and recurrent hyperparathyroidism.

Conclusions:

  • Imaging, particularly ultrasound, is integral to diagnosing thyroid and parathyroid conditions.
  • Technological advancements have enhanced the accuracy and utility of imaging modalities.
  • Current protocols integrate clinical examination, lab tests, FNA, and advanced imaging for optimal patient management.