Thyroid Imaging: Non-Isotopic Techniques

L. Hegedüs, F. N. Bennedbæk
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Abstract

Clinical examination and evaluation of thyroid function remain fundamental in the evaluation of thyroid disorders, but observer variation leads to a considerable heterogeneity in the evaluation of patients with suspected thyroid disease. Thus, it is not surprising that imaging of the thyroid is often performed. Although it most often cannot distinguish between benign and malignant lesions, and its clinical value is thought to be limited, a recent survey confirms the value of ultrasonography (US) in euthyroid patients with a solitary thyroid nodule. The thyroid gland can be evaluated by several non-isotopic imaging techniques. The most commonly used are US, CT, and MRI. Each method has advantages and limitations, and there is no absolute clinical indication for performing any of these imaging procedures in most patients.
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甲状腺成像:非同位素技术
甲状腺功能的临床检查和评估仍然是评估甲状腺疾病的基础,但观察者的差异导致对疑似甲状腺疾病患者的评估存在相当大的异质性。因此,经常进行甲状腺成像也就不足为奇了。虽然超声检查通常不能区分良恶性病变,其临床价值被认为有限,但最近的一项调查证实了超声检查(US)在单发甲状腺结节的甲状腺功能正常患者中的价值。甲状腺可以通过几种非同位素成像技术进行评估。最常用的是超声、CT和MRI。每种方法都有其优点和局限性,并且在大多数患者中没有绝对的临床指征。
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