Standardisierte Akquisition und Dokumentation von Videosequenzen bei der konventionellen Schilddrüsensonografie

Zusammenfassung

Ultraschall ist die bildgebende Basisdiagnostik zur Beurteilung der Schilddrüse. Aufgrund der hohen Prävalenz struktureller Parenchymveränderungen kommt das Untersuchungsverfahren in Deutschland sehr häufig zum Einsatz, in vielen Fällen im Rahmen von Verlaufskontrollen. Die Beurteilung thyreoidaler Pathologien und deren Dynamik unterliegt einer relevanten Inter- und Intraobservervariabilität. Befunde die während des Live-Ultraschalls nicht identifiziert und aufgezeichnet wurden, können retrospektiv nicht mehr beurteilt werden. Durch die Akquisition und Dokumentation von standardisierten Videosequenzen der Ultraschallbilder (sogenannte Cine Loops), wird eine sekundäre Nachbetrachtung unter Berücksichtigung von Voraufnahmen analog anderer Schnittbildverfahren wie der CT oder MRT möglich. Die Durchführung könnte dabei auch von nichtärztlichem Personal übernommen werden. Das gewonnene Bildmaterial kann im lokalen PACS gespeichert und für die Lehre und Forschung verwendet werden.

Abstract

Ultrasound is the basic imaging method for the assessment of the thyroid gland. Due to the high prevalence of structural disease, the examination procedure is used very frequently in Germany, in many cases in the context of follow-up. The assessment of thyroid pathologies and their dynamics is subjected to relevant inter- and intraobserver variability. Findings that were not identified during live ultrasound cannot be assessed retrospectively. Applying an SOP for the acquisition and documentation of standardized video sequences of ultrasound images (so-called cine loops), allows for a secondary retrospective evaluation of the thyroid gland, taking into account previously acquired images analogous to other cross-sectional imaging methods such as CT or MRI. The cine loops can be acquired by non-physician personnel, stored to the local PACS and used for educational and research purposes.

Schlüsselwörter

Ultraschall - Schilddrüse - Standardisierung - Videosequenzen - Dokumentation

Keywords

ultrasound - thyroid - SOP - cine loops - documentation

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