Schilddrüsensonografie: Eine Übersicht

Zusammenfassung

Die Schilddrüsensonografie ist aufgrund ihrer Verfügbarkeit und Aussagekraft das bildgebende Verfahren der Wahl mit hoher Sensitivität, jedoch relativ geringer Spezifität. Neue Studien zeigen, dass davon auszugehen ist, dass jeder dritte Berufstätige in Deutschland entweder eine Struma oder knotige Veränderungen oder beides hat. Diese Tatsache macht eine effektive Frühdiagnose erforderlich. Die Sonografie ist der maßgebliche Baustein im diagnostischen Konzept, bedarf aber häufig der Ergänzung durch labormedizinische, szintigrafische oder zytologische Informationen.

Abstract

Ultrasound examination of the thyroid gland is widely used, easily performed resulting in a high sensitivity but relative low specifity in identifying thyroid disorders. It is obvious that every third working german reveal diffuse and / or nodular thyroid disease. The most frequent thyroid pathology is without doubt goitre. The high frequency of thyroid disorders implies effective diagnostic strategies. Ultrasonography is the most important imaging modality of the thyroid but laboratory tests, scintigraphy and cytology results are indicative for final diagnosis.

Schlüsselwörter

Sonografie, hochauflösend - Signalverstärker - Elastografie - Farbkodierte Dopplersonografie - Schilddrüsenknoten - diffuse Schilddrüsenerkrankungen

Key words

sonography, high resolution - contrast agents - elastography - colour coded doppler sonography - thyroid nodules - diffuse thyroid diseases

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