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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Prof. Dr. C. F. Dietrich
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