The state-of-the-art thyroid ultrasound lab at the Thyroid Center of Santa Monica is equipped with the best technology available to perform ultrasound-guided biopsies of the thyroid, lymph nodes, and parathyroid gland. Dr. Guttler is a sonologist and does all his own ultrasound examinations without a technician.
A dynamic ultrasound done by a thyroid specialist produces the best results in the workup of thyroid nodules. Clear images are a must for accurate thyroid evaluation, an ultrasound-guided needle biopsy, and thyroid nodule follow-up care.
Dr. Richard Guttler offers:
- Diagnostic ultrasound for thyroid evaluation
- Ultrasound for pre-op and post-op cancer lymph node mapping
- Ultrasound-guided needle placement for biopsies
- Interventional ultrasound-guided radiofrequency ablation RFA for benign thyroid nodules, micro-papillary thyroid cancers, and parathyroid adenomas. Injection of ethanol, known as PEI, for non-surgical therapy for thyroid and parathyroid cysts, and for destroying cancer lymph nodes when surgery is not desired or safe. Also small primary papillary thyroid cancer can be ablated with ethanol or RFA if patient refuses surgery or long term follow up called active surveillance.
The ultrasound machine is a safe, painless, and non-invasive way to make an image of the thyroid gland without the use of X-rays or injections of radioactive-labeled iodine. A small device like a microphone that sends and receives sound waves is placed over the thyroid gland. The image of the gland is captured by the computer, analyzed, and recorded as a graphic image.
If you’ve had a prior ultrasound that was negative and you are seeking a second opinion, we have a good chance to find the abnormality in your gland because of the experience we have with ultrasound-guided biopsies. Once we find the problem, we can do ultrasound-guided FNA (fine needle aspiration) and washings for molecular markers, calcitonin, PTH and thyroglobulin..
Ultrasounds are done by Dr. Guttler and read immediately on site. Your diagnosis and treatment can be completed quickly