The Use of Diagnostic Thyroid Ultrasound in 2017
It can be stated that thyroid ultrasound use has gotten out of control. Every physician sees a procedure that can be easily done in the office setting and can be paid for doing it. This procedure should not be done routinely and not without clinically significant indications. Imaging has resulted in an epidemic of thyroid cancers discovered when they were clinically insignificant resulting in unnecessary surgery. However, if the thyroid ultrasound has been done, it can be a powerful tool to prevent a thyroid biopsy. The nodule without any ultrasound nodule risk factors can be followed without a biopsy. The expertise of the sonologist is an important factor on the quality of the results.There are specific images that point to a benign nodule ( spongioform), and others that are high risk for cancer ( microcalcifications). Look for an American Association of clinical endocrinologist certified sonologist with the ECNU title at www. aace.com.
Image of a benign spongy nodule that does not need a biopsy