Czerny Christian, Hörmann Marcus, Kurtaran Amir, Niederle Bruno
Universitätsklinik für Radiodiagnostik, Universität Wien, Wien, Osterreich.
Wien Klin Wochenschr. 2003;115 Suppl 2:71-4.
Imaging techniques for first line investigation of diseases of the thyroid gland are sonography (US) and scintigraphy, followed in dedicated cases by magnetic resonance imaging (MRI). Malignant lesions are generally hypoechoic on US with calcifications visible in some cases. The appearance of lymph node metastases is similar to that of the primary tumour. The various forms of goiter are the most commonly occurring forms of thyroid diseases in Austria, they appear heterogenous with hyperechoic as well as hypoechoic or anechoic nodes, in some cases with calcification. US findings of thyreoiditis are in acute forms of the disease more hypoechoic with diffuse swelling and hyperechoic with scar formations in chronic forms. Ectopic thyroid tissue occurs often in the form of thyroglossal duct cysts which are anechoic or hypoechoic.
用于甲状腺疾病一线检查的成像技术是超声检查(US)和闪烁扫描,在特定情况下可继以磁共振成像(MRI)。恶性病变在超声下通常为低回声,部分病例可见钙化。淋巴结转移灶的表现与原发肿瘤相似。各种类型的甲状腺肿是奥地利最常见的甲状腺疾病形式,它们表现为不均匀回声,有高回声以及低回声或无回声结节,部分病例伴有钙化。甲状腺炎的超声表现为,急性形式的疾病多为低回声,伴有弥漫性肿胀,慢性形式则为高回声,伴有瘢痕形成。异位甲状腺组织常以甲状舌管囊肿的形式出现,呈无回声或低回声。