Saleh A, Santen R, Malms J, Feldkamp J, Fürst G, Scherbaum W A, Mödder U
Institut für Diagnostische Radiologie, Heinrich-Heine-Universität Düsseldorf.
Radiologe. 1998 May;38(5):344-54. doi: 10.1007/s001170050364.
Color-coded duplex sonography is the main innovation in diagnostic ultrasound in recent years. It allows quantification of tissue vascularity and appreciation of vascular morphology. Due to the unique thyroid hypervascularity in Graves' disease this diagnosis can be made with color Doppler sonography alone. The decrease of vascularity during the course of disease is a relevant parameter throughout the follow-up. Hypervascularity is also observed within areas of inflammatory infiltration in thyroiditis, but the level is lower than in Graves' disease. Sonographic differentiation of benign from malignant thyroid nodules is not possible yet. Color-coded duplex sonography is not useful in the initial detection of parathyroid masses, but may be helpful in distinguishing parathyroid lesions from other cervical masses.
彩色编码双功超声检查是近年来诊断超声领域的主要创新技术。它能够对组织血管情况进行量化，并了解血管形态。由于格雷夫斯病患者甲状腺具有独特的血管增多现象，仅通过彩色多普勒超声检查就能做出该诊断。在疾病过程中血管情况的减少是整个随访过程中的一个重要参数。甲状腺炎的炎症浸润区域也会出现血管增多，但程度低于格雷夫斯病。目前还无法通过超声对甲状腺良恶性结节进行鉴别。彩色编码双功超声检查对甲状旁腺肿块的初步检测并无帮助，但可能有助于将甲状旁腺病变与其他颈部肿块区分开来。
