Abstract
In The Pursuit of The Perfect Thyroid Care
Highlights
Available Online of prognosis, but under the perspective of attention to fine detail taking care of previously considered aspects as futile as the presence or not of a scar on the neck, and even the early use of high resolution imaging as the PET-CT in the follow-up of survivors
After the first description published by Tempka and collaborators in 1948 about the US-guided fine needle aspiration (US-FNA) as a diagnostic method, more than 50 years had to pass before there was another advance regarding the non-invasive evaluation of the thyroid nodule, which occurred after development of thyroid elastography in clinical application that was first reported by Rago et al in 2007, with several modifications after applying the different proposed scales and subsequently the appearance of shear wave elastography (SWE), described 7 years ago by Sebag, for the diagnosis of thyroid nodule and it does not convince many since it does not have reproducible cutoff values in the different studies that allow the standardization of its reading.[4,5]
It is important to mention that the use of a conventional technique for ultrasonographic tracking is not feasible, being necessary the use of a contrast-enhanced ultrasound (CEUS), which is another useful imaging modality in thermal ablations that provides a precise visualization of the vascularization of the lesion, due to the use of microsphere contrast agents called microbubbles that are revolutionizing traditional ultrasonography, improving the precision of diagnostic sonograms and expanding the clinical scope of a widely used imaging modality.[10]
Summary
Available Online of prognosis, but under the perspective of attention to fine detail taking care of previously considered aspects as futile as the presence or not of a scar on the neck, and even the early use of high resolution imaging as the PET-CT in the follow-up of survivors.
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