AI Article Synopsis
- Ultrasound for thyroid conditions has been a common practice in Europe, particularly in outpatient endocrine clinics, with increased use in southern Sweden recently.
- It plays a crucial role in diagnosing various thyroid diseases, but the risk of finding incidentalomas (unexpected findings) can increase with widespread use. Strict guidelines must be followed to minimize unnecessary investigations.
- The EU-TIRADS classification system helps assess the risk of malignancy in localized adenomas, while the Bethesda classification determines if further diagnostic procedures are necessary, leading to better patient management and follow-up.
Article Abstract
In Europe thyroid ultrasound has been used at outpatient endocrine clinics since many years, and in southern Sweden only during the last years. Ultrasound has a role in the investigation of Graves' disease, subacute thyroiditis, gestational thyrotoxicosis, postpartum thyroiditis, amiodarone thyrotoxicosis and goiter with or without adenoma, but adenomas are usually investigated by endocrine surgeons in Sweden. If widely used the risk for detection of incidentaloma increases. Indications have to be strictly used to avoid further investigations. If an adenoma is localized, the risk for malignancy and requirement of aspiration is estimated by use of the EU-TIRADS classification based on morphology and size. The aspirate is judged by the Bethesda classification, which determines if further investigation is needed. The use of ultrasound at the outpatient clinic has improved the diagnostic quality and follow-up of thyroid patients.
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