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Ultrasound diagnosis of radiation-induced childhood thyroid cancer in Belarus: 10 years of practical experience

机译:白俄罗斯辐射诱导儿童甲状腺癌的超声诊断:10年的实践经验

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Because of its superficial location, thyroid gland is ideally situated for high-frequency ultrasound examination. Nowadays, ultrasound examination of thyroid is recognized as the most useful radiological examination for screening and early diagnosis of nodular thyroid disease, thyroid cancer in particular. Initial clinical application of ultrasound in diagnosis of thyroid diseases was made by Fujimoto et al. [1] in 1967. Technical possibilities of the equipment used at that time did not allow the assessment of morphological organ structure because there was no gray-scale estimation in the real scale of time. It was only possible to detect the thyroid gland itself and differentiate solid nodules from cyst. The improvement in the ultrasonic diagnostic equipment in the 1970s and usage of high frequency probes increased sensitivity of this examination [2]. At present, ultrasound is used to distinguish diffused pathological processes from local ones, cystic formations from solid ones; conduct topic, and, in somecases, nosology diagnosis [3,4]. Besides using ultrasound examination, it is possible to measure the exact thyroid volume. This information is extremely important for dose calculation in radio-iodine therapy. Ultrasonography is particularly useful during follow-up to control the patients' response for suppressive L-thyroxin therapy.
机译:由于其浅浅的位置,甲状腺理想地位于高频超声检查。如今,对甲状腺的超声检查被认为是筛查和早期诊断结节性甲状腺疾病,特别是甲状腺癌的最有用的放射检查。超声临床应用超声在甲状腺疾病诊断中由Fujimoto等人制成。 [1]在1967年。当时使用的设备的技术可能性不允许评估形态器官结构,因为在真正的时间内没有灰度估计。只有可以检测甲状腺本身并从囊肿区分固体结节。超声波诊断设备在20世纪70年代的提高和高频探测器的使用增加了该检查的敏感性[2]。目前,超声用于将来自局部的扩散病理过程区分开,来自固体型的囊性地层;进行主题,在某个时期,危害诊断[3,4]。除了使用超声检查外,还可以测量精确的甲状腺体积。该信息对于无线电碘治疗中的剂量计算非常重要。超声检查在随访期间特别有用,以控制抑制L-甲状腺素治疗的患者的反应。

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