The determination of thyroid gland volume and imaging diagnosis of basedow disease by ultrasound

ABSTRACT

Background/Introduction: While manual clinical and imaging diagnosis methods expose their shortcomings such as errors, ultrasound becomes an appropriate technique for the measurement of the thyroid volume. \r\n', u'Objectives: We determine the thyroid in patient with Basedow disease by ultrasonography before radioiodine, diameter, measurement of thyroid volume, and the lesion echogenicity.\r\n', u'Subjects and method: The study groups consist of 264 patients, in which there are 53 men (20.07%) and 211 women (79.92%), in Bach Mai Hospital. The youngest is 16 years old and the oldest is 73. With a medium age of (42.97 \uf0b1 12.06) years (range from 16 to 73). The most common group ranging from 40 to 50 years of age, equivalent to a number of 80 patients (30.30%). Surveyed participants include 1845 people with normal thyroid. All of them underwent ultrasound scans with a 7.5 MHZ transducer. This is a prospective study. \r\n', u'Results/Outcomes: The average volume of thyroid is (37.03 \uf0b1 19.77) ml compared to the group with approximate thyroid volumes (p > 0.05 based on the ANOVA). Basedow patients\u2019 thyroid volumes tends to be bigger at the adult age, and were bigger than those of normal people (p = 0.0001 t test). 138 (52.27%) surveyed patients had diffuse injuries. 126 patients (47.73%) have thyroid glands which contained multiple nodules. 197 (96.57%) of them had nodules that were \r\n', u'solid echodense and echomix, and 35 (16.36%) had calcifications.\r\n', u'Conclusion: Ultrasonography (US) has become an important asset in thedetermination of thyroid volume at referred for 131I treatment and the evaluation of thyroid nodules of patients with Basedows\u2019 disease associated with nodules. These data suggest the value of surgery in Basedows\u2019 disease associated with nodules, to eliminate the risk of malignancy.\r\n', u'