Ultrasonography-Based Thyroidal and Perithyroidal Anatomy and Its Clinical Significance

Korean Journal of Radiology 2015³â 16±Ç 4È£ p.749 ~ p.766

:Ha Eun-Ju :Baek Jung-Hwan/:Lee Jeong-Hyun

Abstract

Ultrasonography (US)-guided procedures such as ethanol ablation, radiofrequency ablation, laser ablation, selective nerve block, and core needle biopsy have been widely applied in the diagnosis and management of thyroid and neck lesions. For a safe and effective US-guided procedure, knowledge of neck anatomy, particularly that of the nerves, vessels, and other critical structures, is essential. However, most previous reports evaluated neck anatomy based on cadavers, computed tomography, or magnetic resonance imaging rather than US. Therefore, the aim of this article was to elucidate US-based thyroidal and perithyroidal anatomy, as well as its clinical significance in the use of prevention techniques for complications during the US-guided procedures. Knowledge of these areas may be helpful for maximizing the efficacy and minimizing the complications of US-guided procedures for the thyroid and other neck lesions.

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Thyroid, Ultrasonography, RF ablation, Nerve block, Core needle biopsy
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The procedure should be stopped immediately when coughing is induced and any possible heat injury to the trachea should be evaluated. Knowledge of US-based thyroidal and perithyroidal anatomy, its clinical significance, and prevention techniques may help in the early detection, prevention, and proper management of complications during US-guided procedures.
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