Ultrasound has gone through numerous advances in technology such as grey-scale imaging, real-time sonography, high resolution 7.5-10 MHz transducers, and colour-flow Doppler. This makes ultrasound able to provide extremely precise images of the thyroid gland rapidly, cheaply, and safely. In spite of these advances, ultrasound remains considerably underutilized by endocrinologists. In part, this is because of an absence of understanding of the methods which ultrasound can help in the diagnosis of different thyroid conditions and to a lack of experience in the ultrasound technique by the clinician. This guide provides a hands-on technique to using ultrasound in the scientific assessment and management of thyroid illness. It is written specifically for the clinician and discusses the subtleties one requires to be knowledgeable about in utilizing this strategy. Specific attention is paid to utilizing ultrasound in conjunction with FNA biopsy. Innovation such as three-dimensional ultrasound, colour-flow Doppler, and percutaneous injection of cysts and nodules are gone over and demonstrated.
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