Thyroid and Parathyroid Ultrasound

      A thyroid and parathyroid ultrasound is an imaging test to check the thyroid gland and parathyroid glands. A thyroid ultrasound can help measure the size and shape of the thyroid gland, but it cannot tell how well the thyroid gland is working. Ultrasound also may be used to check the four parathyroid glands that lie behind or next to the thyroid. See a picture of the thyroid gland and parathyroid glands.

The thyroid gland makes a hormone called thyroxine that controls how fast the body converts food into energy (metabolism). Parathyroid hormone (PTH) is made by the parathyroid glands and controls the amount of calcium and phosphorus in the blood.

During a thyroid and parathyroid ultrasound, a small handheld instrument called a transducer is passed back and forth over the neck to form a picture of the thyroid gland and parathyroid glands.

Why It Is Done

A thyroid and parathyroid ultrasound is done to:

• Check lumps (nodules) in the thyroid gland. A thyroid ultrasound can usually show the difference between a solid thyroid gland nodule and a simple fluid-filled sac (cyst). See a picture of a thyroid nodule.
• Find out whether the thyroid gland is enlarged. A thyroid ultrasound may also be used to keep track of the size of the thyroid gland during treatment for a thyroid problem.
• Look for enlarged parathyroid glands caused by disease. Normal parathyroid glands are often difficult to see on ultrasound and cannot be felt during physical examination. But abnormal parathyroid glands may be enlarged and easily seen by ultrasound.
• Guide the placement of the needle during a thyroid biopsy.

How To Prepare

No special preparation is required before having this test. You will need to remove jewelry from your head or neck before the test.
Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results may mean. To help you understand the importance of this test, fill out the medical test information form.

How It Is Done

A thyroid and parathyroid ultrasound is usually done by a radiologist or by an ultrasound technologist. It is done in an ultrasound room in a doctor's office or hospital.
You may be asked to undress above the waist and drape a paper or cloth covering around your shoulders. Remove all jewelry from your head or around your neck.
You will lie on your back on a high table with your neck stretched out and a pillow under your shoulders. Gel will be spread on your neck to improve the passage of the sound waves (they do not pass easily through air). Sometimes a small water-filled bag or gelatin sponge is placed over your throat to help conduct the sound waves. The transducer will be pressed against your neck (or against the water-filled bag or gelatin sponge, if used), then moved back and forth over your neck. A picture of your thyroid gland and the tissue around it can be seen on a video monitor. You may be asked to turn your head away from the side being scanned so the jawbone is out of the way.
The test takes about 30 minutes. You may be asked to wait until the radiologist has reviewed the information. The radiologist may want to do additional ultrasound views of your neck.

 

CAROTIC ARTERY ULTRASOUND IMAGES

 

THYROID ULTRASOUND TRAINING VIDEO

common carotic artery

     In human anatomy, the common carotid artery is an artery that supplies the head and neck with oxygenated blood; it divides in the neck to form the external and internal carotid arteries.

 Structure

       The common carotid artery is a paired structure, meaning that there are two in the body, one for each half. The left and right common carotid arteries follow the same course with the exception of their origin. The right common carotid originates in the neck from the brachiocephalic trunk. The left arises from the aortic arch in the thoracic region.

The left common carotid artery can be thought of as having two parts: a thoracic (chest) part and a cervical (neck) part. The right common carotid originates in or close to the neck, so contains a small thoracic portion. There are studies in the bioengineering literature that have looked into characterizing the geometric structure of the common carotid artery from both a qualitative and mathematical quantitative stand point. 

ultrasound image

colour dopler image

CAROTIC ARTERY ULTRASOUND TRAINING

Thyroid Ultrasound