Download Thyroid Protocol

Thyroid Protocol
Structure
Scan Plane
Label
Isthmus
with
RT and LT
Lobes
Transverse
with
virtual
convex
Transverse
ISTHMUS
Isthmus
Transverse
RT Lobe
Sagittal
Landmarks
ISTHMUS
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ISTHMUS
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RT LOBE TX SUP
RT LOBE TX MID
RT LOBE TX MID
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RT LOBE TX MID
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RT lobe thyroid superior
RT lobe thyroid mid
RT lobe thyroid mid with transverse
measurement
RT lobe thyroid mid with Color Doppler
RT LOBE TX INF
RT NECK SAG
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RT lobe thyroid inferior
Neck Muscles
RT LOBE SAG LAT
RT LOBE SAG MID
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RT lobe thyroid lateral
RT lobe thyroid mid
RT LOBE SAG MID
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RT LOBE SAG MEDIAL
LT LOBE TX SUP
LT LOBE TX MID
LT LOBE TX MID
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LT LOBE TX MID
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RT lobe thyroid mid with measurement
AP and length
Using virtual convex or dual screen
mode when applicable
RT lobe thyroid medial
LT lobe thyroid superior
LT lobe thyroid mid
LT lobe thyroid mid with transverse
measurement
LT lobe thyroid mid with Color Doppler
LT LOBE TX INF
LT NECK SAG
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LT lobe thyroid inferior
Neck Muscles
LT LOBE SAG LAT
LT LOBE SAG MID
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LT lobe thyroid lateral
LT lobe thyroid mid
LT LOBE SAG MID
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LT lobe thyroid mid with measurement
AP and length
Using virtual convex or dual screen
mode when applicable
LT lobe thyroid medial
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Transverse
Lt Lobe
Sagittal
Isthmus
RT lobe of thyroid
Left lobe of thyroid
Longus colli
Isthmus with clear anterior and
posterior borders
Isthmus with AP measurement
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LT LOBE SAG MEDIAL
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Pocket Protocol
Page Reference
Page 610
should include both
lobes completely
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NIB
Draw/Receive in class
NIB
Draw/Receive in class
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Page 608
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Page 607
NIB
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Page 612
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NIB
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NIB
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Page 613
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Page 617
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Draw/Receive in class
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Page 616
Thyroid Protocol
Anatomical/Image Correlation- www.steadyhealth.com/.../4540/Image/thyroid1.jpg
Mid
Medial
Lateral
Transverse Images
Images
Sagittal Images
Normal Measurement Ranges
Structure
Isthmus
Area of Interest
Isthmus midline
Plane
Transverse
Measurement
4-6 mm
Comments
Measure anterior to posterior
Lobes
Length
Sagittal
4-6 cm
Height (A/P)
TX*
.5-2cm
Width
TX
2-4 cm
Use virtual convex or dual screen when
applicable
*Some physicians may want this
measurement in the sagittal plane
(Clarify before exam)
Mid portion measure medial to lateral
*Some physicians may ask for AP and width on each lobe at each area---Measure Superior, Mid and Inferior in TX
Tips -You should understand completely why you stored the image and identify everything in the image
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You must always evaluate the entire organ first before you store an image
 Make sure you look lateral to the thyroid for pathology
 Make sure you look above and below the thyroid for pathology
 You are looking for enlarged lymph nodes or parathyroids
 Document what you see this is EXTREMELY IMPORTANT!!!
Labs to Evaluate
 TSH (thyroid stimulating hormone)-used to identify thyroid disease
 T4 (thyroxine)-reflects thyroid hormone activity
 T3-( Triiodothyronine) information regarding function of the thyroid
Pathology -If pathology is present you must document the pathology it in its entirety, images should include
 Gray scale sagittal and transverse images
 Gray scale sagittal and transverse images with 3 measurements (length, width and height)
 Color Doppler image document the presence of blood flow and Spectral Doppler image document type and velocity of
blood flow