Ultrasound Diagnostics of Thyroid Diseases

This book is based on the authors’ extensive practical experience in the use of modern ultrasound, and other radiological methods, in the diagnosis of thyroid diseases. The authors have analyzed more than 100,000 ultrasound examinations performed between

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Vladimir P. Kharchenko  •  Peter M. Kotlyarov Mikhail S. Mogutov  •  Yury K. Alexandrov Alexander N. Sencha  •  Yury N. Patrunov Denis V. Belyaev

Ultrasound Diagnostics of Thyroid Diseases

Vladimir P. Kharchenko, MD Russian Radiology Research Center 86, Profsoyuznaya st. 117997 Moscow Russia [email protected]

Alexander N. Sencha, MD Yaroslavl Railway Clinic Suzdalskoye Shosse 21 150030 Yaroslavl Russia [email protected]

Peter M. Kotlyarov, MD Russian Center of Roentgenradiology 86, Profsoyuznaya st. 117997 Moscow Russia [email protected]

Yury N. Patrunov, MD Yaroslavl Railway Clinic Suzdalskoye Shosse 21 150030 Yaroslavl Russia [email protected]

Mikhail S. Mogutov, MD Yaroslavl Railway Clinic Suzdalskoye Shosse 21 150030 Yaroslavl Russia [email protected]

Denis V. Belyaev, MD Yaroslavl Railway Clinic Suzdalskoye Shosse 21 150030 Yaroslavl Russia [email protected]

Yury K. Alexandrov, MD State Medical Academy Revolucionnaya ulitsa 5 150000 Yaroslavl Russia [email protected]

ISBN: 978-3-642-12386-3     e-ISBN: 978-3-642-12387-0 DOI: 10.1007/978-3-642-12387-0 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2010932938 © Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is ­concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant ­protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface

Thyroid disease is the second most common type of endocrine pathology, only surpassed in prevalence by diabetes mellitus. Thyroid abnormalities are found in 8–20% of adults worldwide. In the endemic regions, the prevalence of such abnormalities is thought to be higher and exceeds 50%. Thyroid malignancies constitute 1–3% of all cancers with an average incidence in the world of 1.1 in 100,000 men and 3.8 in 100,000 women in 2008. Among the population of radionuclide polluted regions, this figure reaches 14 in 100,000. Recent research reveals a trend toward an increased incidence of thyroid pat