The Role of Ultrasound in The Diagnoses of Graves’ Disease

Authors

  • Faisal M.Shembesh Department of Radiology, faculty of medicine, University of Benghazi
  • Mohamed E. Buzgheia Department of Radiology, faculty of medicine, University of Benghazi
  • Faiza M. Kutrani Department of Radiology, faculty of medicine, University of Benghazi
  • Nadya F. BenJeweref Department of Radiology, faculty of medicine, University of Benghazi
  • Nadeia M. Elbagermi Department of Radiology, faculty of medicine, University of Benghazi
  • Seham A. Salem Department of Radiology, faculty of medicine, University of Benghazi

Keywords:

Thyroid, Graves’ Disease, Ultrasonography, Color-Flow Doppler

Abstract

Aim: To explore the use of ultrasonography and Doppler as an indispensable diagnostic modality in the evaluation and the diagnosis of Graves’ disease.

Methods: in this prospective study we examined 30 cases of gravis disease and 20 normal controls using the B- Mode sonographic criteria (thyroid size and echogenicity) and Doppler criteria (color flow mapping and spectral analysis the peak systolic velocity in the thyroidal arteries and the resistive index within the thyroid parenchymal vasculature).

Results: when using more than one sonographic and Doppler criteria, thyroid size, echogenicity, Color flow mapping (qualitative) and spectral Doppler values as peak systolic velocity (PSV) in thyroidal arteries and thyroid parenchyma RI. As a test for diagnosis of Grave's disease. Most patients with Graves’ disease showed increased thyroid volume, heterogeneous parenchyma, marked increased parenchymal vascularity and significantly increased PSV in thyroidal arteries.

Conclusion: Ultrasonography Doppler is a cost-effective, noninvasive, portable, and safe imaging modality in the evaluation of Graves’ disease,

References

Graves, R.J. (1835) Newly Observed Affection of the Thyroid. London Medical and Surgical Journal,

, 515.

Hegedus L &Karstrup S. Ultrasonography in the evaluation ofcold thyroid nodules. European Journal of Endocrinology 1998 138, 30–31.

Macedo, T.A.A. (2006) Distinção entre osTipos 1 e 2 de TireotoxicoseAssociada à AmiodaronaporMeio de Dúplex-Doppler Colorido. Doutorado, Universidade de São Paulo, São Paulo.

Vanderpump MP, Tunbridge WM, French JM, Appleton D,Bates D, Clark F et al. The incidence of thyroid disorders in the community: a twenty-year follow-up of the Whickham Survey. Clinical Endocrinology 1995 43 55–68

Ralls, P.W., Mayekawa, D.S., Lee, K.P., Colletti, P.M., Radin, D.R., Bosnell, W.D., et al. (1988) Color- Flow Doppler

Sonography in Graves’ Disease: “Thyroid Inferno”. American Journal of Roentgenology, 150, 781- 784.http://dx.doi.org/10.2214/ajr.150.4.781

Donkol, R.H., Nada, A.M. and Boughattas, S. (2013) Role of Color Doppler in Differentiation of Graves’ Disease and Thyroiditis in Thyrotoxicosis. World Journal of Radiology, 5, 178-183.

Kim TK, Lee EJ. The value of the mean peak systolic velocity of the superior thyroidal artery in the differential diagnosis of thyrotoxicosis.Ultrasonography. 2015 Oct;34 (4):292-296

Downloads

Published

2023-02-02

Most read articles by the same author(s)