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Arnold M. Noyek, MD, FRCS(C); N. David Greyson, MD, FRCP(C); Marvin I. Steinhardt, MD, FRCP(C); Edward E. Kassel, DDS, MD, FRCP(C); Harry S. Shulman, MD, FRCP(C); Randy Rothberg, MD, FRCP(C); Morris Goldfinger, MD, FRCP(C); Murray Miskin, MD, FRCP(C); Jeremy L. Freeman, MD, FRCS(C)

Arch Otolaryngol. 1983;109(4):205-224.

Abstract
• Clinical assessment of a patient with a focal or diffuse thyroid tumor is but the first step in diagnostic evaluation. The diagnostic imaging process augments information obtained by the inspecting eye and the palpating hand; it allows the qualification (for example, cystic v solid) and the quantification (for example, size, extension, and assessment of physiologic function) of the thyroid tumor mass. This diagnostic input allows the establishment of a more realistic provisional diagnosis and directs a rational treatment approach to the patient. This presentation reviews the major imaging modalities available for thyroid tumor evaluation: diagnostic ultrasound, radionuclide scans, and conventional radiology and computed tomography. The applications of these various modalities and their critical potentials and limitations are placed in a contemporary clinical setting. It is hoped that an increasing familiarity with these imaging modalities will give better direction to the specialist in otolaryngology-head and neck surgery and greater surgical benefit to his or her patients.

(Arch Otolaryngol 1983;109:205-224)

Author Affiliations
From the Departments of Otolaryngology (Drs Noyek and Freeman) and Radiology (Drs Noyek, Steinhardt, Rothberg, and Goldfinger), Mount Sinai Hospital; the Departments of Otolaryngology (Dr Noyek), Neuroradiology (Dr Kassel), and Radiology (Dr Shulman), Sunnybrook Medical Centre; Department of Radiologic Sciences, Toronto General Hospital (Dr Noyek); the Departments of Otolaryngology (Drs Noyek and Freeman) and Radiology (Drs Noyek, Greyson, Steinhardt, Kassel, Shulman, Rothberg, Goldfinger, and Miskin), University of Toronto; the Department of Nuclear Medicine, St Michael's Hospital (Dr Greyson); and Toronto Diagnostic Ultrasound (Dr Miskin), Toronto.

Footnotes
Accepted for publication Aug 18, 1982.

Read in part before the American Society for Head and Neck Surgery, Palm Beach, Fla, May 5, 1982.

Reprint requests to Ear, Nose & Throat Associates, 99 Avenue Rd, #207, Toronto, Ontario, Canada M5R 2G5 (Dr Noyek).

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