April 15, 2013 – The Buffalo News article “New law alerts women to risk posed by dense breasts” from the Region section featured Southtowns Radiology radiologist Dr. Claudia Fosket and mammography technician Sue Hohl. They helped discuss and define the issues posed to women with dense breast tissue, a normal condition that affects 10% of women. While having dense breasts is normal, it can make it more difficult to spot breast cancer with mammography. That is why New York has become the 4th state to require women to be notified if they have dense breasts. This enables women to more effectively speak with their doctor about what their risk factors are and how additional imaging, like ultrasound, may be helpful to breast cancer screening. To read the entire article, visit the Buffalo News online at the link below.
Thyroid ultrasound and guided biopsy: How it works, how it helps.
Paul F. Pizzella, M.D.
Thyroid ultrasound is a widely used technique that helps to evaluate thyroid nodules and guide in the biopsy of suspicious nodules. The lack of radiation, superficial gland position and improved technology has made thyroid ultrasound a common risk-free procedure. The increased use of thyroid sonography has aided in the discovery of many nodules.
Thyroid nodules come in all sizes and shapes with the vast majority benign. The challenge that exists is the identification of the potentially malignant nodules. Adding to the confusion are the multiple and at times contradictory guidelines. Recent literature has shown that there are four suspicious gray scale characteristics that are directly correlated with malignancy. These are solid nodules with marked hypoechogenicity, noncircumscribed margin, microcalcifications and have a taller than-wide shape. Nodules with one or more of these characteristics should be considered for ultrasound guided biopsy.
Doppler ultrasound can add to nodule description but, vascularity itself or in combination with gray scale features is not as useful as the suspicious gray scale features alone for predicting malignancy. The use of ultrasound-guided biopsy is a safe and simple way to adequately sample suspicious nodules with little to no patient discomfort. The added benefit of a second look before sampling ensures proper nodule selection and biopsy.
Our registered ultrasound technologists are well trained and competent in performing thyroid ultrasound. Our American College of Radiology (ACR) certified equipment includes high frequency and small parts transducers that ensures the highest quality exam. Southtowns Radiology’s board certified physicians are experienced with interpreting thyroid ultrasound and in the performance of ultrasound-guided biopsy.