Dr Iain Duncan

A few observations on thyroid ultrasound

June 2015 It is hard not to right an essay when it comes to thyroid scanning. Thyroids can bedevil us all and no rule is absolute when it comes to thyroid nodules. For a more in depth discussion about which nodules need biopsy see here. Nevertheless here are a few common pitfalls. Not everything abnormal […]

To biopsy or not -the thyroid nodule dilemna

Thyroid nodules are very common and a small percentage of these are malignant. Ask 10 thyroid specialists about their approach to biopsy and diagnosis and you will get 10 different approaches. All will be rational and based on reasonable scientific data and on experience. The different approaches arise because the research is varied in its […]

Hyperparathyroidism detection in 2015

Hyperparathyroidism is most commonly due to adenomas or carcinomas. These can frequently be detected with dual phase Sestamibi scans. The sensitivity for detection is poor with planar and SPECT imaging (60-80%) but with the advent of SPECT-CT much higher sensitivities have been achieved (>85%). Multi-glandular disease is uncommon but paradoxically more difficult to detect with all modalities. Now with […]