{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-90WLUU6N/405278ea-d7f7-4e37-a19d-5c1eee3a852f/PDF","dcterms:extent":"1512 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-90WLUU6N/1b0c03cb-be50-41ce-ade9-61e4bd776daf/TEXT","dcterms:extent":"49 KB"}],"edm:TimeSpan":{"@rdf:about":"1994-2025","edm:begin":{"@xml:lang":"en","#text":"1994"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-90WLUU6N","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-46R7GGHL"},{"@xml:lang":"sl","#text":"Medicinski razgledi"}],"dcterms:issued":"2024","dc:creator":["Gaberšček, Simona","Jarc, Anže","Zaletel, Katja"],"dc:format":[{"@xml:lang":"sl","#text":"številka:4"},{"@xml:lang":"sl","#text":"letnik:63"},{"@xml:lang":"sl","#text":"str. 337-352"}],"dc:identifier":["ISSN:0025-8121","DOI:10.61300/mr6304ddd","COBISSID:224126723","URN:URN:NBN:SI:doc-90WLUU6N"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Medicinski razgledi"},"dc:subject":[{"@xml:lang":"sl","#text":"doplerski UZ"},{"@xml:lang":"sl","#text":"elastografija"},{"@xml:lang":"sl","#text":"ščitnica"},{"@xml:lang":"sl","#text":"ščitnični modus"},{"@xml:lang":"sl","#text":"tiroiditis"},{"@xml:lang":"sl","#text":"UZ"}],"dcterms:temporal":{"@rdf:resource":"1994-2025"},"dc:title":{"@xml:lang":"sl","#text":"Ultrazvok ščitnice| Ultrasonography of the thyroid gland|"},"dc:description":[{"@xml:lang":"sl","#text":"An ultrasonography (US) of the thyroid gland is an accessible and non-invasive method that provides valuable information for characterizing thyroid diseases. It enables the measurement of dimensions and the calculation of thyroid gland and thyroid nodule volume, as well as the assessment of echogenicity, structure, vascularization, and elasticity of the tissue. A healthy thyroid gland typically exhibits an isoechoic and homogeneous structure. Thyroid nodules are a common pathology and a US aids in assessing their potential suspiciousness. Compared to benign nodules, malignant ones often exhibit a solid and hypoechoic structure, a higher width-to-height ratio on transverse projection, irregular edges, microcalcifications, and have a higher elasticity index. A scintigraphy of the gland is also essential for the diagnostic characterization of the nodule, as a US-guided fine-needle biopsy is specifically recommended for scintigraphically cold nodules but not for hyperfunctional (autonomous) nodules. By using a thyroid US, we cannot reliably distinguish between different thyroid diseases that affect the entire thyroid gland, the most common of which are Hashimoto’s thyroiditis, Graves’ disease, postpartum thyroiditis, and subacute thyroiditis. Valuable information for defining the listed diseases can be obtained by assessing the vascularization of the thyroid tissue, which is more pronounced in Graves’ disease, with elastography as a promising additional diagnostic option. Defining thyroid disease and deciding on further treatment is often challenging, as many individuals concurrently have two or even more thyroid diseases, a reliable assessment can thus only be based on a comprehensive thyroidological approach, which includes history, clinical examination, laboratory diagnostics, thyroid US, and in selected cases, thyroid scintigraphy, and US-guided fine needle biopsy"},{"@xml:lang":"sl","#text":"UZ ščitnice je dostopna in neinvazivna metoda, ki nudi koristne informacije za opredelitev ščitničnih bolezni. Omogoča meritev dimenzij ter izračun prostornine ščitnice in ščitničnih nodusov, pa tudi oceno ehogenosti, strukture, prekrvitve in elastičnosti tkiva. Zdrava ščitnica je izoehogene in homogene zgradbe. Ščitnični nodusi so pogosta patologija ščitnice, pri kateri nam UZ pomaga oceniti njihovo morebitno sumljivost – maligni nodusi imajo v primerjavi z benignimi pogosteje solidno in hipoehogeno zgradbo, višjo kot širšo obliko na prečni projekciji, nepravilne robove, mikrokalcinacije in so čvrstejši. V diagnostično opredelitev nodusa je nujno vključiti tudi scintigrafijo ščitnice; pri scintigrafsko hladnih nodusih je namreč indicirana UZ-vodena tankoigelna biopsija, medtem ko pri hiperfunkcijskih (avtonomnih) nodusih ni utemeljena. Z UZ ščitnice ne moremo zanesljivo razlikovati med različnimi ščitničnimi boleznimi, ki prizadenejo celotno ščitnico, od katerih so najpogostejše Hashimotov tiroiditis, bazedovka, poporodni tiroiditis in subakutni tiroiditis. Pri razlikovanju naštetih bolezni nam pomaga ocena prekrvljenosti tkiva ščitnice, ki je pri bazedovki izrazitejša, obetavne dodatne diagnostične možnosti pa nudi tudi elastografija. Opredelitev ščitnične bolezni in odločitev o nadaljnji obravnavi je pogosto zahtevna, saj imajo številni posamezniki sočasno dve ali celo več ščitničnih bolezni, zato lahko zanesljiva ocena temelji le na celostni tirološki obravnavi, ki mora vključevati anamnezo, klinični pregled, laboratorijsko diagnostiko in UZ, v izbranih primerih pa še scintigrafijo ščitnice ter UZ-vodeno tankoigelno biopsijo"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-90WLUU6N","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-90WLUU6N"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-90WLUU6N/405278ea-d7f7-4e37-a19d-5c1eee3a852f/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Društvo Medicinski razgledi"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-90WLUU6N/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-90WLUU6N"}}}}