General ultrasound diagnostics · Advanced

Ultrasound diagnosis of the thyroid gland: nodule diagnosis, Ti-RADS, elastography and CEUS

Thyroid ultrasound: nodules, Ti-RADS, elastography and CEUS according to modern standards.

24academic hours

Advancedlevel

Distance learningmode of study

Course curriculum

General information about the method
History of the method and its role in the patient's outcome
Physics of ultrasound: from fundamentals to specific application in thyroid examination
Wavelength and scanning frequency
Acoustic impedance, attenuation and scattering
Basic settings and image optimization
Direct and indirect reflection
Harmonic imaging and compounding
Acoustic enhancement and acoustic shadow
Analysis of reverberation artifacts in thyroid gland lesions
Doppler settings in thyroid examination
Normal anatomy of the thyroid gland and surrounding neck tissues
Variants of thyroid gland ectopia
Parathyroid glands
Cervical lymph nodes and their topography
Division of the neck into compartments (levels) for describing the topography of lymph nodes and masses
Indications for examination, follow-up examination and clinical observation
Decision-making logic for FNA – fine-needle aspiration biopsy
Ultrasound scanning protocol of the thyroid and parathyroid glands in 8 steps
Size standards for children and adults
Ultrasound appearance of normal parathyroid glands
Non-nodular thyroid pathology, clinical and ultrasound signs
Thyrotoxicosis, hyperthyroidism, hypothyroidism, Hashimoto lymphocytic thyroiditis (AIT), atrophic thyroiditis, De Quervain thyroiditis
Pathology of the parathyroid glands
Hyperparathyroidism, adenoma and hyperplasia, carcinoma
Percutaneous ethanol injection (PEI – ethanol ablation)
Ultrasound guidance technique and possible complications
ACR Ti-RADS nodule scoring system
The meaning of the system, its history and practical objectives
Analysis of the Ti-RADS lexicon, technique of using the scoring system
Determination of indications for fine-needle aspiration of thyroid nodules
EU Ti-RADS as a simplified model for nodule assessment
Use of contrast-enhanced examination and integration of the results into the Ti-RADS lexicon
CEUS Ti-RADS system
Most popular template systems for nodule assessment
Statistical standard ultrasound TyrNoDum models as a quick method for assessing the vast majority of nodules
British Thyroid Association – BTA grading system
Thyroid elastography, a review of the recommendations of the World Federation for Ultrasound in Medicine and Biology
True nodules and regeneration
Probability of malignancy risk in solitary and multiple nodules
Scanning technique when using elastography
Strain (deformation) and SWE (shear or transverse waves): analysis of the technology for obtaining information on tissue elasticity
Color scales for assessing the elasticity of thyroid nodules
Criteria for quality imaging in elastography and quality control systems
Reference values for decision-making based on elastography data
Standardization of the examination report

Comprehensive diagnosis of the thyroid gland. You will master nodule stratification by Ti-RADS, elastography, and CEUS — and will provide conclusions that are clear to both the endocrinologist and the surgeon.

Knyazev Konstantin Andreevich

Leading instructor of the MEDTRAIN Training Center, physician in ultrasound and functional diagnostics

Ultrasound diagnostics physician, Member of the Eurasian Association of Ultrasound and Functional Diagnostics Specialists. Member of the European Federation of Societies for Ultrasound in Medicine and Biology.

Knyazev Konstantin Andreevich is a practising specialist with a foundational clinical background in internal medicine and many years of experience in ultrasound and functional diagnostics. He graduated from the Ural State Medical Academy with a degree in General Medicine (2012), completed an internship in internal medicine (2013), and subsequently underwent professional retraining in Ultrasound Diagnostics and Functional Diagnostics.

Konstantin Andreevich is a member of the Eurasian Association of Specialists in Ultrasound and Functional Diagnostics, as well as a member of the European Federation of Societies for Ultrasound in Medicine and Biology. A leading instructor at the MEDTRAIN Training Centre and chair of the examination board, he has developed and teaches more than 25 educational courses and training cycles devoted to the modern capabilities of ultrasound and functional diagnostics.

Konstantin Andreevich's professional interests include neurosonography, paediatric echocardiography with the diagnosis of congenital heart defects, ultrasound assessment of the lower-limb arteries, and ultrasound monitoring of arterial shunts and endovascular interventions. In his teaching he combines current international guidelines with clinical cases, paying particular attention to practical skills and the safe application of ultrasound techniques in real clinical practice.

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