Medical core areas
Our patients receive extensive care at the thyroid gland outpatient's clinic of the Department for Nuclear Medicine from our team of specialists in the area of nuclear medicine.
We treat the whole range of thyroid gland diseases on our department. This includes morphological disorders (e.g. enlarged thyroid glands or nodules) as well as functional disorders (thyroid gland hormone metabolic disorders).
Often benign thyroid gland diseases are auto-immune diseases of the thyroid gland such as Grave's disease or Hashimoto's thyroiditis as well as goitre (thyroid gland enlargement) or thyroid gland autonomy too.
Malign diseases of the thyroid gland (thyroid gland cancer) are altogether rare and are also treated and cared for accordingly in our department.
Due to an extensive diagnosis consisting of laboratory diagnostics, ultrasound and scintigraphy we are able to accordingly diagnose and treat all thyroid gland diseases on our department.
Every visit to our clinic provides an advisory consultation with one of our treating physicians. Many thyroid gland diseases require radioiodine therapy or operative rehabilitation of the thyroid glands alongside medical treatment.
For this our outpatient's clinic works closely together with our therapy ward on our department and the Uni. Hospital for Surgery at the General Hospital of Vienna.
We ask you to bring with you any existing previous recordings and previous findings such as lab test results, ultrasounds of the thyroid gland or scintigraphy findings, since these may enable your treating physician to proceed more efficiently.
Furthermore, we should know how much thyroid gland medication is being taken now and has been taken in the past as well. We should also be informed about an increased iodine intake through the dose of x-ray contrast agents within the last 6-8 weeks (e.g. during angiography or x-ray contrast agents), medication (e.g. amiodarone, iodine containing disinfectant) or dietary supplements with relevant proportion of iodine.
For the thyroid gland examination in most cases it is only necessary to fast for the first examination. If still necessary during follow-up appointment you will be notified of this in the thyroid gland findings.
Medication can be taken as normal with the exception of thyroid gland medication (thyrex, euthyrox, L-thyroxin, combithyrex, novothyral). Another exception is however anti-coagulation medication before a planned fine-needle aspiration.
Course of examination
After administration you are asked to fill out a medical history form and wait in the clinic's waiting area until you are called by the doctor. The examination in our thyroid gland outpatient's clinic begins with a detailed consultation with your treating physician, in which current complaints, previous therapies and any previous medical conditions among other things can be discussed.
Mostly a thyroid gland sonography is necessary to assess morphological changes.
In most cases also a blood sample from the vein is necessary to determine thyroid gland hormone levels or if necessary further laboratory test results.
In the case of a suspected thyroid gland disorder or morphological change in sonography a thyroid gland scintigraphy is performed if necessary. In this case a low quantity of a radioactive drug (99mTc-pertechnetat) is injected directly after the blood sample is taken. The administered agent passes into the thyroid glands via the bloodstream. After an appropriate waiting time an examination with an ultra-sensitive camera (gamma camera) is performed, which is able to make the distribution of activity visible in the thyroid gland.
A fine-needle aspiration of the thyroid glands may be necessary in order to obtain cells from nodules and then be able to examine these under the microscope. In this case the thyroid glands are punctured with a syringe using an ultrasound device.
After puncturing the site it is necessary to wait for another 20 minutes or so in the waiting room to avoid secondary haemorrhages.
Thyroid gland findings
As a rule the patient shall receive the corresponding results and the related laboratory test results by post.
The thyroid gland findings contain all relevant information from diagnosis to recommended therapy and the next recommended follow-up appointment.
You can discuss anything that is unclear in our findings with your GP first of all or alternatively there is also the option of clearing up any issues that may arise at your next appointment recommended by us.
If in the findings a further follow-up appointment is recommended in the established area, we ask you to consult your treating or referring physician on the thyroid gland results that we have sent.