Online Supplementary Material: Imaging in Endocrine Disorders

Sonography of Normal and Abnormal Thyroid and Parathyroid Glands
Andrioli, M. (Rome); Valcavi, R. (Reggio Emilia)

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Ultrasonographic appearance of chronic autoimmune thyroiditis.

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Mixed nodule in the right thyroid lobe.

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Elastosonographic evaluation of a solid nodule in the right thyroid lobe.

Hybrid Molecular Imaging in Differentiated Thyroid Carcinoma
Schmidt, D.; Kuwert, T. (Erlangen)

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SPECT of the cervical region of a patient with iodine-positive mediastinal lymph node metastases of a papillary thyroid carcinoma (see figure 1d–f).

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FDG-PET visualized by a maximum intensity projection (MIP): a patient with a solitary bone metastasis of a papillary thyroid carcinoma in the iliac crest.

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FDG-PET visualized by a maximum intensity projection (MIP): a patient with several pulmonal metastases and a solitary bone metastasis, as well as solitary cervical lymph node metastasis of a follicular thyroid carcinoma in the iliac crest.

Adrenal Imaging: Magnetic Resonance Imaging and Computed Tomography
McCarthy, C.J.; McDermott, S.; Blake, M.A. (Boston, Mass.)

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A series of images obtained during cone-beam CT during the right adrenal vein sampling.

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Left adrenal vein sampling in another patient.

Intraoperative Magnetic Resonance Imaging for Pituitary Adenomas
Buchfelder, M.; Schlaffer, S.-M. (Erlangen)

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Workflow for intraoperative MR imaging in the ‘brain suite’: when the surgeon believes that he or she has resected the tumor, the upper portion of the head coil is mounted and the patient’s head is draped and rotated into the center of the magnet for intraoperative imaging. On the basis of the results it is then decided whether the procedure can be finished or one has to proceed with further resection.

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Operative situs during transsphenoidal surgery of the same patient as in figure 6. The segmented contours of the adenoma are superimposed into the microsurgical operative field. The right-sided parasellar lesion (yellow) semi-encases the right carotid artery (blue). During tumor resection, the localization of the carotid artery, as displayed by navigation, is confirmed with the laser Doppler and by intraoperative fluorescence angiography. Thus, the localization of structures which by themselves are not visible by direct light is made available to the surgeon.