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Endocrine

The accurate diagnosis of almost all endocrine (hormone) disorders (e.g. thyroid, parathyroid, pituitary, adrenal) requires accurate and high quality imaging. Poorly performed imaging leads to confusion or even worse, a wrong diagnosis. The advanced scanning technology at the ESC, coupled with the experience of our endocrine radiologists, offers the highest quality service ensuring an accurate diagnosis for your specialist to act on.

Thyroid gland diseases are common, whether it be over or underactivity of the gland or the presence of nodules which may or may not be cancerous. All of these conditions require imaging, usually initially by an ultrasound scan. Important as the quality of the scanner is (and ours is the most advanced), the most significant aspect to making the correct diagnosis is the skill of the radiologist operating the machine. We employ 2 extremely experienced thyroid radiologists whose skill set is recognised and utilised by London's leading endocrine specialists. Further, nodules within the thyroid gland frequently require cells to be obtained to determine if they are malignant using a Fine Needle Aspiration procedure. This is performed under ultrasound guidance and our thyroid radiologists have a greater than 95% success rate in this technique.

Parathyroid disease usually involves overactivity of one of more of the parathyroid glands, of which there are typically a total of 4, located behind the thyroid gland. Accurate identification of these small glands is essential to determining the most appropriate therapy but can be notoriously difficult. In addition to our state of the art ultrasound scanner which provides the first line investigation, we are the only independent centre to utilise the latest technique in CT scanning of the parathyroid glands which has been shown to increase accuracy of parathyroid gland disease assessment.

Adrenal gland disorders usually require imaging by a CT scanner to determine their size and to detect the presence of any nodules or tumours. Nodules occur in approximately 5% of the population and require detailed imaging and biochemical assessment to accurately determine their nature.