Ultrasound

Typical Pei treatment of recurrent benign thyroid

"45 Y/O male told to have surgery for a large recurrent thyroid cyst.
He found my center on the web and flew out for a  few days. The cyst was 20 cc. I put ethanol in and when he was leaving to go home the cyst was gone.
He had no side effects from the injection. He will return in one year for a follow up ultrasound. However, PEI treatment is 90% successful in saving nnecessary surgery, which is the old standard of care for recurrent BENIGN thyroid cysts."

Feb 23rd, 2011

Dear Dr. Guttler,

I have returned to Missouri; the flight was great, and I had no pain
except for a slight itchy feeling around the cyst --- no big deal.

I feel much better today.

With this mail, I would like to send an electronic postcard saying just
"thank you". You have been my salvation; it was fun to be in California.


Best Wishes
(Patient's name withheld as per their request.)

Dr. Guttler is working with the newest equipment from Biosound Esaote, and replaced the Technos Partner with their top of the line machine, My Lab 70. In addition he has a MyLab 25 with X view upgrade. He does diagnostic ultrasound, including pre-op and post op  cancer lymph node mapping, ultrasound guided needle placement for biopsies. Interventional ultrasound guided injection of ethanol, PEI, for non-surgical therapy for thyroid, and parathyroid cysts, and for destroying cancer lymph nodes when surgery is not desired or safe.

The ultrasound machine is a safe, painless, and non-invasive way to make an image of the thyroid gland without the use of x-rays or injections of radioactively labeled iodine. A small device like a microphone that sends and receives sound waves is placed over the thyroid gland. The image of the gland is captured by the computer, analyzed, and recorded as a graphic image.

Ultrasound Machine:
ML-70
ML 25 with XView Upgrade

(We purchased our machines through Drsmart.com.  Good company and very professional.)

This is Dr.Guttler's state of the art Thyroid Ultrasound Lab.
The flat screen monitor helps him educate the patients, and teach other endocrinologists.

• Routine Ultrasound, and Power Doppler for new consultations.
• Cancer follow up Lymph node evaluations.
  • Pre-OP Node evaluation in diagnosed FNA + thyroid Cancer, to see if there will be a need to change the surgery.
• Ultrasound Guided FNA of Nodules, and suspicious Lymph nodes.
• Thyroglobulin, Calcitonin, washing included for all lymph node studies.
• Flow Cytometry for suspect Lymphoma patients.
• Ultrasound Guided Ethanol Injections ( PEI ), to cure recurrent cysts without surgery.
• Ultrasound Guided Ethanol Injections ( PEI ) to cancerous neck nodes in patients that surgery is not an option.
• PEI to micro - cancers when the patient is looking for an alternative to surgery in a low risk Papillary Ca.
• Ultrasound Guided Methylene Blue dye injection to help surgeons locate the largest positive node, in patient with multiple prior neck surgeries.
• Ultrasound Guided Parathyroid Biopsy with parathyroid hormone washing to r/o parathyroid adenoma

Dynamic ultrasound done by a thyroid specialist produces the best results in the workup of thyroid nodules. Clear images are a must for thyroid evaluation, ultrasound guided needle biopsy and nodule follow up. Santa Monica Thyroid Diagnostic Center has the sharpest in ultrasound technology. The superior imaging quality of the Biosound Esaote Technos Partner, with cine loop and real time zoom, provides the spatial and imaging attributes necessary for an accurate diagnosis.The power doppler addition allows us to see the blood flow in nodules.

The 5-15 Mhz probe technology and digital RF signal processing set the industry standard for thyroid imaging. The Biosound Esaote ML-70 enables visualization of subtle pathologies, and gives you immediate feedback. There is no waiting for a radiologists report. When combined with your history and other physical findings, ultrasound improves the quality of your diagnosis.
Ultrasounds are done by Dr. Guttler and read immediately on site. Your diagnosis and treatment can be completed quickly.