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HELPING REDUCE UNNECESSARY THYROID BIOPSIES AND SURGERY

Over half of people over 60 have a thyroid nodule. Many of them are referred for a thyroid ultrasound to investigate their nodule, even though most nodules are benign. According to the American Thyroid Association, only 2-12 percent of nodules become cancerous. Most thyroid cancers are curable and rarely cause life-threatening problems.

Because thyroid nodules are so common, thyroid ultrasound reporting guidelines were established to help clarify diagnoses and improve you and your doctor’s ability to make appropriate treatment decisions.

At Mayfair Diagnostics, we follow the American College of Radiology’s Thyroid Imaging, Reporting, and Data System (TI-RADS) for the classification and evaluation of thyroid nodules. Once your thyroid ultrasound is complete, our radiologists will send a detailed report to your doctor. This report will describe the nodule’s features, assess the risk of malignancy, and help determine the next steps, such as the need for surgical consultation, biopsy, or ultrasound follow-up to monitor nodule growth or development of worrisome features.

The goal of TI-RADS is to help you and your doctor balance the benefit of identifying cancers that require treatment against the risk of biopsy and treatment of benign nodules or indolent cancers – cancers that are slow-growing and will almost certainly never be problematic.

The only way to definitively determine if a thyroid nodule is cancerous is to examine its cells under a microscope. The most common method is called fine need aspiration (FNA) biopsy, where a very small needle is inserted into the thyroid nodule and cells are removed for microscopic assessment.

WHAT ARE THE SYMPTOMS OF THYROID NODULES?

The thyroid is a butterfly-shaped endocrine gland located in the lower front of the neck which produces hormones that control your metabolism. Lumps or bumps in this gland are called nodules. What causes them is not known, although iodine deficiency and inflammation of the thyroid can increase the risk of developing thyroid nodules.

Changes in the thyroid may be seen or felt, but most thyroid nodules don’t cause symptoms. They are often discovered during a routine physical exam or via medical imaging, like ultrasound or computed tomography (CT) exams, performed for unrelated reasons. Sometimes the tissue in a nodule makes too much of the thyroid hormones causing hyperthyroidism, which can be seen by performing a thyroid-stimulating hormone (TSH) blood test. However, most thyroid nodules, including those that are cancerous, are non-functioning, meaning tests like TSH are normal.

It’s important to see your doctor if you have:

  • Swelling or a lump in the neck.
  • Hoarseness or other voice changes.
  • Difficulty swallowing or persistent sore throat.
  • Difficulty breathing.
  • Pain in the front of the neck
  • A persistent cough.

WHAT ARE THE RISK FACTORS FOR THYROID CANCER?

According to the Canadian Cancer Society, women are more likely than men to develop thyroid nodules and incidence increases with age. Women are also more frequently diagnosed with thyroid cancer compared to men.

Thyroid nodules and other thyroid conditions, such as goitre (enlarged thyroid) and inflammation of the thyroid, can increase the risk of thyroid cancer. Other risk factors include:

  • A history of significant radiation to the neck.
  • A personal history of thyroid cancer.
  • A family history of thyroid cancer.
  • Certain hereditary conditions, such as Multiple Endocrine Neoplasia (MEN) type 2.

HOW DO I GET A THYROID ULTRASOUND?

This exam is covered under your Alberta and Saskatchewan Health Care Insurance Plans and must be requested by a health care practitioner. To determine whether it’s appropriate for you, your doctor will often review your medical and family history, risk factors, how long symptoms have been present, and how they affect daily activities. If a thyroid ultrasound is indicated as a best next course of action, your doctor will provide you with a requisition and the appointment can be booked.

Mayfair has 13 locations in Calgary, one in Cochrane and one in Regina, which offer thyroid ultrasounds. Thyroid biopsies are performed in hospitals or doctors’ offices.

If you would like to receive a copy of your medical imaging report, you will need to wait until that report is completed and sent to your doctor. You may then contact us and arrange to pick up your report, photo identification and your health care card will be required when picking up your images and report. Please note that your results will need to be discussed with your doctor.

 

REFERENCES

American Thyroid Association (2017) “Thyroid Nodules.” www.thyroid.org. Accessed September 1, 2022.

Clayman, G. & Brady, B. (2021) “What Are Thyroid Nodules?” www.endocrineweb.com. Accessed September 1, 2022.

Canadian Cancer Society (2021) “What is thyroid cancer?” www.cancer.ca. Accessed September 1, 2022.

Hu, X. Y., et al (2022) “Improvement in thyroid ultrasound report quality with radiologists’ adherence to 2015 ATA or 2017 TIRADS: a population study.” European Thyroid Journal, 11:3

Vaccarella, S., et al. (2016) “Worldwide Thyroid-Cancer Epidemic? The Increasing Impact of Overdiagnosis.” New England Journal of Medicine, 375;7: 614-17.

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Radiologist

Radiologists are specialized physicians who interpret diagnostic imaging to diagnose and monitor a wide range of medical conditions. At Mayfair Diagnostics, they review X-ray, ultrasound, CT, and MRI studies, among others, analyzinsg images in detail and providing comprehensive reports and clinical recommendations to referring physicians. They collaborate closely with technologists and clinic teams to guide imaging protocols, ensure quality and radiation safety standards, and may perform image-guided procedures such as biopsies or injections. Through their expertise and teamwork, radiologists play a key role in accurate diagnosis, effective treatment planning, and improved patient outcomes.

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Administrative professionals support the organization across human resources, marketing, operations, strategic partnerships, finance, information technology, and infrastructure. From recruiting staff to promoting services and improving workflows, they help ensure smooth operations and positive experiences for employees and patients. Through collaboration with clinical and support teams, they provide essential coordination that enables efficient, high-quality service.

Diagnostic Imaging Assistant

Diagnostic Imaging Assistant (DIA) support clinic operations and help ensure a positive patient experience. They assist staff by greeting and preparing patients, confirming information, coordinating appointments, and guiding patients through their visit. DIAs also maintain exam rooms, manage documentation, and ensure supplies and equipment are ready. Through strong customer service, attention to detail, and teamwork, they help create a safe and organized environment.

Patient Experience Coordinator

Patient Experience Coordinators (PECs) are the first point of contact, scheduling exams and ensuring accurate patient information. They communicate clearly with patients, coordinate with care teams, and support a smooth, confidential, and customer-focused experience.

Nuclear Medicine Technologist

Nuclear Medical Technologists perform diagnostic nuclear medicine procedures involving sensitive and highly personal patient circumstances. They are responsible for delivering the highest standard of care in a professional, compassionate, and patient-centered manner, in accordance with provincial regulatory requirements, CAMRT standards, and Mayfair policies and guidelines.

CT Technologist

Computed Tomography (CT) Technologists operate CT imaging equipment to produce detailed cross-sectional images of the body that assist in diagnosing a wide range of medical conditions. They prepare and position patients for scans, ensure safety protocols are followed, and administer contrast agents when required. CT technologists work closely with radiologists to ensure high-quality diagnostic images are obtained, while providing clear communication and compassionate care to support patient comfort throughout the procedure.

MRI Technologist

Magnetic Resonance Imaging (MRI) Technologists operates MRI scanners to produce detailed images of internal body structures used to assist in medical diagnosis and treatment planning. They are responsible for preparing and positioning patients, ensuring all safety protocols are strictly followed due to the strong magnetic field, and obtaining high-quality images as directed by radiologists. MRI technologists combine technical expertise with patient care, providing clear communication and support to ensure a safe, comfortable, and efficient imaging experience.

Diagnostic Medical Sonographer

Diagnostic Medical Sonographers perform ultrasound exams to help diagnose and monitor medical conditions. Following Sonography Canada standards and Mayfair Diagnostics protocols, they capture accurate images while ensuring patient safety, comfort, and confidentiality. They work with radiologists and clinical teams to review requisitions, prepare patients, perform scans, and document findings, contributing to accurate diagnoses and a positive patient experience.

Medical Radiation Technologist

Medical Radiation Technologists (MRTs) perform x-ray, mammography, and BMD exams while ensuring patient safety, accuracy, and compassionate care.  They also may assist in pain therapy procedures. MRTs verify patient information, explain procedures, position patients, and produce high-quality images. MRTs follow professional standards and protocols, maintaining strict radiation safety, quality assurance, and patient privacy while supporting a positive patient experience.

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We foster a supportive and collaborative culture designed to encourage positive patient experiences and build strong working relationships across the organization:

  • We recognize each other for our contributions – big and small.
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  • We challenge each other to grow and develop our skills and we support each other to do so.
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Our core values shape the way we work with patients, partners, and fellow employees. And, more than anything else, they’re what set Mayfair apart. In everything we do, this is what we strive for:

EXCELLENCE

We share a commitment to high quality and excellence in all that we do. This commitment calls on all of us to achieve the very best of our capabilities and exceed our own expectations.

CURIOSITY

We innovate in everything, from services to processes. We believe meaningful change and effective problem solving come only by looking at challenges and opportunities from new angles and by exercising our creativity and curiosity.

PASSION

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COLLABORATION

Our team is supportive of each other’s efforts; we are loyal to one another; and we care for one another both personally and professionally. We promote and support a diverse, yet unified, team. We work together to meet our common goals across Mayfair clinics, locations, and geographies. Only through collaboration on ideas, technologies, and talents can we achieve our mission and vision.

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Join Mayfair Diagnostics, recognized as one of Western Canada’s premier medical imaging organizations. With a century-long legacy and headquartered in Calgary, Alberta, Mayfair Diagnostics is dedicated to assisting patients in achieving clarity regarding their health.

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We are a dedicated group of professionals who combine skill with compassion to deliver attentive care to our patients. As a reliable partner in their health care journey, we provide high-quality imaging that assists patients, physicians, and other providers in making informed health decisions. Our work goes beyond imaging; it’s about fostering relationships and positively impacting everyone we serve.

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We envision a world where every person has clarity about their health. We innovate and welcome change, promoting leadership and creativity through safe risk-taking. We share best practices, earn peer recognition for our work, and engage top talent to reach our goals.

We strive to be thought leaders and encourage creativity by providing a safe place for calculated risk taking.

We share best practices across our operations and are recognized by our peers for our work. We engage the best to help propel us forward in achieving our goals.