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Acoustic Radiation Force Impulse Quantification in the Evaluation of Thyroid Elasticity in Pediatric Patients With Hashimoto Thyroiditis.
Yucel, Serap; Ceyhan Bilgici, Meltem; Kara, Cengiz; Can Yilmaz, Gulay; Aydin, H Murat; Elmali, Muzaffer; Tomak, Leman; Saglam, Dilek.
Afiliación
  • Yucel S; Departments of Radiology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Ceyhan Bilgici M; Departments of Radiology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Kara C; Departments of Pediatric Endocrinology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Can Yilmaz G; Departments of Pediatric Endocrinology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Aydin HM; Departments of Pediatric Endocrinology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Elmali M; Departments of Radiology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Tomak L; Departments of Medical Biostatistics, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
  • Saglam D; Departments of Radiology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
J Ultrasound Med ; 37(5): 1143-1149, 2018 May.
Article en En | MEDLINE | ID: mdl-29064111
OBJECTIVES: To evaluate the parenchymal elasticity of the thyroid gland with acoustic radiation force impulse imaging in pediatric patients with Hashimoto thyroiditis and to compare it with healthy volunteers. METHODS: Twenty-six patients with Hashimoto thyroiditis and 26 healthy volunteers between 6 and 17 years were included. The shear wave velocity (SWV) values of both thyroid lobes in both groups were evaluated. RESULTS: The age and sex characteristics of the controls and patients with Hashimoto thyroiditis were similar. The SWV of the thyroid gland in patients with Hashimoto thyroiditis (mean ± SD, 1.67 ± 0.63 m/s) was significantly higher than that in the control group (1.30 ± 0.13 m/s; P < .001). There was no significant difference between the thyroid lobes in both groups. A receiver operating characteristic curve analyses showed an optimal cutoff value of 1.41 m/s, with 73.1% sensitivity, 80.8% specificity, a 79.2 % positive predictive value, and a 75.0% negative predictive value (area under the curve, 0.806; P < .001). In patients with Hashimoto thyroiditis, there was a positive correlation between the SWV values versus anti-thyroperoxidase (Pearson r = 0.46; P = .038). There were no correlations between age, body mass index, thyroid function test results, and anti-thyroglobulin values and versus SWV values. Also, no significant differences were seen between the groups for gland size, gland vascularity, and l-thyroxine treatment. CONCLUSIONS: Acoustic radiation force impulse elastography showed a significant difference in the stiffness of the thyroid gland between children with Hashimoto thyroiditis and the healthy group. Using acoustic radiation force impulse elastography immediately after a standard ultrasound evaluation may predict chronic autoimmune thyroiditis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glándula Tiroides / Enfermedad de Hashimoto / Diagnóstico por Imagen de Elasticidad Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Ultrasound Med Año: 2018 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glándula Tiroides / Enfermedad de Hashimoto / Diagnóstico por Imagen de Elasticidad Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Ultrasound Med Año: 2018 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido