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2 . 2024

Shear wave elastography in chronic autoimmune thyroiditis: the study of thyroid gland stiffness in children

Abstract

212 children were included in the study. Among them there were 175 children aged 3 to 17 years without any clinical, laboratory and ultrasound indications of thyroid disease (control group) and 37 patients aged 7 to 17 years with chronic autoimmune thyroiditis (experimental group).

All patients underwent standard ultrasound examination of the thyroid gland and two-dimensional shear wave elastography [Aixplorer device (Supersonic Imagine, France); linear sensor operating in the frequency range of 5–18 MHz], thyroid function testing (i. e. analysis of thyroid-stimulating hormone, free thyroxine, thyroid peroxidase antibodies).

In patients with chronic autoimmune thyroiditis, the values of Young’s modulus were significantly higher than in patients of the control group (median Emean – 14.5 and 7.0 kPa, interquartile range – 11.5–16.3 and 5.9–8.8 kPa, respectively) (p=0.000). Shear wave elastography may be a promising new approach to early diagnosis of pathological alterations in the thyroid gland in children.

Keywords: shear wave elastography; thyroid gland; stiffness; Young’s modulus; Hashimoto’s thyroiditis; chronic autoimmune thyroiditis; children

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Pykov M.I., Kuzmina N.E., Rostovtsev N.M., Gunbina I.V. Shear wave elastography in chronic autoimmune thyroiditis: the study of thyroid gland stiffness in children. Endokrinologiya: novosti, mneniya, obuchenie [Endocrinology: News, Opinions, Training]. 2024; 13 (2): 6–13. DOI: https://doi.org/10.33029/2304-9529-2024-13-2-6-13 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Ametov Alexander S.
Honored Scientist of the Russian Federation, Doctor of Medical Sciences, Professor, Head of Subdepartment of Endocrinology, Head of the UNESCO Network Chair on the subject «Bioethics of diabetes as a global problem» of the Russian Medical Academy of Continuous Professional Education (Moscow)
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