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利用声辐射力脉冲弹性成像技术测量儿童健康甲状腺的剪切波速度。

Shear wave velocity of the healthy thyroid gland in children with acoustic radiation force impulse elastography.

作者信息

Ceyhan Bilgici Meltem, Sağlam Dilek, Delibalta Semra, Yücel Serap, Tomak Leman, Elmalı Muzaffer

机构信息

Department of Radiology, School of Medicine, Ondokuz Mayıs University, 55270, Atakum, Samsun, Turkey.

Department of Biostatistics, School of Medicine, Ondokuz Mayıs University, 55270, Atakum, Samsun, Turkey.

出版信息

J Med Ultrason (2001). 2018 Jan;45(1):75-80. doi: 10.1007/s10396-017-0788-3. Epub 2017 Apr 19.

DOI:10.1007/s10396-017-0788-3
PMID:28424923
Abstract

PURPOSE

Acoustic radiation force impulse imaging is a kind of shear wave elastography that can be used in children for differentiating thyroid pathologies. Possible changes in the healthy thyroid gland in children may create difficulties in the use of shear wave velocities (SWV) in thyroid pathologies. The aim of this study was to define the normal values of SWV for the healthy thyroid gland in children, elucidate the correlation of the SWV values with potential influencing factors, and evaluate intra-operator reproducibility of the SWV.

METHODS

Between January 2015 and December 2015, a total of 145 healthy children (81 girls, 64 boys; mean age, 10.5 ± 3.14 years; range 6-17 years) were enrolled in the study. The SWV and volume of the thyroid gland were determined.

RESULTS

The mean shear wave velocity of the thyroid gland was 1.22 ± 0.20 m/s. There was no correlation between age and the mean SWV of the thyroid gland (Spearman Rho = 0.049, p = 0.556). There was also no correlation between the thyroid gland volume or BSA and the mean SWV. The only correlation detected was between BSA and total thyroid gland volume (p < 0.001).

CONCLUSION

In the present study, the SWV of the healthy thyroid gland in children was determined. There was no correlation between the SWV of the thyroid gland and age, BSA, or thyroid gland volume.

摘要

目的

声辐射力脉冲成像(ARFI)是一种剪切波弹性成像技术,可用于儿童甲状腺疾病的鉴别诊断。儿童正常甲状腺可能出现的变化可能会给甲状腺疾病中剪切波速度(SWV)的应用带来困难。本研究旨在确定儿童正常甲状腺的SWV正常值,阐明SWV值与潜在影响因素的相关性,并评估操作者间SWV的可重复性。

方法

2015年1月至2015年12月,共纳入145名健康儿童(81名女孩,64名男孩;平均年龄10.5±3.14岁;年龄范围6-17岁)。测定甲状腺的SWV和体积。

结果

甲状腺平均剪切波速度为1.22±0.20m/s。年龄与甲状腺平均SWV之间无相关性(Spearman Rho=0.049,p=0.556)。甲状腺体积或体表面积(BSA)与平均SWV之间也无相关性。唯一检测到的相关性是BSA与甲状腺总体积之间的相关性(p<0.001)。

结论

本研究确定了儿童正常甲状腺的SWV。甲状腺SWV与年龄、BSA或甲状腺体积之间无相关性。

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本文引用的文献

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Acoustic Radiation Force Impulse Elastography: A Useful Tool for Differential Diagnosis of Thyroid Nodules and Recommending Fine-Needle Aspiration: A Diagnostic Accuracy Study.声辐射力脉冲弹性成像:甲状腺结节鉴别诊断及推荐细针穿刺的有用工具:一项诊断准确性研究
Medicine (Baltimore). 2015 Oct;94(42):e1834. doi: 10.1097/MD.0000000000001834.
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Real-time shear wave elastography may predict autoimmune thyroid disease.实时剪切波弹性成像可能预测自身免疫性甲状腺疾病。
Wien Klin Wochenschr. 2015 May;127(9-10):330-6. doi: 10.1007/s00508-015-0754-2. Epub 2015 Apr 3.
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Acoustic radiation force impulse elastography for differentiation of benign and malignant thyroid nodules with concurrent Hashimoto's thyroiditis.
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J Clin Res Pediatr Endocrinol. 2019 May 28;11(2):132-139. doi: 10.4274/jcrpe.galenos.2018.2018.0137. Epub 2018 Oct 23.
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Quantitative assessment of thyroid gland elasticity with shear-wave elastography in pediatric patients with Hashimoto's thyroiditis.利用剪切波弹性成像技术对桥本甲状腺炎患儿甲状腺弹性进行定量评估。
J Med Ultrason (2001). 2018 Jul;45(3):417-423. doi: 10.1007/s10396-018-0859-0. Epub 2018 Jan 18.
用于鉴别合并桥本甲状腺炎的甲状腺良恶性结节的声辐射力脉冲弹性成像技术
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