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应用超微血流显像技术评估健康儿童甲状腺血流灌注及其与潜在因素的关系。

Assessment of thyroid gland vascularity with superb microvascular imaging in healthy children and its relationship with potential factors.

机构信息

Selcuk University Faculty of Medicine, Department of Radiology, Division of Pediatric Radiology, Alaeddin Keykubat Yerleşkesi, Akademi Mah, Konya, Turkey.

Faculty of Medicine, Department of Radiology, Sutçu Imam University, Kahramanmaraş, Turkey.

出版信息

J Pediatr Endocrinol Metab. 2020 Sep 25;33(9):1139-1145. doi: 10.1515/jpem-2020-0224.

Abstract

Objectives To define thyroid gland vascularity index (VI) values in healthy children with the superb microvascular imaging (SMI) method and to assess whether or not there is a correlation with potential factors that may affect these values. Methods This prospective study included a total of 138 children, their ages varying from 3-17 years. Cases were divided into three subgroups according to age: 3-6, 7-12 and 13-17 years. Gender, age, height, weight, body mass index (BMI), thyroid-stimulating hormone (TSH) and free thyroxine (fT4) values were recorded. Volume and SMI measurements were performed with a 14 L5 mHz linear transducer. VI measurements were performed in the transverse and longitudinal planes and correlation with basic descriptive data was researched. Results Mean age was 11.14 ± 3.34 years and BMI was 19.95 ± 4.92. VI values were 4.59 ± 2.34 in the right lobe and 4.23 ± 2.73 for the left lobe, with no significant difference identified. There were no significant differences in mean VI for all parenchyma regarding gender and age groups. While there was no correlation identified with mean VI for all parenchyma with TSH and fT4, there was, however, a negative correlation with BMI. Conclusions Reference VI values for normal thyroid glands in healthy children and adolescents were defined with the SMI method. There was no correlation between the VI values and age, gender, volume, TSH and fT4 values, while there was a negative significant correlation with BMI.

摘要

目的

利用 superb microvascular imaging(SMI)方法定义健康儿童甲状腺血管指数(VI)值,并评估其是否与可能影响这些值的潜在因素相关。

方法

本前瞻性研究共纳入 138 例年龄 3-17 岁的儿童。根据年龄将病例分为三组:3-6 岁、7-12 岁和 13-17 岁。记录性别、年龄、身高、体重、体质量指数(BMI)、促甲状腺激素(TSH)和游离甲状腺素(fT4)值。使用 14L5MHz 线性探头进行容积和 SMI 测量。在横切和纵切面上进行 VI 测量,并研究与基本描述性数据的相关性。

结果

平均年龄为 11.14±3.34 岁,BMI 为 19.95±4.92。右侧叶 VI 值为 4.59±2.34,左侧叶为 4.23±2.73,无显著差异。根据性别和年龄组,所有实质的平均 VI 无显著差异。虽然所有实质的平均 VI 与 TSH 和 fT4 无相关性,但与 BMI 呈负相关。

结论

利用 SMI 方法为健康儿童和青少年正常甲状腺定义了参考 VI 值。VI 值与年龄、性别、体积、TSH 和 fT4 值之间无相关性,与 BMI 呈负显著相关。

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