Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis

Chronic autoimmune thyroiditis (CAT) is the most common thyroid disorder in the pediatric population. Ultrasound evaluation may suggest the diagnosis. Additionally, shear-wave elastography (SWE) proved to be a valuable additional diagnosis tool in adults with CAT by assessing thyroid stiffness (TS)....

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Main Authors: Cristina Mihaela Cepeha, Corina Paul, Andreea Borlea, Renata Fofiu, Florin Borcan, Cristina Adriana Dehelean, Viviana Ivan, Dana Stoian
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/2/248
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author Cristina Mihaela Cepeha
Corina Paul
Andreea Borlea
Renata Fofiu
Florin Borcan
Cristina Adriana Dehelean
Viviana Ivan
Dana Stoian
author_facet Cristina Mihaela Cepeha
Corina Paul
Andreea Borlea
Renata Fofiu
Florin Borcan
Cristina Adriana Dehelean
Viviana Ivan
Dana Stoian
author_sort Cristina Mihaela Cepeha
collection DOAJ
description Chronic autoimmune thyroiditis (CAT) is the most common thyroid disorder in the pediatric population. Ultrasound evaluation may suggest the diagnosis. Additionally, shear-wave elastography (SWE) proved to be a valuable additional diagnosis tool in adults with CAT by assessing thyroid stiffness (TS). This study aims to assess its use also in detecting children with CAT. The study group consisted of 50 children with confirmed diagnosis of CAT, who were compared to the control group, consisting of 50 children with no thyroid pathology and with an adult group of 50 subjects with CAT. The evaluation included, besides bioimmunochemical evaluation, also thyroid ultrasound evaluation and elastography measurements in the same session (Aixplorer Mach 30, Supersonic imagine, France). The mean TS values were significantly lower for children in the CAT group compared to adults with CAT (15.51 ± 4.76 kPa vs. 20.96 ± 6.31 kPa; <i>p</i> < 0.0001) and higher compared to the healthy aged matched controls (15.51 ± 4.76 kPa vs. 10.41 ± 2.01 kPa; <i>p</i> < 0.0001). SWE elastography definitely seems a promising technique in the evaluation of children with autoimmune thyroid pathology.
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spelling doaj.art-285018a5628446f189eee992c08c24ac2023-12-03T12:32:49ZengMDPI AGDiagnostics2075-44182021-02-0111224810.3390/diagnostics11020248Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune ThyroiditisCristina Mihaela Cepeha0Corina Paul1Andreea Borlea2Renata Fofiu3Florin Borcan4Cristina Adriana Dehelean5Viviana Ivan6Dana Stoian7PhD School Department, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of Pediatrics, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaPhD School Department, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaPhD School Department, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaFaculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaFaculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of Internal Medicine II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of Internal Medicine II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaChronic autoimmune thyroiditis (CAT) is the most common thyroid disorder in the pediatric population. Ultrasound evaluation may suggest the diagnosis. Additionally, shear-wave elastography (SWE) proved to be a valuable additional diagnosis tool in adults with CAT by assessing thyroid stiffness (TS). This study aims to assess its use also in detecting children with CAT. The study group consisted of 50 children with confirmed diagnosis of CAT, who were compared to the control group, consisting of 50 children with no thyroid pathology and with an adult group of 50 subjects with CAT. The evaluation included, besides bioimmunochemical evaluation, also thyroid ultrasound evaluation and elastography measurements in the same session (Aixplorer Mach 30, Supersonic imagine, France). The mean TS values were significantly lower for children in the CAT group compared to adults with CAT (15.51 ± 4.76 kPa vs. 20.96 ± 6.31 kPa; <i>p</i> < 0.0001) and higher compared to the healthy aged matched controls (15.51 ± 4.76 kPa vs. 10.41 ± 2.01 kPa; <i>p</i> < 0.0001). SWE elastography definitely seems a promising technique in the evaluation of children with autoimmune thyroid pathology.https://www.mdpi.com/2075-4418/11/2/248elastographythyroiditisthyroid stiffness
spellingShingle Cristina Mihaela Cepeha
Corina Paul
Andreea Borlea
Renata Fofiu
Florin Borcan
Cristina Adriana Dehelean
Viviana Ivan
Dana Stoian
Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis
Diagnostics
elastography
thyroiditis
thyroid stiffness
title Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis
title_full Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis
title_fullStr Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis
title_full_unstemmed Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis
title_short Shear-Wave Elastography—Diagnostic Value in Children with Chronic Autoimmune Thyroiditis
title_sort shear wave elastography diagnostic value in children with chronic autoimmune thyroiditis
topic elastography
thyroiditis
thyroid stiffness
url https://www.mdpi.com/2075-4418/11/2/248
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