Application ARFI-elastography to Assess Stiffness Thyroid Parenchyma in Children, Adolescents and Young Adults
Abstract
Introduction. Thyroid diseases occupy the first place in the overall structure of endocrine diseases in children and adolescents. A problem is the objectification of the results of the subsidiary methods. One of the ways to improve ultrasound techniques - development of elastography. Purpose. Determine the velocity of the shear wave propagation (ARFI-elastography) in the parenchyma of the thyroid in children and adolescents without endocrine pathology. Material and methods. Ultrasound researches of the thyroid gland were made in 195 children and adolescents. Results. For children up to 1.5 years the average value of ARFI was 1.3 m/s (range 0.9-2.3), increasing to 2.3 (1.7-3.6) in people aged 22 years and older. Age dynamics in the shear wave velocity consistent with the morphological changes. Conclusion. Shear wave velocity (ARFI-elastography) can be used as normative. Increasing the speed of the shear wave propagation in older people reflects age-related changes of the thyroid gland parenchyma.
Keywords
щитовидная железа,
дети,
подростки,
молодые взрослые,
эластография,
ARFI,
thyroid,
children,
adolescents,
young adults,
elastography,
ARFI
About the Authors
Vasiliy Mikhaylovoch Delyagin
D. Rogachev Federal Scientific and Clinical Centre of Pediatric Hematology, Oncology and Immunology
Russian Federation
Russian Federation
Elena Vladimirovna Feoktistova
D. Rogachev Federal Scientific and Clinical Centre of Pediatric Hematology, Oncology and Immunology
Russian Federation
Russian Federation
Olga Yurevna Isotova
D. Rogachev Federal Scientific and Clinical Centre of Pediatric Hematology, Oncology and Immunology
Russian Federation
Russian Federation
Altai Urasbagambetov
D. Rogachev Federal Scientific and Clinical Centre of Pediatric Hematology, Oncology and Immunology
Russian Federation
Russian Federation
References
1. Карпин Л.Е., Тимакова М.В., Копылова Г.Ф. и др. Распространенность эндокринной заболеваемости среди школьников по итогам массовых диспансерных осмотров. Детская больница. 2005; 3: 10-12.
2. Духарева О.В. Йододефицитные состояния у детей: контроль и эффективность профилактики: Автореф. дис.. канд. мед. наук. М., 2009. 28 с.
3. Genninson J.-L., Deffieux T., Fink M., Tanter M. Ultrasound elastography: principles and techniques. Diagn. and Intervent. Imaging, 2013; 94: 487-495.
4. Stenzel M., Mentzel H.-J. Ultrasound elastography and contrast-enhanced ultrasound in infants, children and adolescents. Eur. Radiol. 2014; 83 (9): 1560-1569.
5. Coley B. Caffey's Pediatric Diagnostic Imaging. 12th Ed. Elsevier, 2013. 150-163.
6. Allan P., Baxter G., Weston M. Clinical Ultrasound. Third Edition. Elsevier, 2011. 867-889.
7. Феоктистова Е.В., Пыков М.И., Амосова А.А. и др. Применение ARFI-эластографии для оценки жесткости поджелудочной железы у детей. Ультразвук. и функцион. диагн. 2014; 1: 54-62.
8. Zhang F.-J., Han R.-L. The value of acoustic force impulse (ARFI) in the differential diagnosis of thyroid nodules. Eur. J. Radiol. 2013; 82: e686-e690.
9. Cantasani V., Lodiso P., Grazhdani H. et al. Ultrasound elastography in the evalution of thyroid pathology. Current status. Eur. J. Radiol. 2013; http://dx.doi.org/10.1016/j.ejrad.2013.05.008
10. Никишин Д.В. Морфология щитовидной железы: возрастная изменчивость у жителей Пензенского региона: Автореф. дис.. канд. мед. наук. Пенза, 2010. 24 с.
11. Sporea J., Vkad M., Bota S. et al. Bewertung der Schilddrusensteifheitdurch die “Acustic radiation force impulse” elastografie (ARFI). Ultraschall in Med. 2011; 32 (3): 281-285.
12. Goertz R., Amann K., Heide R. et al. An abdominal and thyroid status with acoustic radiation force impulse elastometry - a feasibility study acoustic radiation force impulse elastometry of human organs. Eur. Radiol. 2017; 80 (3): e226-e230.
Review
For citations:
Delyagin V.M., Feoktistova E.V., Isotova O.Yu., Urasbagambetov A. Application ARFI-elastography to Assess Stiffness Thyroid Parenchyma in Children, Adolescents and Young Adults. Medical Visualization. 2014;(5):130-133. (In Russ.)
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