European Journal of Molecular & Clinical Medicine

Abstract

Aim and objective:The aim of the study was to evaluate of Parenchymal Thyroid Diseases with multi-parametric Ultrasonography.
Material andMethods: This study was conducted in the Department of Radiology at Maharishi markandeshwar institute of medical sciences and research Mullana, India, for the period of 1 year. Patientsweredivided into five groups such as group I (normal); group II had first detected, early untreated Hashimoto disease(EH);groupIII comprised of chronic Hashimoto patients that are under treatment and/or follow up (H); group IV had multinodular parenchymal hyperplasia (M); and group V had nodular hyperplasia with Hashimoto (HM). They underwent spectral Doppler ultrasound and acousticradiationforce impulse. Quantitative spectral doppler parameterssuch as resistivity index (RI), acceleration time (AT) and quantitative elastography such as shear wave velocity (SWV) was recorded.
Results: Out of 250, 60% were male and 40% female most of the patients between 30-40 years 42% and followed by 40-50 years was 32% shows in Table1. The Distribution of patients based on diseases and each group had 50 patients show in table 2.The mean RI in group I was 0.59, in group II was 0.62, in group III was 0.47, in group IV was 0.53 and in group V was 0.55 mean AT in group I was 27.9, in group II was 26.8, in group III was 71.5, in group IV was 47.8 and in group V was 46.5, mean SWV in group I was 1.53, in group II was 1.72, in group III was 1.22, in group IV was 1.46 and in group V was 1.71. The difference was significant (p< 0.05).
Conclusion: we concluded that the resistivity index, acceleration time and shear wave velocity together are reliable for differential diagnosis of parenchymal thyroid diseases.