Acoustic Structure Quantification Analysis of the Thyroid in Patients with Diffuse Autoimmune Thyroid Disease

• Published in: Ultrasonic imaging Vol. 38; no. 2; pp. 137 - 147
• Main Authors: Zandieh, Shahin, Bernt, Reinhard, Zwerina, Jochen, Haller, Joerg, Knoll, Peter, Seyeddain, Orang, Mirzaei, Siroos
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-03-2016
• Subjects: Acoustics; Adult; Aged; Aged, 80 and over; Assessments; Confidence intervals; Diagnosis, Differential; Diffusion; Female; Graves Disease - diagnostic imaging; Humans; Male; Middle Aged; Optimization; Pathology; Patients; Prospective Studies; Reproducibility of Results; Sensitivity and Specificity; Thyroid Gland - diagnostic imaging; Thyroiditis, Autoimmune - diagnostic imaging; Ultrasonic testing; Ultrasonography, Doppler, Color; Young Adult; autoimmune thyroid disease; tissue characterization; instrumentation; thyroid; ultrasound
• ISSN: 0161-7346; 1096-0910
• DOI: 10.1177/0161734615580766

The aim of this study was to assess whether acoustic structure quantification (ASQ) can differentiate normal from pathological thyroid parenchyma in patients with diffuse autoimmune thyroid disease (AITD). We evaluated 83 subjects (72 [87%] women and 11 [13%] men) aged 19 to 94 years with a mean age of 53 years. We performed a prospective study (from March 2011 to November 2014) that included 43 (52%) patients with chronic autoimmune thyroiditis (CAT), 22 (26%) patients with Graves’ disease (GD), and 18 (22%) healthy volunteers. The ASQ values were significantly lower in normal subjects than in subjects with CAT and GD (p < 0.001). In contrast, the differences between the GD and the CAT patients (p = 0.23) were not statistically significant. The optimal cutoff ASQ value for which the sum of sensitivity and specificity was the highest for the prediction of diffuse thyroid pathology was 103 (95% confidence interval = [0.79, 0.95]). At this cutoff value, the sensitivity was 83% and the specificity was 89%. Our findings suggest that ASQ is a useful method for the assessment of the thyroid in patients with AITD.