Startseite Clinical correlation of 2D shear wave elastography findings in children with type 1 diabetes mellitus without autoimmune thyroiditis
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Clinical correlation of 2D shear wave elastography findings in children with type 1 diabetes mellitus without autoimmune thyroiditis

  • Hanife Gülden Düzkalır ORCID logo EMAIL logo , Ömer Aydıner ORCID logo , Elif Söbü ORCID logo und Rıdvan Dizman
Veröffentlicht/Copyright: 9. März 2023

Abstract

Objectives

The aim of study was to evaluate the 2D shear wave sonoelastography (SWE) findings of the thyroid gland in children with type 1 diabetes mellitus (T1DM) with normal gray-scale findings and without thyroid autoimmunity (AIT) and obtain data that will be useful for the early detection of glandular involvement.

Methods

The study included 46 T1DM patients (mean age: 11.28 ± 3.3 years) and 46 healthy children (mean age: 12.01 ± 3.8 years) as the control group. The thyroid gland mean elasticity value was obtained as kPa and compared in groups. A correlation was investigated between elasticity values and age at diabetes, serum free T4, thyroid stimulating hormone (TSH), anti-thyroglobulin, anti-tissue peroxidase, and hemoglobin A1c values.

Results

No difference was found between T1DM patients and the control group in the thyroid 2D SWE evaluation (the median kPa value: 17.1 (10.2) in the study group and 16.8 (7.0) in the control group) (p=0.15). No significant correlation was found between 2D SWE kPa values and age at diagnosis, serum free T4, TSH, anti-thyroglobulin, anti-tissue peroxidase, and hemoglobin A1c levels in T1DM patients.

Conclusions

Our study showed that the elasticity of the thyroid gland in T1DM patients without AIT was not affected differently from that of the normal population. If 2D SWE is used in routine follow-up in T1DM patients before the development of AIT, we think that it will be useful in the early detection of thyroid gland affections and AIT, and long-term comprehensive studies in this direction will contribute to the literature.


Corresponding author: Hanife Gülden Düzkalır, Department of Radiology, Kartal Dr. Lütfi Kırdar City Hospital, Şemsi Denizer Cad. E-5 Karayolu Cevizli Mevkii 34890 Kartal- İstanbul, Istanbul, Türkiye, Phone: +90(216)4583000, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Conflicts of interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: This article does not contain any studies with human participants or animals performed by any of the authors. This study was approved by the local medical Ethical Committee, and all data was processed anonymously, according to the privacy legislation.

References

1. Atkinson, MA, Eisenbarth, GS, Michels, AW. Type 1 diabetes. Lancet 2014;383:69–82. https://doi.org/10.1016/S0140-6736(13)60591-7.Suche in Google Scholar PubMed PubMed Central

2. Lu, MC, Chang, SC, Huang, KY, Koo, M, Lai, NS. Higher risk of thyroid disorders in young patients with type 1 diabetes: a 12-year nationwide, population-based, retrospective cohort study. PLoS One 2016;11:e0152168. https://doi.org/10.1371/journal.pone.0152168.Suche in Google Scholar PubMed PubMed Central

3. Ridha, MF, Al Zubaidi, MA. Thyroid auto immune antibodies in children with Type-I Diabetes mellitus in relation to diabetes control. Pakistan J Med Sci 2019;35:969–73. https://doi.org/10.12669/pjms.35.4.192.Suche in Google Scholar PubMed PubMed Central

4. Severinski, S, Banac, S, Severinski, NS, Ahel, V, Cvijović, K. Epidemiology and clinical characteristics of thyroid dysfunction in children and adolescents with type 1 diabetes. Coll Antropol 2009;33:273–9.Suche in Google Scholar

5. Huber, A, Menconi, F, Corathers, S, Jacobson, EM, Tomer, Y. Joint genetic susceptibility to type 1 diabetes and autoimmune thyroiditis: from epidemiology to mechanisms. Endocr Rev 2008;29:697–725. https://doi.org/10.1210/er.2008-0015.Suche in Google Scholar PubMed PubMed Central

6. Kahles, H, Fain, PR, Baker, P, Eisenbarth, G, Badenhoop, K. Genetics of autoimmune thyroiditis in type 1 diabetes reveals a novel association with DPB1*0201: data from the type 1 diabetes genetics consortium. Diabetes Care 2015;38:S21–8. https://doi.org/10.2337/dcs15-2005.Suche in Google Scholar PubMed PubMed Central

7. Tomer, Y, Menconi, F. Type 1 diabetes and autoimmune thyroiditis: the genetic connection. Thyroid 2009;19:99–102. https://doi.org/10.1089/thy.2008.1565.Suche in Google Scholar PubMed PubMed Central

8. Muller, M, Gennisson, JL, Deffieux, T, Tanter, M, Fink, M. Quantitative viscoelasticity mapping of human liver using supersonic shear imaging: preliminary in vivo feasibility study. Ultrasound Med Biol 2009;35:219–29. https://doi.org/10.1016/j.ultrasmedbio.2008.08.018.Suche in Google Scholar PubMed

9. Schwimmer, JB, Behling, C, Angeles, JE, Paiz, M, Durelle, J, Africa, J, et al.. Magnetic resonance elastography measured shear stiffness as a biomarker of fibrosis in pediatric nonalcoholic fatty liver disease. Hepatology 2017;66:1474–85. https://doi.org/10.1002/hep.29241.Suche in Google Scholar PubMed PubMed Central

10. Marginean, CO, Marginean, C. Elastographic assessment of liver fibrosis in children: a prospective single center experience. Eur J Radiol 2012;81:e870–4. https://doi.org/10.1016/j.ejrad.2012.04.014.Suche in Google Scholar PubMed

11. Garcovich, M, Veraldi, S, Di Stasio, E, Zocco, MA, Monti, L, Toma, P, et al.. Liver stiffness in pediatric patients with fatty liver disease: diagnostic accuracy and reproducibility of shear-wave elastography. Radiology 2017;283:820–7. https://doi.org/10.1148/radiol.2016161002.Suche in Google Scholar PubMed

12. Mandelia, C, Kabbany, MN, Worley, S, Selvakumar, PKC. Performance characteristics, intra-and inter-operator agreement of transient elastography in pediatric nonalcoholic fatty liver disease. J Pediatr Gastroenterol Nutr 2021;72:430–5. https://doi.org/10.1097/MPG.0000000000002991.Suche in Google Scholar PubMed

13. Mauldin, FWJr, Zhu, HT, Behler, RH, Nichols, TC, Gallippi, CM. Robust principal component analysis and clustering methods for automated classification of tissue response to ARFI excitation. Ultrasound Med Biol 2008;34:309–25. https://doi.org/10.1016/j.ultrasmedbio.2007.07.019.Suche in Google Scholar PubMed PubMed Central

14. Boursier, J, Isselin, G, Fouchard-Hubert, I, Oberti, F, Dib, N, Lebigot, J, et al.. Acoustic radiation force impulse: a new ultrasonographic technology for the widespread noninvasive diagnosis of liver fibrosis. Eur J Gastroenterol Hepatol 2010;22:1074–84. https://doi.org/10.1097/MEG.0b013e328339e0a1.Suche in Google Scholar PubMed

15. Jeong, JY, Kim, TY, Sohn, JH, Kim, Y, Jeong, W, Oh, Y, et al.. Real time shear wave elastography in chronic liver diseases: accuracy for predicting liver fibrosis, in comparison with serum markers. World J Gastroenterol 2014;20:13920–9. https://doi.org/10.3748/wjg.v20.i38.13920.Suche in Google Scholar PubMed PubMed Central

16. Ferraioli, G, Tinelli, C, Zicchetti, M, Above, E, Poma, G, Di Gregorio, M, et al.. Reproducibility of real-time shear wave elastography in the evaluation of liver elasticity. Eur J Radiol 2012;81:3102–6. https://doi.org/10.1016/j.ejrad.2012.05.030.Suche in Google Scholar PubMed

17. Honda, Y, Yoneda, M, Imajo, K, Nakajima, A. Elastography techniques for the assessment of liver fibrosis in non-alcoholic fatty liver disease. Int J Mol Sci. 2020;21:4039. https://doi.org/10.3390/ijms21114039.Suche in Google Scholar PubMed PubMed Central

18. Bercoff, J, Tanter, M, Fink, M. Supersonic shear imaging: a new technique for soft tissue elasticity mapping. IEEE Trans Ultrason Ferroelectrics Freq Control. 2004;51:396–409. https://doi.org/10.1109/tuffc.2004.1295425. [Published correction appears in IEEE Trans Ultrason Ferroelectr Freq Control. 2020;677:1492-4].Suche in Google Scholar PubMed

19. Bavu, E, Gennisson, JL, Couade, M, Bercoff, J, Mallet, V, Fink, M, et al.. Noninvasive in vivo liver fibrosis evaluation using supersonic shear imaging: a clinical study on 113 hepatitis C virus patients. Ultrasound Med Biol 2011;37:1361–73. https://doi.org/10.1016/j.ultrasmedbio.2011.05.016.Suche in Google Scholar PubMed

20. Cassinotto, C, Boursier, J, de Lédinghen, V, Lebigot, J, Lapuyade, B, Cales, P, et al.. Liver stiffness in nonalcoholic fatty liver disease: a comparison of supersonic shear imaging, FibroScan, and ARFI with liver biopsy. Hepatology 2016;63:1817–27. https://doi.org/10.1002/hep.28394.Suche in Google Scholar PubMed

21. Mäkimattila, S, Harjutsalo, V, Forsblom, C, Groop, PH, FinnDiane Study Group. Every fifth individual with type 1 diabetes suffers from an additional autoimmune disease: a Finnish nationwide study. Diabetes Care 2020;43:1041–7. https://doi.org/10.2337/dc19-2429.Suche in Google Scholar PubMed

22. Kim, I, Kim, EK, Yoon, JH, Han, KH, Son, EJ, Moon, HJ, et al.. Diagnostic role of conventional ultrasonography and shearwave elastography in asymptomatic patients with diffuse thyroid disease: initial experience with 57 patients. Yonsei Med J 2014;55:247–53. https://doi.org/10.3349/ymj.2014.55.1.247. [Published correction appears in Yonsei Med J. 2014 Mar;55(2):548].Suche in Google Scholar PubMed PubMed Central

23. Vlad, M, Golu, I, Bota, S, Vlad, A, Timar, B, Timar, R, et al.. Real-time shear wave elastography may predict autoimmune thyroid disease. Wien Klin Wochenschr 2015;127:330–6. https://doi.org/10.1007/s00508-015-0754-2.Suche in Google Scholar PubMed

24. Magri, F, Chytiris, S, Capelli, V, Alessi, S, Nalon, E, Rotondi, M, et al.. Shear wave elastography in the diagnosis of thyroid nodules: feasibility in the case of coexistent chronic autoimmune Hashimoto’s thyroiditis. Clin Endocrinol 2012;76:137–41. https://doi.org/10.1111/j.1365-2265.2011.04170.x.Suche in Google Scholar PubMed

25. Sağlam, D, Bilgici, MC, Kara, C, Can Yilmaz, G, Sayit, AT. Does type 1 diabetes mellitus affect the shear wave velocity of the thyroid gland of children without autoimmune thyroiditis? Ultrasound Q 2017;33:225–8. https://doi.org/10.1097/RUQ.0000000000000301.Suche in Google Scholar PubMed

26. Fukuhara, T, Matsuda, E, Izawa, S, Fujiwara, K, Kitano, H. Utility of shear wave elastography for diagnosing chronic autoimmune thyroiditis. J Thyroid Res 2015;2015:164548. https://doi.org/10.1155/2015/164548.Suche in Google Scholar PubMed PubMed Central

27. Sporea, I, Vlad, M, Bota, S, Sirli, R, Popescu, A, Danila, M, et al.. Thyroid stiffness assessment by acoustic radiation force impulse elastography (ARFI). Ultraschall der Med 2011;32:281–5. https://doi.org/10.1055/s-0029-1246048.Suche in Google Scholar PubMed

28. Kandemirli, SG, Bayramoglu, Z, Caliskan, E, Sari, ZNA, Adaletli, I. Quantitative assessment of thyroid gland elasticity with shear-wave elastography in pediatric patients with Hashimoto’s thyroiditis. J Med Ultrason 2018;45:417–23. https://doi.org/10.1007/s10396-018-0859-0.Suche in Google Scholar PubMed

29. Caturegli, P, De Remigis, A, Rose, NR. Hashimoto thyroiditis: clinical and diagnostic criteria. Autoimmun Rev 2014;13:391–7. https://doi.org/10.1016/j.autrev.2014.01.007.Suche in Google Scholar PubMed

30. Pandit, AA, Warde, MV, Menon, PS. Correlation of number of intrathyroid lymphocytes with antimicrosomal antibody titer in Hashimoto’s thyroiditis. Diagn Cytopathol 2003;28:63–5. https://doi.org/10.1002/dc.10235.Suche in Google Scholar PubMed

31. Bhattacharjee, R, Thukral, A, Chakraborty, PP, Roy, A, Goswami, S, Ghosh, S, et al.. Effects of thyroid status on glycated hemoglobin. Indian J Endocrinol Metab 2017;21:26–30. https://doi.org/10.4103/2230-8210.196017.Suche in Google Scholar PubMed PubMed Central

32. Korzeniowska, K, Ramotowska, A, Szypowska, A, Szadkowska, A, Fendler, W, Kalina-Faska, B, et al.. How does autoimmune thyroiditis in children with type 1 diabetes mellitus influence glycemic control, lipid profile and thyroid volume? J Pediatr Endocrinol Metab 2015;28:275–8. https://doi.org/10.1515/jpem-2013-0455.Suche in Google Scholar PubMed

33. Mohn, A, Di Michele, S, Di Luzio, R, Tumini, S, Chiarelli, F. The effect of subclinical hypothyroidism on metabolic control in children and adolescents with Type 1 diabetes mellitus. Diabet Med 2002;19:70–3. https://doi.org/10.1046/j.1464-5491.2002.00635.x.Suche in Google Scholar PubMed

34. Ogarek, N, Mrówka, A, Jarosz-Chobot, P. Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents?. Choroby tarczycy – wróg czy przyjaciel cukrzycy typu 1 u dzieci i młodzieży? Pediatr Endocrinol Diabetes Metab 2021;27:117–22. https://doi.org/10.5114/pedm.2020.101809.Suche in Google Scholar PubMed

35. Jonsdottir, B, Andersson, C, Carlsson, A, Delli, A, Forsander, G, Ludvigsson, J, et al.. Thyroid autoimmunity in relation to islet autoantibodies and HLA-DQ genotype in newly diagnosed type 1 diabetes in children and adolescents. Diabetologia 2013;56:1735–42. https://doi.org/10.1007/s00125-013-2934-9.Suche in Google Scholar PubMed

36. Ghawil, M, Tonutti, E, Abusrewil, S, Visentini, D, Hadeed, I, Miotti, V, et al.. Autoimmune thyroid disease in Libyan children and young adults with type 1 diabetes mellitus. Eur J Pediatr 2011;170:983–7. https://doi.org/10.1007/s00431-010-1386-1.Suche in Google Scholar PubMed

37. Triolo, TM, Armstrong, TK, McFann, K, Yu, L, Rewers, MJ, Klingensmith, GJ, et al.. Additional autoimmune disease found in 33% of patients at type 1 diabetes onset. Diabetes Care 2011;34:1211–3. https://doi.org/10.2337/dc10-1756.Suche in Google Scholar PubMed PubMed Central

38. Kordonouri, O, Klinghammer, A, Lang, EB, Grüters-Kieslich, A, Grabert, M, Holl, RW. Thyroid autoimmunity in children and adolescents with type 1 diabetes: a multicenter survey. Diabetes Care 2002;25:1346–50. https://doi.org/10.2337/diacare.25.8.1346.Suche in Google Scholar PubMed

39. Piątkowska, E, Szalecki, M. Autoimmune thyroiditis in children and adolescents with type 1 diabetes. Pediatr Endocrinol Diabetes Metab 2011;17:173–7.Suche in Google Scholar

40. Riquetto, ADC, de Noronha, RM, Matsuo, EM, Ishida, EJ, Vaidergorn, RE, Soares Filho, MD, et al.. Thyroid function and autoimmunity in children and adolescents with type 1 diabetes mellitus. Diabetes Res Clin Pract 2015;110:e9–11. https://doi.org/10.1016/j.diabres.2015.07.003.Suche in Google Scholar PubMed

41. Mitrou, P, Raptis, SA, Dimitriadis, G. Insulin action in hyperthyroidism: a focus on muscle and adipose tissue. Endocr Rev 2010;31:663–79. https://doi.org/10.1210/er.2009-0046.Suche in Google Scholar PubMed

42. Chase, HP, Garg, SK, Cockerham, RS, Wilcox, WD, Walravens, PA. Thyroid hormone replacement and growth of children with subclinical hypothyroidism and diabetes. Diabet Med 1990;7:299–303. https://doi.org/10.1111/j.1464-5491.1990.tb01393.x.Suche in Google Scholar PubMed

43. Dost, A, Rohrer, TR, Fröhlich-Reiterer, E, Bollow, E, Karges, B, Bockmann, A, et al.. Hyperthyroidism in 276 children and adolescents with type 1 diabetes from ger-many and Austria. Horm Res Paediatr 2015;84:190–8. https://doi.org/10.1159/000436964.Suche in Google Scholar PubMed

44. Araszkiewicz, A, Bandurska-Stankiewicz, E, Budzyński, A, Cypryk, K, Czech, A, Czupryniak, L, et al.. Guidelines on the management of diabetic patients. A position of diabetes Poland. Clin Diabetol 2020;9:41.Suche in Google Scholar

45. European Association for Study of Liver; Asociacion Latinoamericana para el Estudio del Higado. EASL-ALEH clinical practice guidelines: non-invasive tests for evaluation of liver disease severity and prognosis. J Hepatol 2015;63:237–64. https://doi.org/10.1016/j.jhep.2015.04.006.Suche in Google Scholar PubMed

46. Ferraioli, G, Filice, C, Castera, L, Choi, BI, Sporea, I, Wilson, SR, et al.. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 3: liver. Ultrasound Med Biol 2015;41:1161–79. https://doi.org/10.1016/j.ultrasmedbio.2015.03.007.Suche in Google Scholar PubMed

47. Barr, RG, Ferraioli, G, Palmeri, ML, Goodman, ZD, Garcia-Tsao, G, Rubin, J, et al.. Elastography assessment of liver fibrosis: society of radiologists in ultrasound consensus conference statement. Radiology 2015;276:845–61. https://doi.org/10.1148/radiol.2015150619.Suche in Google Scholar PubMed

Received: 2023-01-12
Accepted: 2023-02-20
Published Online: 2023-03-09
Published in Print: 2023-04-25

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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  4. Subclinical hyperthyroidism in children
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