Simple new technique for sonographic measurement of the thyroid in neonates and small children

Authors

  • Mayumi Yasumoto MD,

    Corresponding author
    1. Department of Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
    • Department of Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
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  • Hideaki Inoue MD,

    1. Department of Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
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  • Isamu Ohashi MD,

    1. Department of Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
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  • Hitoshi Shibuya MD,

    1. Department of Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
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  • Toshikazu Onishi MD

    1. Department of Pediatrics, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
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Abstract

Purpose

The aim of this study was to determine whether the ratio of the thyroid width (Th) to the trachea width (Tr) is a useful technique for sonographic estimation of thyroid size in neonates and small children.

Methods

We prospectively performed sonographic examination of the thyroid gland in 30 pediatric subjects ranging in age from 1 week to 12 years. The sum of the maximum width of the left thyroid lobe and the maximum width of the right lobe was considered the Th. Each subject's thyroid was classified as small, normal sized, or large on the basis of the Th value in reference to the subject's body height. The ratios of the Th to the Tr were then calculated and compared among the 3 groups by 1-way analysis of variance. Correlation and regression analyses were performed to determine the correlation between body height and Tr. A p value of less than 0.05 was considered significant.

Results

The mean Th/Tr ratios (± standard deviations) for the 3 groups were as follows: small, 1.25 ± 0.19; normal sized, 2.09 ± 0.19; and large, 4.10 ± 2.42. The difference in the Th/Tr ratios between the 3 groups was statistically significant (p < 0.0001). A significant positive correlation was found between Tr and body height (p < 0.001; r = 0.85).

Conclusions

The Th/Tr ratio is a simple, practical parameter for estimating the size of the thyroid gland in neonates and small children. © 2004 Wiley Periodicals, Inc. J Clin Ultrasound 32:82–85, 2004

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