usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494RDS-Media Ltd.10.24835/1607-0771-397usfd-397Research ArticleУльтразвуковая диагностика заболеваний внутренних органовGeneral UltrasoundКомпрессионная эластография в диагностике постлучевого гипотиреоза: современное состояние вопросаStrain elastography in the diagnosis of radiation-induced hypothyroidism: current state of the arthttps://orcid.org/0000-0002-0234-5059АндрееваО. В.AndreevaO. V.

Андреева Ольга Валериевна – канд. мед. наук, доцент, доцент кафедры онкологии ФГБОУ ВО “Воронежский государственный медицинский университет имени Н.Н. Бурденко” Минздрава России, Воронежhttp://orcid.org/0000-0002-0234-5059E-mail: olga.andreeva-doc@yandex.ru

Olga V. Andreeva – MD, PhD (Med.), Associate Professor, Associate Professor of the Department of Oncology, Voronezh State Medical University named after N.N. Burdenko, Voronezhhttp://orcid.org/0000-0002-0234-5059E-mail: olga.andreeva-doc@yandex.ru

olga.andreeva-doc@yandex.ruhttps://orcid.org/0000-0003-1333-5638МошуровИ. П.MoshurovI. P.

Мошуров Иван Петрович – доктор мед. наук, профессор, ректор ФГБОУ ВО “Воронежский государственный медицинский университет имени Н.Н. Бурденко” Минздрава России, Воронежhttp://orcid.org/0000-0003-1333-5638E-mail: oncology@vrngmu.ru

Ivan P. Moshurov – MD, Doct. of Sci. (Med.),  Rector of the Voronezh State Medical University named after N.N. Burdenko, Voronezhhttp://orcid.org/0000-0003-1333-5638E-mail: oncology@vrngmu.ru

oncology@vrngmu.ruhttps://orcid.org/0000-0002-9017-9432ВетшеваН. Н.VetshevaN. N.

Ветшева Наталья Николаевна – доктор мед. наук, профессор кафедры ультразвуковой диагностики ФГАОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Минздрава России, Москваhttp://orcid.org/0000-0002-9017-9432

Natalya N. Vetsheva – MD, Doct. of Sci. (Med.), Professor at the Department of Ultrasound Diagnostics, Russian Medical Academy of Continuous Professional Education, Moscowhttp://orcid.org/0000-0002-9017-9432

n.vetsheva@mail.ruhttps://orcid.org/0000-0003-4503-950XФисенкоЕ. П.FisenkoE. P.

Фисенко Елена Полиектовна – доктор мед. наук, главный научный сотрудник лаборатории ультразвуковой диагностики отдела клинической физиологии, инструментальной и лучевой диагностики ФГБНУ “Российский научный центр хирургии имени академика Б.В. Петровского”, Москваhttps://orcid.org/0000-0003-4503-950ХScopus Author ID 6507536162

Elena P. Fisenko – MD, Doct. of Sci. (Med.), Chief Researcher, Ultrasound Diagnostics Department, Petrovsky Russian Research Center of Surgery, Moscowhttps://orcid.org/0000-0003-4503-950ХScopus Author ID 6507536162E-mail: e.fissenko@mail.ru

e.fissenko@mail.ruФГБОУ ВО “Воронежский государственный медицинский университет имени Н.Н. Бурденко” Минздрава России, ВоронежРоссияVoronezh State Medical Academy named after N.N. Burdenko, VoronezhRussian FederationФГАОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Минздрава России, МоскваРоссияRussian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, MoscowRussian FederationФГБНУ “Российский научный центр хирургии имени академика Б.В. Петровского”, МоскваРоссияPetrovsky Russian Research Center of Surgery, MoscowRussian Federation2026240920263232735Copyright © Андреева О.В., Мошуров И.П., Ветшева Н.Н., Фисенко Е.П., 20262026Андреева О.В., Мошуров И.П., Ветшева Н.Н., Фисенко Е.П.Andreeva O.V., Moshurov I.P., Vetsheva N.N., Fisenko E.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.rdsmedia.ru/jour/article/view/397

Представлен обзор применения эластографии в диагностике различных заболеваний щитовидной железы. Обсуждаются возможности и ограничения компрессионной соноэластографии (КСЭГ) как дополнительного неинвазивного метода в дифференциации доброкачественных и злокачественных узловых образований; подчеркивается, что изолированное применение КСЭГ без количественных параметров эластографии сдвиговой волной имеет существенные ограничения вследствие высокой аппаратной и операторской зависимости метода. Освещены возможности КСЭГ в диагностике постлучевого гипотиреоза. Рассматривается необходимость проведения научных работ по интеграции эластографических методов для динамического наблюдения за пациентами после радиотерапии злокачественных новообразований головы и шеи, местнораспространенного рака молочной железы.

This review addresses the role of elastography in the diagnosis of thyroid diseases, with a focus on strain elastography (SE) as a complementary non‑invasive tool for differentiating benign and malignant thyroid nodules. The study evaluates the diagnostic capabilities and inherent limitations of SE, particularly emphasizing that its isolated application—without integration of quantitative parameters of shear wave elastography (SWE)—is constrained by high equipment‑ and operator‑dependency. Additionally, the paper highlights the utility of SE in assessing radiation‑induced hypothyroidism. The authors underscore the need for further scientific research to integrate elastography into the dynamic follow‑up of patients who have undergone radiation therapy for head and neck malignancies and locally advanced breast cancer.

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The authors declare that there are no conflicts of interest present.