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RESULTS The mean thyroid SWE measurement values of HT group were significantly higher than the asymptomatic group (p less then 0.001). This study proposes 29.45 kPa or 2.77 m/s as a sensitive-spesific cut-off value for HT. We revealed significant positive association between SWE values and TgAb levels, gland volume, TgAb, TPOAb levels, and a significant negative association between SWE and echogenicity (p less then 0.001). CONCLUSION In the assessment of HT, SWE is a highly sensitive imaging method to estimate the degree of fibrosis