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甲状腺功能亢进猫的甲状腺闪烁造影体积计算

Scintigraphic thyroid volume calculation in hyperthyroid cats.

作者信息

Volckaert Veerle, Vandermeulen Eva, Saunders Jimmy H, Combes Anaïs, Duchateau Luc, Peremans Kathelijne

机构信息

Ghent University, Faculty of Veterinary Medicine, Merelbeke, Belgium.

出版信息

J Feline Med Surg. 2012 Dec;14(12):889-94. doi: 10.1177/1098612X12458427. Epub 2012 Aug 22.

Abstract

A successful, euthyroid outcome after radioiodine therapy in hyperthyroid cats ranges from 83% to 95%. Thyroid volume has been reported as one of the factors influencing radioiodine therapy outcome in man and cats. The goal of this study was to describe the most reliable and practically applicable formula to determine thyroid volume using scintigraphy. The volume of each thyroid lobe of 32 hyperthyroid cats was determined by ultrasound and scintigraphy. The ultrasonographically determined volume (ellipsoid formula) for each thyroid lobe was compared with the scintigraphic volume that was calculated using eight different formulas: F1 [(π/6) × L × H × W], F2 [(π /2) × L × W(2)], F3 [0.33 × (area cm(2))(3/2)], F4 [1.08 × (π /6) × L × W(2)], F5 (area × H), F6 (0.27 × area × L), F7 (π × L × W(2)) and F8 [π × (4/3) × W(3)]. F1, F3, F4 and F6 did not differ statistically from the volumes measured on ultrasound, while F2, F5, F7 and F8 did. Subjective shape assessment of the thyroid lobes, assigned as cylindrical or spherical, and the use of corresponding formulas, did not appear to be useful.

摘要

甲亢猫经放射性碘治疗后成功实现甲状腺功能正常的比例在83%至95%之间。甲状腺体积已被报道为影响人和猫放射性碘治疗效果的因素之一。本研究的目的是描述使用闪烁扫描法测定甲状腺体积的最可靠且实际可行的公式。通过超声和闪烁扫描法测定了32只甲亢猫每个甲状腺叶的体积。将超声测定的每个甲状腺叶的体积(椭圆体公式)与使用八个不同公式计算出的闪烁扫描体积进行比较:F1[(π/6)×长×高×宽]、F2[(π/2)×长×宽²]、F3[0.33×(平方厘米面积)³/²]、F4[1.08×(π/6)×长×宽²]、F5(面积×高)、F6(0.27×面积×长)、F7(π×长×宽²)和F8[π×(4/3)×宽³]。F1、F3、F4和F6与超声测量的体积在统计学上无差异,而F2、F5、F7和F8则有差异。对甲状腺叶进行主观形状评估(分为圆柱形或球形)并使用相应公式,似乎并无用处。

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