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双源 CT 测量的碘浓度和含量与甲状腺功能正常患者的甲状腺激素水平相关:中国的一项横断面研究。

Iodine concentration and content measured by dual-source computed tomography are correlated to thyroid hormone levels in euthyroid patients: a cross-sectional study in China.

机构信息

Department of Radiology, Jining No.1 People's Hospital, Jining, 272000, China.

出版信息

BMC Med Imaging. 2020 Jan 31;20(1):10. doi: 10.1186/s12880-020-0411-8.

Abstract

BACKGROUND

The aim of this study was to investigate the correlation of the dual energy CT measured iodine concentration and total iodine content with blood measured thyroid parameters.

METHODS

Forty-three patients with normal thyroid function at our hospital from August 2017 to October 2019 were included in this retrospective study. Dual energy CT was used to scan the neck of thyroid patients. The mean iodine concentration and thyroid tissue volume were measured to calculate the total iodine content of the thyroid. Relevant tests of triiodothyronine (FT3), total triiodothyronine (TT3), total thyroxine (TT4), free thyroxine (FT4), and thyroid hormone (TSH) were conducted. The correlation of the thyroid mean iodine concentration and total iodine content with blood-measured thyroid function was analysed.

RESULT

The total iodine content in the thyroid was positively correlated with FT3 but negatively correlated with TSH. The mean iodine concentration of the thyroid was positively correlated with both FT3 and TT3.

CONCLUSION

The thyroid iodine content measured by dual energy CT can be used to determine the human iodine nutritional status and evaluate thyroid function, which will facilitate the diagnosis and treatment of thyroid diseases.

摘要

背景

本研究旨在探讨双能 CT 测量的碘浓度和总碘含量与血液测量的甲状腺参数之间的相关性。

方法

回顾性分析 2017 年 8 月至 2019 年 10 月我院 43 例甲状腺功能正常患者的临床资料。采用双能 CT 扫描甲状腺患者颈部,测量平均碘浓度和甲状腺组织体积,计算甲状腺总碘含量。进行三碘甲状腺原氨酸(FT3)、总三碘甲状腺原氨酸(TT3)、总甲状腺素(TT4)、游离甲状腺素(FT4)和甲状腺激素(TSH)的相关检查。分析甲状腺平均碘浓度和总碘含量与血液甲状腺功能测定的相关性。

结果

甲状腺总碘含量与 FT3 呈正相关,与 TSH 呈负相关。甲状腺平均碘浓度与 FT3 和 TT3 均呈正相关。

结论

双能 CT 测量的甲状腺碘含量可用于判断人体碘营养状况和评估甲状腺功能,有助于甲状腺疾病的诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb07/6995181/ac6cdf757c43/12880_2020_411_Fig1_HTML.jpg

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