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[甲状腺功能正常的甲状腺肿患者和甲状腺功能亢进患者放射性碘试验期间甲状腺激素内源性标记的测定(作者译)]

[Determination of endogenous labelling of thyroid hormones during a radioiodide test in euthyroid goiter patients and hyperthyroid patients (author's transl)].

作者信息

Loos U, Konrad F, Ishihara A, Adam W E, Pfeiffer E F

出版信息

Nuklearmedizin. 1981 Feb;20(1):13-8.

PMID:7243598
Abstract

The administration of a diagnostic dose of radioiodide, as in the radioiodide uptake test, results in the formation and secretion of radioactive thyroid hormones (endogenous labelling). In this report a method is described by which thyroid hormones are chromatographically isolated from serum, with the simultaneous assessment of the incorporated radioactivity over a period of time. A low-level counter was used to measure the small amounts of activity present. By this method the hormone phases during a radioiodide uptake test may be better evaluated. The present results show a good diagnostic discrimination between euthyroidism and borderline or definite hyperthyroidism (by a factor of 10 and 40, respectively). The influence of factors such as a small intrathyroidal iodide pool need, or course, to be considered. Hence, by taking into account such parameters as the intrathyroidal iodide pool, the hormone clearance etc, a technique for the measurement of thyroid hormone secretion can be developed.

摘要

给予诊断剂量的放射性碘,如在放射性碘摄取试验中那样,会导致放射性甲状腺激素的形成和分泌(内源性标记)。在本报告中,描述了一种从血清中通过色谱法分离甲状腺激素的方法,同时在一段时间内评估掺入的放射性。使用低水平计数器来测量存在的少量放射性。通过这种方法,可以更好地评估放射性碘摄取试验期间的激素阶段。目前的结果显示,在甲状腺功能正常与临界或明确的甲状腺功能亢进之间有良好的诊断区分(分别为10倍和40倍)。当然,需要考虑诸如甲状腺内碘池小等因素的影响。因此,通过考虑诸如甲状腺内碘池、激素清除率等参数,可以开发出一种测量甲状腺激素分泌的技术。

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