Document Detail


Measurement of thyroid blood flow area is useful for diagnosing the cause of thyrotoxicosis.
MedLine Citation:
PMID:  16356088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have utilized color Doppler ultrasonography (CDU) to evaluate the thyroid blood flow area (TBFA) quantitatively, and we propose criteria to differentiate Graves' disease (GD) and destruction-induced thyrotoxicosis (DT) in patients with thyrotoxicosis. We studied 32 patients with diffuse toxic goiter, 21 with GD in the euthyroid state, 12 with chronic thyroiditis in the euthyroid state, and 31 normal individuals. TBFA was calculated as (thyroid blood flow area/thyroid area) x 100%. CDU showed high sensitivity (84%) and specificity (90%) in distinguishing GD from DT when TBFA was between 7.7% and 8.8%. Using CDU to diagnose GD in cases with TBFA >or=8% or positive serum anti-thyrotropin receptor antibody (TRAb), the sensitivity was 95% and the specificity was 90%, which are similar results to those obtained when GD was diagnosed by radioactive iodine uptake (sensitivity 100%, specificity 90%). Therefore, CDU is a more useful and economical method of distinguishing GD patients with TBFA of 8% or above from DT than measurement of TRAb or radioactive iodine uptake.
Authors:
Seiichiro Kurita; Masaru Sakurai; Yuki Kita; Tsuguhito Ota; Hitoshi Ando; Shuichi Kaneko; Toshinari Takamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Thyroid : official journal of the American Thyroid Association     Volume:  15     ISSN:  1050-7256     ISO Abbreviation:  Thyroid     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-12-16     Completed Date:  2006-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104317     Medline TA:  Thyroid     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1249-52     Citation Subset:  IM    
Affiliation:
Department of Diabetes and Digestive Disease, Kanazawa University Graduate School of Medical Science, Ishikawa, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Goiter / diagnosis,  radionuclide imaging
Humans
Male
Middle Aged
Positron-Emission Tomography
Regional Blood Flow / physiology
Thyroid Function Tests
Thyroid Gland / blood supply*,  ultrasonography
Thyroiditis, Autoimmune / diagnosis,  radionuclide imaging
Thyrotoxicosis / diagnosis*,  etiology*,  ultrasonography
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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