Document Detail


The significance of thyroid blood flow at the inferior thyroid artery as a predictor for early Graves' disease relapse.
MedLine Citation:
PMID:  16343100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We investigated the clinical usefulness of thyroid blood-flow measurement in predicting relapse of Graves' disease (GD) in comparison with known risk factors for GD relapse. MEASUREMENT: Thyroid blood flow was measured in pulsed Doppler mode at the inferior thyroid artery (ITA), and the peak systolic velocity (PSV) calculated. PATIENTS: ITA-PSV was measured in euthyroid GD patients (n = 79) immediately before withdrawal of anti-thyroid drug (ATD) and in healthy subjects (n = 17). RESULTS: In the 79 euthyroid GD patients, the values of free triiodothyronine (FT3), TSH receptor autoantibody (TRAb), ITA-PSV and thyroid volume were significantly higher in the relapse group (n = 40) than in the nonrelapse group (n = 39) and the Youden index of ITA-PSV was significantly higher than that of FT3, TSH, TRAb and vascular endothelial growth factor (VEGF). CONCLUSION: ITA-PSV may assist in the prediction of early GD relapse after ATD withdrawal.
Authors:
Misako Ueda; Masaaki Inaba; Yasuro Kumeda; Toshiki Nagasaki; Yoshikazu Hiura; Hideki Tahara; Naoyoshi Onoda; Tetsuro Ishikawa; Yoshiki Nishizawa
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical endocrinology     Volume:  63     ISSN:  0300-0664     ISO Abbreviation:  Clin. Endocrinol. (Oxf)     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-13     Completed Date:  2006-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0346653     Medline TA:  Clin Endocrinol (Oxf)     Country:  England    
Other Details:
Languages:  eng     Pagination:  657-62     Citation Subset:  IM    
Affiliation:
Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arteries / ultrasonography
Autoantibodies / blood
Case-Control Studies
Female
Graves Disease / blood,  diagnosis*,  physiopathology
Humans
Male
Middle Aged
Organ Size
Predictive Value of Tests
ROC Curve
Receptors, Thyrotropin / immunology
Recurrence
Regional Blood Flow
Thyroid Gland / blood supply*,  pathology
Triiodothyronine / blood
Ultrasonography, Doppler, Pulsed
Vascular Endothelial Growth Factor A / blood
Chemical
Reg. No./Substance:
0/Autoantibodies; 0/Receptors, Thyrotropin; 0/Vascular Endothelial Growth Factor A; 6893-02-3/Triiodothyronine

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