甲状腺体积是儿科患者放射性治疗后甲状腺功能障碍缓解的关键预测因素
Marina Sheremeta1, Maria Korchagina2, Alexey Trukhin3
1Department of Radionuclide Diagnostics and Therapy, Endocrinology Research Centre, Moscow, Russia. marina888@yandex.ru.
European journal of pediatrics
|August 22, 2023
概括
放射性疗法 (RAIT) 有效治疗儿童的格雷夫斯病,甲状腺初始体积低于45.4毫升预测成功. 这项研究确定了儿童患者有效RAIT的关键因素.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 核医学就是核医学.
- 甲状腺学 甲状腺学
背景情况:
- 格雷夫斯病 (GD) 是儿童和青少年甲状腺功能障碍的主要原因.
- 放射性疗法 (RAIT) 是一种常见的治疗方法,但其在儿科患者的疗效预测因素尚不清楚.
研究的目的:
- 确定在患有格雷夫斯病的儿科患者中成功进行RAIT的最重要的预测因素.
- 在这个人群中评估剂量指导RAIT的疗效.
主要方法:
- 一项前性观察性研究包括144名儿科患者 (8-18岁),他们首次接受GD的剂量指导RAIT治疗.
- 基线参数包括甲状腺体积,TSH,FT3,FT4,TRAB和放射性同位素吸收.
- 统计分析包括费舍尔的精确测试,曼-惠特尼U测试,ROC分析和尤登指数.
主要成果:
- 在治疗后12个月,RAIT实现了83%的缓解率.
- 最初的甲状腺体体积是RAIT成功的最强有力的预测指标,使用Youden指数确定了45.4毫升的切断值.
- 其他重要的预测因素包括FT4水平,TRABs和特定的放射性摄入量.
结论:
- 剂量指导RAIT对于儿科格雷夫斯病非常有效.
- 甲状腺初始体积<45.4毫升是成功RAIT结果的关键指标.
- 识别这些预测因素可以优化儿科GD的治疗策略.
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