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甲状腺蛋白和甲状腺蛋白抗体:一个最新的临床和实验室专家共识共识
Luca Giovanella1,2, Federica D'Aurizio3, Alicia Algeciras-Schimnich4
1Clinic for Nuclear Medicine and Molecular Imaging, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
European journal of endocrinology
|August 25, 2023
概括
精确的甲状腺蛋白 (Tg) 测量对于差异化甲状腺癌管理至关重要. 本综述解决了复杂性问题,并提供了在临床实践中对高灵敏性Tg和TgAb测试的53条建议.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 实验室医学 实验室医学
背景情况:
- 甲状腺蛋白 (Tg) 测量对于管理差异化甲状腺癌 (DTC) 是必不可少的.
- 准确解释Tg测试结果需要考虑许多影响因素.
- 现有的指导方针可能无法完全解决现代Tg测试的复杂性.
研究的目的:
- 在DTC管理中提供关于甲状腺蛋白测量和解释的综合更新.
- 审查高度敏感的Tg测试的分析和临床方面.
- 为实验室和临床实践提供实际指导.
主要方法:
- 对Tg测量的分析和临床问题的广泛文献分析.
- 对2013年和2014年的单独临床立场文件的审查.
- 制定专家共识建议的制定.
主要成果:
- 甲状腺蛋白测量是复杂的,具有显著的干扰潜力.
- 抗thyroglobulin抗体 (TgAb) 是干扰的主要来源,需要仔细评估.
- 在Tg水平的测量和解释方面存在许多陷.
结论:
- 高灵敏的Tg和TgAb测定需要小心处理和解释.
- 为改善DTC中的Tg测试提供了53个实用,分级的建议.
- 这些建议旨在加强DTC跟踪和治疗的临床决策.
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