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含有的对比剂 (ICM) 诱导的甲状腺功能障碍:对潜在机制和临床管理的审查
Yaxi Hu1, Xia Zhong1, Dan Peng1
1Department of Radiology, West China Hospital, Sichuan University, No.37, Guoxue Road, Chengdu, 610041, China.
Clinical and experimental medicine
|April 29, 2025
概括
含的对比介质 (ICM) 可以在1-15%的患者中引起甲状腺功能障碍,特别是那些患有现有疾病的患者. 需要进一步的研究,以了解长期影响,并优化管理,以确保安全的医学成像.
科学领域:
- 辐射学和内分泌学.
- 医学成像对比剂 医学成像对比剂 对比剂
背景情况:
- 离子对比介质 (ICM) 广泛用于医学成像.
- ICM可能导致甲状腺功能障碍,影响1-15%的患者.
- 风险因素包括先前存在的甲状腺疾病,年龄,性别和重复暴露.
研究的目的:
- 审查ICM诱导的甲状腺功能障碍的分类和机制.
- 概述风险评估和临床管理策略.
- 突出知识差距和未来的研究方向.
主要方法:
- 文献综述和现有研究的综合.
- 分析ICM分类和潜在的病理生理机制.
- 在脆弱人群中检查风险因素和管理.
主要成果:
- 由ICM诱导的甲状腺功能障碍的患病率在1-15%之间.
- 孕妇和老年人等弱势群体的风险更高.
- 关于长期影响和剂量反应关系,仍然存在重大知识差距.
结论:
- 了解ICM对甲状腺功能的影响对于患者的安全至关重要.
- 进一步的研究对于解决知识差距和优化管理策略至关重要.
- 需要共同努力,以平衡成像效益与甲状腺功能障碍风险.
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