在患有甲状腺结节的患者中,甲状腺功能测试概况及其与超声波TIRAD评分系统及其细胞学结果的相关性
Sama Atta Gitti1, Saman Sarko Baha Al-den2
1Department of Internal Medicine, University of Baghdad, Al-Kindy College of Medicine, Baghdad, Iraq. Sama.a@kmc.uobaghdad.edu.iq.
Scientific reports
|July 2, 2025
概括
甲状腺功能测试可以帮助预测甲状腺结节的超声波和细针吸收结果. 低TSH水平与TIRADS 4结节相关,而高TSH水平表明TIRADS 2结节.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 甲状腺结节很常见,越来越多地通过超声波检测到.
- 虽然大多是良性的,但它们引起了人们对潜在恶性瘤的担忧.
- 预测结节的结果对于患者管理至关重要.
研究的目的:
- 评估甲状腺功能测试 (TFT) 在甲状腺结核中的超声波和细针吸收 (FNA) 发现的预测价值.
- 评估TFTs在确定甲状腺结节的恶性潜力的有用性.
主要方法:
- 对100名患有甲状腺结节的患者进行前性病例控制研究.
- 包括病史,体检,TFT,超声波和FNA.
- 使用SPSS进行统计分析,p<0.05表示显著性.
主要成果:
- 40%的患者TFT正常;其他患者表现为亚临床或明显的低/高甲状腺症.
- 高BMI与TIRADS 2相关;低BMI与TIRADS 4相关.
- 高TSH与TIRADS 2相关;低TSH与TIRADS 4和Bethesda 2结节相关.
结论:
- 甲状腺功能测试,特别是TSH水平,显示与超声波 (TIRADS) 和FNA (Bethesda) 分类有显著的关联.
- 低TSH水平可能表明高风险结节 (TIRADS 4,Bethesda 2),而高TSH水平表明风险较低 (TIRADS 2).
- 在评估甲状腺结节时,TFTs可以是一个有用的辅助,有助于风险分层.
相关概念视频
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
128
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
128
Synthesis and Regulation of Thyroid Hormones
5.2K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
5.2K
The Thyroid Gland
4.4K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.4K
Ultrasound I: Abdominal Ultrasonography
387
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
387
Ultrasonography
6.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
6.3K


