Disparate Imaging of the Autonomous Functioning Thyroid Nodule with99mTc Pertechnetate and Radioiodine

Radiology ◽  
1976 ◽  
Vol 119 (3) ◽  
pp. 737-739 ◽  
Author(s):  
J. Martin Miller ◽  
Albert G. Kasenter ◽  
Daniel S. Marks
2016 ◽  
Vol 67 (4) ◽  
pp. 272-277
Author(s):  
Ryohei Fujiwara ◽  
Shinya Uchino ◽  
Shiro Noguchi ◽  
Kousuke Hayamizu ◽  
Mutukazu Kitano ◽  
...  

2020 ◽  
Vol 71 (6) ◽  
pp. 587-588
Author(s):  
Vicente Rey y Formoso ◽  
Daniela Salazar ◽  
Sara Fernandes ◽  
Sofia Ferreira ◽  
Norberto Estevinho ◽  
...  

1978 ◽  
Vol 54 (7) ◽  
pp. 866-875
Author(s):  
Akiyo SHIROOZU ◽  
Kenjiro INOUE ◽  
Ken OKAMURA ◽  
Yoshiki EGASHIRA ◽  
Teruo OMAE ◽  
...  

2014 ◽  
Vol 170 (4) ◽  
pp. 593-599 ◽  
Author(s):  
Rayan Chami ◽  
Rodrigo Moreno-Reyes ◽  
Bernard Corvilain

ObjectiveBased on the assumption that normal TSH concentration rules out the presence of autonomous functioning thyroid nodules (AFTNs), clinical guidelines on the management of thyroid nodules only recommend a thyroid scan if TSH concentration is subnormal. However, the proportion of AFTN presenting with a normal TSH is unknown. Our objective is therefore to determine the proportion of AFTNs with a normal TSH level to ascertain whether a normal TSH really rules out an AFTN.DesignRetrospective study on 368 patients with an AFTN.MethodsThyroid scans with a diagnosis of AFTN were reviewed retrospectively by one of us (R Moreno-Reyes), blinded to the clinical data. The diagnosis of solitary AFTN was confirmed in 368 patients. Among them, we selected 217 patients based on the absence of another thyroid nodule >10 mm, the absence of medical conditions able to interfere with thyroid function, and the completeness of the data.ResultsThe proportion of AFTNs with normal TSH was 49%. This proportion increased to 71% in patients for whom thyroid scan was performed in the workup of a thyroid nodule.ConclusionsOur data suggest that serum TSH is not an effective screening tool to diagnose AFTNs. Using ‘TSH-only’ screening, as recommended by the majority of guidelines, the diagnosis of AFTN would have been missed in 71% of our patients in the workup of a thyroid nodule. Thyroid scan remains the gold standard for detecting AFTN and should be considered before performing fine-needle aspiration cytology (FNAC), as the reliability of FNAC in an unsuspected AFTN remains unclear.


2019 ◽  
Vol 3 (3) ◽  
pp. 136
Author(s):  
Huo, MD Shengnan ◽  
Yin Lin ◽  
Peng, MD Lili ◽  
Wang, MD Zhao ◽  
Yu, MD Ming-an

1967 ◽  
Vol 27 (9) ◽  
pp. 1264-1274 ◽  
Author(s):  
J. MARTIN MILLER ◽  
ROBERT C. HORN ◽  
MELVIN A. BLOCK

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