The significance of thyroid blood flow at the inferior thyroid artery as a predictor for early Graves' disease relapse.

Abstract:

OBJECTIVE:We investigated the clinical usefulness of thyroid blood-flow measurement in predicting relapse of Graves' disease (GD) in comparison with known risk factors for GD relapse. MEASUREMENT:Thyroid blood flow was measured in pulsed Doppler mode at the inferior thyroid artery (ITA), and the peak systolic velocity (PSV) calculated. PATIENTS:ITA-PSV was measured in euthyroid GD patients (n = 79) immediately before withdrawal of anti-thyroid drug (ATD) and in healthy subjects (n = 17). RESULTS:In the 79 euthyroid GD patients, the values of free triiodothyronine (FT3), TSH receptor autoantibody (TRAb), ITA-PSV and thyroid volume were significantly higher in the relapse group (n = 40) than in the nonrelapse group (n = 39) and the Youden index of ITA-PSV was significantly higher than that of FT3, TSH, TRAb and vascular endothelial growth factor (VEGF). CONCLUSION:ITA-PSV may assist in the prediction of early GD relapse after ATD withdrawal.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Ueda M,Inaba M,Kumeda Y,Nagasaki T,Hiura Y,Tahara H,Onoda N,Ishikawa T,Nishizawa Y

doi

10.1111/j.1365-2265.2005.02397.x

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

657-62

issue

6

eissn

0300-0664

issn

1365-2265

pii

CEN2397

journal_volume

63

pub_type

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