Skip to main content
Top
Published in: BMC Medical Imaging 1/2020

01-12-2020 | Thyroid Disease | Technical advance

Iodine concentration and content measured by dual-source computed tomography are correlated to thyroid hormone levels in euthyroid patients: a cross-sectional study in China

Authors: Zheng-Teng Li, Rui Zhai, Hong-Mei Liu, Min Wang, Dong-Mei Pan

Published in: BMC Medical Imaging | Issue 1/2020

Login to get access

Abstract

Background

The aim of this study was to investigate the correlation of the dual energy CT measured iodine concentration and total iodine content with blood measured thyroid parameters.

Methods

Forty-three patients with normal thyroid function at our hospital from August 2017 to October 2019 were included in this retrospective study. Dual energy CT was used to scan the neck of thyroid patients. The mean iodine concentration and thyroid tissue volume were measured to calculate the total iodine content of the thyroid. Relevant tests of triiodothyronine (FT3), total triiodothyronine (TT3), total thyroxine (TT4), free thyroxine (FT4), and thyroid hormone (TSH) were conducted. The correlation of the thyroid mean iodine concentration and total iodine content with blood-measured thyroid function was analysed.

Result

The total iodine content in the thyroid was positively correlated with FT3 but negatively correlated with TSH. The mean iodine concentration of the thyroid was positively correlated with both FT3 and TT3.

Conclusion

The thyroid iodine content measured by dual energy CT can be used to determine the human iodine nutritional status and evaluate thyroid function, which will facilitate the diagnosis and treatment of thyroid diseases.
Literature
1.
go back to reference Ikomi C, Cole CR, Vale E.et al. Hypothyroidism and Iodine Deficiency in Children on Chronic Parenteral Nutrition. Pediatrics. 2018 ,141(4). Ikomi C, Cole CR, Vale E.et al. Hypothyroidism and Iodine Deficiency in Children on Chronic Parenteral Nutrition. Pediatrics. 2018 ,141(4).
2.
go back to reference Cavalieri RR. Iodine metabolism and thyroid physiology: current concepts. Thyroid. 1997;7(2):177–81.CrossRef Cavalieri RR. Iodine metabolism and thyroid physiology: current concepts. Thyroid. 1997;7(2):177–81.CrossRef
3.
go back to reference Li JH, Du YM, Huang HM. Accuracy of dual-energy computed tomography for the quantification of iodine in a soft tissue-mimicking phantom. J Appl Clin Med Phys. 2015;16(5):418–26.CrossRef Li JH, Du YM, Huang HM. Accuracy of dual-energy computed tomography for the quantification of iodine in a soft tissue-mimicking phantom. J Appl Clin Med Phys. 2015;16(5):418–26.CrossRef
4.
go back to reference Chandarana H. Megibow a J, Cohen BA, et al. Iodine quantification with dual-energy CT: phantom study and preliminary experience with renal masses. 2011;196(6):W693–700. Chandarana H. Megibow a J, Cohen BA, et al. Iodine quantification with dual-energy CT: phantom study and preliminary experience with renal masses. 2011;196(6):W693–700.
5.
go back to reference Shao W, Liu J, Liu D. Evaluation of energy spectrum CT for the measurement of thyroid iodine content. BMC Med Imaging, 16(1):47. Shao W, Liu J, Liu D. Evaluation of energy spectrum CT for the measurement of thyroid iodine content. BMC Med Imaging, 16(1):47.
6.
go back to reference Nygaard B, Nygaard T, Courtpayen M, et al. Thyroid volume measured by ultrasonography and CT. Acta Radiol. 2002;43(3):269–74.CrossRef Nygaard B, Nygaard T, Courtpayen M, et al. Thyroid volume measured by ultrasonography and CT. Acta Radiol. 2002;43(3):269–74.CrossRef
7.
go back to reference Shu J, Zhao J, Guo D, et al. Accuracy and reliability of thyroid volumetry using spiral CT and thyroid volume in a healthy, non-iodine-deficient Chinese adult population. Eur J Radiol. 2011;77(2):274–80.CrossRef Shu J, Zhao J, Guo D, et al. Accuracy and reliability of thyroid volumetry using spiral CT and thyroid volume in a healthy, non-iodine-deficient Chinese adult population. Eur J Radiol. 2011;77(2):274–80.CrossRef
8.
go back to reference Binh DD, Nakajima T, Otake H, et al. Iodine concentration calculated by dual-energy computed tomography (DECT) as a functional parameter to evaluate thyroid metabolism in patients with hyperthyroidism. BMC Med Imaging. 2017;17(1):43.CrossRef Binh DD, Nakajima T, Otake H, et al. Iodine concentration calculated by dual-energy computed tomography (DECT) as a functional parameter to evaluate thyroid metabolism in patients with hyperthyroidism. BMC Med Imaging. 2017;17(1):43.CrossRef
9.
go back to reference Doggui R, El Ati-Hellal M, El Ati J. Current status of urinary iodine analysis and its clinical interest. Ann Biol Clin (Paris). 2016;74(2):184–95. Doggui R, El Ati-Hellal M, El Ati J. Current status of urinary iodine analysis and its clinical interest. Ann Biol Clin (Paris). 2016;74(2):184–95.
10.
go back to reference Panth P, Guerin G, DiMarco NM. A review of iodine status of women of reproductive age in the USA. Biol Trace Elem Res. 2019;188(1):208–20.CrossRef Panth P, Guerin G, DiMarco NM. A review of iodine status of women of reproductive age in the USA. Biol Trace Elem Res. 2019;188(1):208–20.CrossRef
11.
go back to reference Lee SJ, Chong S, Kang KH, et al. Semiautomated thyroid volumetry using 3D CT: prospective comparison with measurements obtained using 2D ultrasound, 2D CT, and water displacement method of specimen. AJR Am J Roentgenol. 2014;203(5):W525–32.CrossRef Lee SJ, Chong S, Kang KH, et al. Semiautomated thyroid volumetry using 3D CT: prospective comparison with measurements obtained using 2D ultrasound, 2D CT, and water displacement method of specimen. AJR Am J Roentgenol. 2014;203(5):W525–32.CrossRef
12.
go back to reference GOmez JM, Maravall FJ, GOmez N, et al. Determinants of thyroid volume as measured by ultrasonography in healthy adults randomly selected. Clin Endocrinol. 2000;53(5):629–34.CrossRef GOmez JM, Maravall FJ, GOmez N, et al. Determinants of thyroid volume as measured by ultrasonography in healthy adults randomly selected. Clin Endocrinol. 2000;53(5):629–34.CrossRef
13.
go back to reference Harman SM, Wehmann RE, Blackman MR. Pituitary-thyroid hormone economy in healthy aging men: basal indices of thyroid function and thyrotropin responses to constant infusions of thyrotropin releasing hormone. J Clin Endocrinol Metab. 1984;58(2):320–6.CrossRef Harman SM, Wehmann RE, Blackman MR. Pituitary-thyroid hormone economy in healthy aging men: basal indices of thyroid function and thyrotropin responses to constant infusions of thyrotropin releasing hormone. J Clin Endocrinol Metab. 1984;58(2):320–6.CrossRef
14.
go back to reference Li Z, Clarke JA, Ketcham RA, et al. An investigation of the efficacy and mechanism of contrast-enhanced X-ray computed tomography utilizing iodine for large specimens through experimental and simulation approaches. BMC Physiol. 2015;15(1):5.CrossRef Li Z, Clarke JA, Ketcham RA, et al. An investigation of the efficacy and mechanism of contrast-enhanced X-ray computed tomography utilizing iodine for large specimens through experimental and simulation approaches. BMC Physiol. 2015;15(1):5.CrossRef
15.
go back to reference Imanishi Y, Ehara N, Shinagawa T, et al. Correlation of CT values, iodine concentration, and histological changes in the thyroid. J Comput Assist Tomogr 2000, 24(2):322–326. Imanishi Y, Ehara N, Shinagawa T, et al. Correlation of CT values, iodine concentration, and histological changes in the thyroid. J Comput Assist Tomogr 2000, 24(2):322–326.
16.
go back to reference Han YM, Kim YC, Park EK, et al. Diagnostic value of CT density in patients with diffusely increased FDG uptake in the thyroid gland on PET/CT images. AJR Am J Roentgenol. 2010;195(1):223–38.CrossRef Han YM, Kim YC, Park EK, et al. Diagnostic value of CT density in patients with diffusely increased FDG uptake in the thyroid gland on PET/CT images. AJR Am J Roentgenol. 2010;195(1):223–38.CrossRef
Metadata
Title
Iodine concentration and content measured by dual-source computed tomography are correlated to thyroid hormone levels in euthyroid patients: a cross-sectional study in China
Authors
Zheng-Teng Li
Rui Zhai
Hong-Mei Liu
Min Wang
Dong-Mei Pan
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2020
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/s12880-020-0411-8

Other articles of this Issue 1/2020

BMC Medical Imaging 1/2020 Go to the issue