• Title/Summary/Keyword: 갑상선 검사

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Reduction of Radiation Exposure Dose of Eyeball and Thyroid for Chest and Abdomen CT Scan (흉부 및 복부 CT 검사 시 안구와 갑상선의 방사선 피폭선량 저감)

  • Lee, Jun Seok;Chon, Kwon Su
    • Journal of the Korean Society of Radiology
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    • v.13 no.2
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    • pp.147-151
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    • 2019
  • In chest and abdomen CT scans, the radiation exposure doses by scattering lines were measured at the eyeball and thyroid. Radiation exposure was investigated by using shielding devices. The chest and abdomen CT scan protocols used in the real examination were applied to measure and compare radiation doses before and after the use of shielding devices at the eyeball and the thyroid. The radiaton doses were measured with OSLD dosimeters. Barium, tungsten sheets, goggles and neck shields were used to protect the scattered X-ray. The chest CT scans showed respectively 3.01 mSv and 6.21 mSv at the eyeball and the thyroid by the scattered X-ray. The abdomen CT scans showed 0.55 mSv and 3.22 mSv for the eyeball and the thyroid respectively. Barium and tungsten sheets had 11% to 13% protection rates at the eyeball and the thyroid for chest CT scan, and 34% to 49% reduction in radiation dose for the abdomen CT scan. Because of the significant radiation dose, which causes cataracts and thyroid cancer by the repeated and continuous radiation exposure, for the chest and the abdomen CT scans, it is required to use shielding devices to reduce radiation dose for examinations.

Evaluation of Usefulness for Anti-TPO Antibody Test in Item of the Medical Examination (건강검진 종목으로서 항갑상선 과산화효소 항체검사의 유용성에 대한 평가)

  • Kim, Yun-Hyun;Shin, Yong-Hwan;Kim, Ji-Young;Seok, Jae-Dong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.1
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    • pp.112-115
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    • 2009
  • Purpose: The test had been applied for outpatient by end of 2006, however, it has been included in the medical examination since January 2007, as demand and interests have been gradually increasing in the thyroid gland disease and cancer. thus, we would necessarily evaluate usefulness of the test by comparing the number of patients who are diagnosed as "benignancy" by the medical test with the number of outpatient who attend and are diagnosed as autoimmune thyroid disease among the benign patient, in samsung medical center for a certain period. Materials and Methods: Based on the result for Anti-TPO Antibody test by RIA for the 12,937 patients in samsung medical center from October 2007 to March 2008, for six months, benignancy rate classified by sex and age is measured statistically and number of the patients who are diagnosed as autoimmune thyroid disease are kept tracked on. Results: According to the analysis of the Anti-TPO antibody test 1,135 of 12,937, which is 8.77% are benign and 218 treated patient of them, which is 19.2%, were diagnosed as autoimmune thyroid disease. Conclusions: Based on the statistics, usefulness of the test seem to have co relationship with derivation of autoimmune thyroid disease. this is 19.2% of probability relatively high. this figure, however, does not have strong relationship with specialty of the disease. Thus screening test seems to have somewhat effectiveness, considering other experiments and their margin.

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Relationship between the Thyroid Hormone and Viral Infections in Pregnancy (임신 중 바이러스성 감염요인과 갑상선 호르몬의 상관성)

  • Lim, Dong-Kyu;Park, Chang-Eun
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.1
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    • pp.28-37
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    • 2022
  • Pregnancy requires an important interpretation of thyroid function tests. The presence of anti-thyroid antibodies and viral infectious agents affect the health of both the fetus and the mother. Hence, a selective evaluation of thyroid function in pregnancy is required. This study is a retrospective cross-sectional survey to examine the correlation between thyroid hormones and viral infections during pregnancy. The results showed that the triiodothyronine (T3) decreased with increasing age, especially in the hepatitis C virus (HCV)-positive group (P<0.01). In addition, although negative for the human immunodeficiency virus (HIV), thyroxine (FT4) showed a significant increase in near-threshold or twin pregnant women (P<0.05). The thyroid stimulating hormone (TSH) was highly distributed at the age of 30, and there was no statistically significant correlation with other viral infection factors. In addition, as a result of dividing and analyzing the result of TSH by the quantiles, FT4 and T3 showed a positive correlation but showed a negative correlation with TSH (P<0.05). Therefore, the evaluation of prenatal thyroid screening during pregnancy and viral infection factors should reflect the time of pregnancy, exposure to infection, and the quantitative values. Adequate thyroid hormone and viral infections availability is important for an uncomplicated pregnancy and optimal fetal development.

GENERALIZED THYROID HORMONE RESISTANCE SYNDROME AND ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (갑상선호르몬 내성 증후군과 주의력결핍-과잉행동 장애)

  • Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.102-107
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    • 1994
  • Recently several studies showed a strong and specific association of Attention-Deficit Hyperactivity Disorder(ADHD) and generalized resistance to thyroid hormone(GRTH). The recommandation that all children with ADHD be screened for GRTH is an newer controversial issue in child psychiatric field. Author examined thyroid indices(T3, T4, TSH) and clinical characteristics in the 51 clinical populations with ADHD, developmental delay, and language disorders. The results are that 11 cases were out of the normal range of both T2 and T4 inspite of normal TSH. This finding is suggestive of the finding of GRTH cases. Therefore I suggest that child psychiatrist should pay attention to ADHD symptoms secondary to GRTH and that all children with familial ADHD and developmental delay(including launguage disorder) be screened for thyroid abnormalities.

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Effect of Thyroid Cancer on Ultrasonographic Intention (갑상선암 초음파검사이행 의도에 영향을 미치는 요인)

  • Lee, Seong-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4980-4984
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    • 2011
  • This study was attempted to identify the effect of thyroid cancer on ultrasonographic intention. Data was surveyed using interview and questionnaires by 205 subjects in a general hospital who was located in Seoul from December 13, 2010 to January 31, 2011. The results were as follows ; First, in the good self-conscious health status, 85.5% of the subjects had an intention for thyroid cancer ultrasonography according health habit was significantly higher than 70.0% of the subjects didn't have an intention for thyroid cancer ultrasonography($X^2$=6.73 p<.01). Secondly, the odds ratio of subjects with a good self-conscious health status was 2.53, had a higher intention to participate in thyroid ultrasonography than subjects with a poor self-conscious health status(95% Cl=1.39-12.7). In conclusion, we need to provide education to subjects in poorer health so that they will also participate in thyroid cancer ultrasonography. Active promotion should also be performed to elevate knowledge about the prevention of thyroid cancer.

The Research on the Simultaneous Examination of Thyroid Uptake Measurement and Thyroid Scan using Attenuation Filter (감쇄필터를 이용한 갑상선섭취율 측정과 갑상선스캔의 동시검사법 연구)

  • Lee, Hyo-Yeong;Kim, Jong-Eon;Im, In-Chul
    • Journal of the Korean Society of Radiology
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    • v.5 no.6
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    • pp.309-313
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    • 2011
  • It is necessary for patients to wait twice for the thyroid examination of thyroid uptake measurement and thyroid scan by using $^{99m}Tc$-pertechnetate. In the study, a method of simultaneous examination of thyroid uptake measurement and thyroid scan by one intravenous injection of $^{99m}Tc$-pertechnetate was suggested by using attenuation filter. As a result, there was a significant correlation between control group and experimental group according to existence of attenuation filter. Consequently, the simultaneous examination of thyroid uptake measurement and thyroid scan by one intravenous injection can be applied clinically.

Clinical Application of the 2021 Korean Thyroid Imaging Reporting and Data System (K-TIRADS) (2021 한국 갑상선영상 판독과 자료체계의 임상적용)

  • Dong Gyu Na
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.92-109
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    • 2023
  • In patients with thyroid nodules, ultrasonography (US) has been established as a primary diagnostic imaging method and is essential for treatment decision. The Korean Thyroid Imaging Reporting and Data System (K-TIRADS) is a pattern-based, US malignancy risk stratification system that can easily diagnose nodules during real-time ultrasound examinations. The 2021 K-TIRADS clarified the US criteria for nodule classification and revised the size thresholds for nodule biopsy, thereby reducing unnecessary biopsies for benign nodules while maintaining the appropriate sensitivity to detect malignant tumors in patients without feature of high risk thyroid cancer. Thyroid radiology practice has an important clinical role in the diagnosis and non-surgical treatment of patients with thyroid nodules, and should be performed according to standard practice guidelines for proper and effective clinical care.