Evidence map›Paper›PMID 40888586›Full record

ArticleNuclear medicine communications2025

Predictive factors for the efficacy of radioiodine therapy in patients with Graves' disease.

Haruna Iwanaga, Naotoshi Fujita, Shinji Abe, Rintaro Ito, Yumi Abe, Ryogo Minamimoto, Ryuichi Nishii, Shinji Naganawa, Katsuhiko Kato

Abstract read
In one paragraph

Article in Nuclear medicine communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Haruna IwanagaDepartment of Radiological Technology, Nagoya University Hospital.
Naotoshi FujitaDepartment of Radiological Technology, Nagoya University Hospital.
Shinji AbeDepartment of Radiological Technology, Nagoya University Hospital.
Rintaro ItoInnovative BioMedical Visualization (iBMV).
Yumi AbeRadiology.
Ryogo MinamimotoIntegrated Image Information Analysis, Nagoya University Graduate School of Medicine.
Ryuichi NishiiFunctional Medical Imaging, Biomedical Imaging Sciences, Division of Advanced, Information Health Sciences, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Shinji NaganawaRadiology.
Katsuhiko KatoFunctional Medical Imaging, Biomedical Imaging Sciences, Division of Advanced, Information Health Sciences, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe primary treatments for Graves' disease include antithyroid drugs (ATD), thyroidectomy, and iodine-131 (I-131) therapy. This study aimed to identify factors predicting treatment outcomes and the treatment period required to achieve euthyroidism after I-131 administration.

methodsThis study included 109 patients with Graves' disease who underwent I-131 therapy. Patients achieving euthyroidism or hypothyroidism within 1 year were classified as the success group, whereas those with remaining hyperthyroidism were classified as the failure group. Thyroid volume, computed tomography (CT) values, 24-h radioiodine uptake, effective half-life, the levels of free triiodothyronine, free thyroxine, thyroid-stimulating hormone, and thyrotropin receptor antibody, history of I-131 therapy, history of ATD use, history of potassium iodide use, and thyroid absorbed dose were analysed.

resultsLarger thyroid volume [odds ratio = 0.982, 95% confidence interval (CI): 0.967-0.998, P  < 0.05] was identified as a predictive factor for treatment failure, as determined by multivariable logistic regression. In contrast, a shorter treatment period was associated with lower thyroid volume (hazard ratio = 0.990, 95% CI: 0.982-0.999, P  < 0.05), higher thyroid absorbed dose (hazard ratio = 1.007, 95% CI: 1.002-1.011, P  < 0.01), and lower thyroid CT values (hazard ratio = 0.963, 95% CI: 0.939-0.987, P  < 0.01), as identified by multivariable Cox regression.

conclusionLarger thyroid volume was associated with treatment failure. Smaller thyroid volume, higher thyroid absorbed dose, and lower thyroid CT values were significant predictors of the treatment period required to achieve euthyroidism after I-131 administration.

Indexed as

Graves DiseaseIodine RadioisotopesAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesThyroid GlandTreatment OutcomeIodine-131Iodine Radioisotopeseffective half-lifeGraves’ diseasehyperthyroidismradioiodine therapythyroid computed tomography values

Identifiers

PMID40888586
PMCPMC12588659

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.