ArticleFrontiers in medicine2026
Teprotumumab N01 for thyroid eye disease in China: clinical outcomes and quantitative MRI correlations.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Case Report: Teprotumumab treatment in an HIV-infected patient with refractory thyroid eye disease: clinical and quantitative MRI evidence.Frontiers in immunology · 2026Article
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8 authors.
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Abstract
Background: Teprotumumab is an IGF-1R-targeted therapy for thyroid eye disease (TED). In routine practice, response assessment remains challenging and standardized imaging biomarkers are lacking. Objective: To evaluate the real-world effectiveness of domestically produced teprotumumab N01 injection (SYCUME®) in Chinese patients with TED and to identify inferior rectus (IR)-focused quantitative MRI measures associated with changes in proptosis and disease activity. Methods: We conducted a retrospective real-world study of patients with active moderate-to-severe TED who completed a full course of teprotumumab N01 between March and December 2025. Orbital MRI was acquired before and after treatment. IR, lacrimal gland (LG), and orbital fat (OF) were obtained using ROI-based analysis on MAGiC (T1, T2, proton density) and IDEAL-IQ (fat fraction). MRI proptosis and coronal morphologic measures were quantified in 3D Slicer. Eye-level changes and associations between clinical outcomes and MRI parameter changes ( Results: Twenty-two patients (44 orbits) were analyzed. Hertel proptosis and CAS decreased after treatment (both Conclusion: In this real-world Chinese cohort, teprotumumab N01 was associated with concordant clinical improvement and quantitative MRI changes. IR-focused morphologic measures and diffusion-derived ADC showed the most consistent associations with changes in proptosis and disease activity, supporting their further evaluation for treatment monitoring in TED.
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