Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry

Patients with Graves' disease can be medically prepared before surgery in different ways, which may have various effects on iodine stores. Thyroid specimens were collected at surgery from two patients pretreated with propylthiouracil (PTU) and stable iodine, respectively. A quantitative analysi...

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Main Authors: Marie Hansson, Helena Filipsson Nyström, Svante Jansson, Jukka Lausmaa, Gertrud Berg
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/842357
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author Marie Hansson
Helena Filipsson Nyström
Svante Jansson
Jukka Lausmaa
Gertrud Berg
author_facet Marie Hansson
Helena Filipsson Nyström
Svante Jansson
Jukka Lausmaa
Gertrud Berg
author_sort Marie Hansson
collection DOAJ
description Patients with Graves' disease can be medically prepared before surgery in different ways, which may have various effects on iodine stores. Thyroid specimens were collected at surgery from two patients pretreated with propylthiouracil (PTU) and stable iodine, respectively. A quantitative analysis of iodine content was performed using X-ray fluorescence (XRF) in frozen tissue and a qualitative analysis of aldehyde-fixed material with Time-of-Flight Secondary Ion Mass Spectrometry (TOF-SIMS). Iodine concentrations were 0.9 mg/mL and 0.5 mg/mL in the thyroid tissue from the patients treated with PTU and stable iodine respectively. TOF-SIMS showed iodine in the follicle lumina in both. However, in the PTU case, iodine was also seen within the thyrocytes indicating accumulation of iodinated compounds from uninhibited hormone release. XRF and TOF-SIMS can be used to follow iodine distribution within the thyroid and the intricate processes following the different medical treatment alternatives in Graves' disease.
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series Case Reports in Endocrinology
spelling doaj-art-9584d1beb050423f9277bc8e7191e3fa2025-02-03T05:45:14ZengWileyCase Reports in Endocrinology2090-65012090-651X2012-01-01201210.1155/2012/842357842357Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass SpectrometryMarie Hansson0Helena Filipsson Nyström1Svante Jansson2Jukka Lausmaa3Gertrud Berg4Department of Radiation Physics at University of Gothenburg, Sahlgrenska University Hospital, 413 45 Göteborg, SwedenDepartment of Endocrinology, Gröna stråket 8, Sahlgrenska University Hospital, 413 45 Göteborg, SwedenDepartment of Surgery, Sahlgrenska University Hospital, 413 45 Göteborg, SwedenChemistry and Materials Technology, SP Technical Research Institute of Sweden, P.O.Box 857, 501 15 Boras, SwedenDepartment of Oncology, Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, 413 45 Göteborg, SwedenPatients with Graves' disease can be medically prepared before surgery in different ways, which may have various effects on iodine stores. Thyroid specimens were collected at surgery from two patients pretreated with propylthiouracil (PTU) and stable iodine, respectively. A quantitative analysis of iodine content was performed using X-ray fluorescence (XRF) in frozen tissue and a qualitative analysis of aldehyde-fixed material with Time-of-Flight Secondary Ion Mass Spectrometry (TOF-SIMS). Iodine concentrations were 0.9 mg/mL and 0.5 mg/mL in the thyroid tissue from the patients treated with PTU and stable iodine respectively. TOF-SIMS showed iodine in the follicle lumina in both. However, in the PTU case, iodine was also seen within the thyrocytes indicating accumulation of iodinated compounds from uninhibited hormone release. XRF and TOF-SIMS can be used to follow iodine distribution within the thyroid and the intricate processes following the different medical treatment alternatives in Graves' disease.http://dx.doi.org/10.1155/2012/842357
spellingShingle Marie Hansson
Helena Filipsson Nyström
Svante Jansson
Jukka Lausmaa
Gertrud Berg
Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry
Case Reports in Endocrinology
title Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry
title_full Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry
title_fullStr Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry
title_full_unstemmed Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry
title_short Iodine Content and Distribution in Thyroid Specimens from Two Patients with Graves' Disease Pretreated with Either Propylthiouracil or Stable Iodine: Analysis Using X-Ray Fluorescence and Time-of-Flight Secondary Ion Mass Spectrometry
title_sort iodine content and distribution in thyroid specimens from two patients with graves disease pretreated with either propylthiouracil or stable iodine analysis using x ray fluorescence and time of flight secondary ion mass spectrometry
url http://dx.doi.org/10.1155/2012/842357
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