{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T18:54:38Z","timestamp":1773082478420,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"744","license":[{"start":{"date-parts":[[1987,10,1]],"date-time":"1987-10-01T00:00:00Z","timestamp":560044800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>One hundred and thirty-one consecutive requests for thyroid scintigraphy were analysed to assess their diagnostic contribution to the subsequent medical management of the patient. Forty one per cent of requests were to investigate the presence of a clinically detectable solitary nodule and, of these, one fifth had hot nodules. Diffuse goitres accounted for 38% of all referrals, but in only two patients (non-toxic hot nodule) did the results change management. A further 11% of referrals were for multinodular goitres and 8% for retrosternal goitres. In all cases of goitre no additional useful information was obtained from scintigraphy. It is concluded that thyroid scintigraphy was an unnecessary investigation in approximately 45% of cases. Its primary role was in the investigation of the solitary nodule and in detecting toxic nodules in thyrotoxic patients who had no evidence of Graves\u2019 disease. Greater discrimination of requests would avoid investigating patients unnecessarily and reduce costs.<\/jats:p>","DOI":"10.1136\/pgmj.63.744.869","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"869-871","source":"Crossref","is-referenced-by-count":6,"title":["Is the current use of thyroid scintigraphy rational?"],"prefix":"10.1093","volume":"63","author":[{"given":"H","family":"Tindall","sequence":"first","affiliation":[{"name":"Department of Medicine and Nuclear Medicine, The General Infirmary , Leeds LS1 3EX , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Department of Medicine and Nuclear Medicine, The General Infirmary , Leeds LS1 3EX , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N D","family":"Penn","sequence":"additional","affiliation":[{"name":"Department of Medicine and Nuclear Medicine, The General Infirmary , Leeds LS1 3EX , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,10,1]]},"reference":[{"key":"ref_1","first-page":"221281","article-title":"The scintigraphic imaging of endocrine organs","author":"Gross, M.D.; Shapiro, B.; Thrall, J.H.; Freitas, J.E.; Beierwaltes, W.H.","year":"1984","unstructured":"Gross, M.D., Shapiro, B., Thrall, J.H., Freitas, J.E. & Beierwaltes, W.H. The scintigraphic imaging of endocrine organs. Endocrine Reviews 1984, 5 (2): 221281.","journal-title":"Endocrine Reviews"},{"key":"ref_2","first-page":"207","article-title":"The spectrum of thyroid disease in a community: the Whickham survey","volume":"6","author":"Tunbridge, W.M.G.; Evered, D.C.; Hall, R.","year":"1977","unstructured":"Tunbridge, W.M.G., Evered, D.C., Hall, R. et al. The spectrum of thyroid disease in a community: the Whickham survey. Clin En-dbcrinol 1977. 6: 207-211.","journal-title":"Clin En-dbcrinol"},{"key":"ref_3","first-page":"870","article-title":"Leading article. The solitary thyroid nodule","volume":"ii:","unstructured":"Leading article. The solitary thyroid nodule. Lancet 1985, ii: 870-871.","journal-title":"Lancet 1985"},{"key":"ref_4","first-page":"1","article-title":"Is thyroid imaging an overutilized diagnostic procedure?","volume-title":"Controversies in Clinical Thyroidology. Part I","author":"Hamburger, J.I.; Miller, M.J.; Garcia, M.; Meier, D.A.Stoffer; S., S.; Taylor, C.I.","year":"1981","unstructured":"Hamburger, J.I., Miller, M.J., Garcia, M., Meier, D.A. Stoffer, S.S. & Taylor, C.I. Is thyroid imaging an overutilized diagnostic procedure? In Controversies in Clinical Thyroidology. Part I. Springer, Berlin, 1981, pp 1-20."},{"issue":"102","key":"ref_5","first-page":"209","article-title":"Thyroid scanning in patients with suspected thyroid disease","volume":"1985","author":"Reasner, C.A.; Isley, W.L.","unstructured":"Reasner, C.A. & Isley, W.L. Thyroid scanning in patients with suspected thyroid disease. Ann Intern Med 1985, 102: 209-210.","journal-title":"Ann Intern Med"},{"issue":"11","key":"ref_6","first-page":"306","article-title":"The continuing impact of thyroid scintigraphy on the diagnosis of thyroid enlargement","volume":"1986","author":"Maxon, H.R.; Hertzberg, V.; Vasavada, P.; Pu, M.Y.; Volarich, D.","unstructured":"Maxon, H.R., Hertzberg, V., Vasavada, P., Pu, M.Y. & Volarich, D. The continuing impact of thyroid scintigraphy on the diagnosis of thyroid enlargement. Clin Nucl Med 1986, 11: 306-307.","journal-title":"Clin Nucl Med"},{"issue":"291","key":"ref_7","first-page":"1491","article-title":"Prevalence of inappropriate drug treatment in patients with hyperthyroidism","volume":"1985","unstructured":"Cooke, S.G., Ratcliffe, G.E., Fogelman, 1. & Maisey, M.N. Prevalence of inappropriate drug treatment in patients with hyperthyroidism. Br Med J 1985, 291: 1491-1492.","journal-title":"Br Med J"},{"issue":"58","key":"ref_8","first-page":"617","article-title":"A prospective study of thyroid ultrasound scan in the clinically solitary thyroid nodule","volume":"1985","author":"Walker, J.; Findlay, D.; Amar, S.S.; Small, P.G.; Wastie, M.L.; Pegg, C.A.S.","unstructured":"Walker, J., Findlay, D., Amar, S.S., Small, P.G., Wastie, M.L. & Pegg, C.A.S. A prospective study of thyroid ultrasound scan in the clinically solitary thyroid nodule. Br J Radiol 1985, 58: 617-619.","journal-title":"Br J Radiol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"221","DOI":"10.7326\/0003-4819-96-2-221","article-title":"The thyroid nodule","volume":"96","author":"Van Herle, A. J. (Moderator, UCLA Conference","year":"1982","unstructured":"Van Herle, A.J. (Moderator, UCLA Conference). The thyroid nodule. Ann Int Med 1982, 96: 221-232.","journal-title":"Ann Int Med"},{"issue":"37","key":"ref_10","first-page":"220","article-title":"The surgical treatment of thyroid disease in a district general hospital","volume":"1985","author":"Dawson, P.M.","unstructured":"Dawson, P.M. The surgical treatment of thyroid disease in a district general hospital. Br J Clin Pract 1985, 37: 220-224.","journal-title":"Br J Clin Pract"},{"key":"ref_11","first-page":"682","article-title":"Textbook ofEndocrinology","author":"Wilson, T.","year":"1981","unstructured":"Wilson, T.D. & Foster, D.W. (eds). Williams Textbook ofEndocrinology. 6th Edition. W.B. Saunders Company, Philadelphia, 1981, pp682-816.","edition":"6th Edition"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/744\/869\/50080600\/postgradmedj-63-869.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/744\/869\/50080600\/postgradmedj-63-869.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T05:04:03Z","timestamp":1683263043000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/63\/744\/869\/7047232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,10,1]]},"references-count":11,"journal-issue":{"issue":"744","published-online":{"date-parts":[[1987,10,1]]},"published-print":{"date-parts":[[1987,10,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.63.744.869","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1987,10]]},"published":{"date-parts":[[1987,10,1]]}}}