{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:31:32Z","timestamp":1773275492261,"version":"3.50.1"},"reference-count":38,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T00:00:00Z","timestamp":1418688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T00:00:00Z","timestamp":1418688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Horm Res Paediatr"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background\/Aims:&lt;\/i&gt;&lt;\/b&gt; Controversy exists regarding the diagnosis and treatment of mild congenital hypothyroidism (MCH). We studied the value of &lt;sup&gt;123&lt;\/sup&gt;I imaging in patients with MCH. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Retrospective chart review of infants and children &lt;4 years of age who underwent &lt;sup&gt;123&lt;\/sup&gt;I imaging: group 1 = MCH [thyroid-stimulating hormone (TSH) &lt;25 \u00b5IU\/ml, normal free T&lt;sub&gt;4&lt;\/sub&gt;\/T&lt;sub&gt;3&lt;\/sub&gt;], group 2 = severe congenital hypothyroidism (TSH \u226525 \u00b5IU\/ml), and group 3 = MCH in infancy imaged after treatment withdrawal at age 3 years. Data collected included 4- and 24-hour &lt;sup&gt;123&lt;\/sup&gt;I uptake, TSH, free T&lt;sub&gt;4&lt;\/sub&gt;\/total T&lt;sub&gt;3&lt;\/sub&gt; at imaging, age at imaging, and levothyroxine (&lt;smlcap&gt;L&lt;\/smlcap&gt;-T&lt;sub&gt;4&lt;\/sub&gt;) dose at 1 year of. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Thirty-six patients underwent &lt;sup&gt;123&lt;\/sup&gt;I imaging. In group 1 (n = 20, median TSH: 8.49 \u00b5IU\/ml), 85% had abnormal imaging consistent with dyshormonogenesis. Two patients were referred after 1 year of age. The median age at imaging for the remaining 18 patients was 54 days. Median &lt;smlcap&gt;L&lt;\/smlcap&gt;-T&lt;sub&gt;4&lt;\/sub&gt; dose at 1 year of age for these 18 patients was 2.8 \u03bcg\/kg, which is consistent with dyshormonogenesis. Ninety-one percent of group 2 (n = 11, median TSH: 428.03 \u00b5IU\/ml) had abnormal imaging. The median age at imaging was 13 days. Four patients in group 3 had abnormal &lt;sup&gt;123&lt;\/sup&gt;I imaging and restarted treatment. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt;&lt;sup&gt;123&lt;\/sup&gt;I imaging is a valuable tool for evaluation, diagnosis, and treatment of MCH.<\/jats:p>","DOI":"10.1159\/000367992","type":"journal-article","created":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T07:57:23Z","timestamp":1418716643000},"page":"94-101","source":"Crossref","is-referenced-by-count":4,"title":["The Role of &lt;sup&gt;123&lt;\/sup&gt;I Imaging in the Evaluation of Infants with Mild Congenital Hypothyroidism"],"prefix":"10.1159","volume":"83","author":[{"given":"Evan","family":"Graber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly 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