Temporary changes in neutrophil-to-lymphocyte, platelet-to-lymphocyte ratios, and mean platelet volume reflecting the inflammatory process after radioiodine therapy

Autor: Rifki Ucler, Mahfuz Turan, Tarık Şengöz, Zekeriya Balli, Yusuf Demir, Erdem Sürücü
Rok vydání: 2016
Předmět:
Male
Time Factors
Neutrophils
retrospective study
Lymphocyte
radioactive iodine
Cell Count
030204 cardiovascular system & hematology
Systemic inflammation
Gastroenterology
immunology
Iodine Radioisotopes
0302 clinical medicine
Radioiodine therapy
time factor
hemic and lymphatic diseases
Platelet
Lymphocytes
Neutrophil-to-lymphocyte ratio
Subclinical infection
lymph node metastasis
Thyroid
neutrophil
General Medicine
female
medicine.anatomical_structure
030220 oncology & carcinogenesis
medicine.symptom
thyroid gland tissue
Adult
Blood Platelets
medicine.medical_specialty
radiation response
platelet lymphocyte ratio
Mean platelet volume
differentiated thyroid cancer
hematological parameters
Inflammation
lymphocyte
Article
Thyroid carcinoma
03 medical and health sciences
Internal medicine
medicine
Blood Platelets/pathology/*radiation effects
Female
Humans
Inflammation/immunology/pathology
Iodine Radioisotopes/*adverse effects/*therapeutic use
Lymphocytes/cytology/*radiation effects
Mean Platelet Volume
Neutrophils/cytology/*radiation effects
Retrospective Studies
Thyroid Neoplasms/radiotherapy/surgery
controlled study
Radiology
Nuclear Medicine and imaging

human
Thyroid Neoplasms
outcome assessment
preoperative period
business.industry
fungi
Retrospective cohort study
Platelet-to-lymphocyte ratio
major clinical study
postoperative care
body regions
thrombocyte
thrombocyte volume
Immunology
cytology
pathology
business
radioisotope therapy
Zdroj: Nuclear Medicine Communications. 37:393-398
ISSN: 0143-3636
DOI: 10.1097/mnm.0000000000000452
Popis: Objective Data on the effects of radioiodine (RAI) therapy on systemic inflammation are very limited. The aim of this study is to explore alterations of subclinical systemic inflammatory markers, such as neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV), after RAI therapy in patients with differentiated thyroid carcinoma (DTC). Materials and methods We evaluated 57 DTC patients treated with RAI (RAI group), 37 DTC patients not treated with RAI (non-RAI control group), and 37 age-matched healthy individuals (healthy control group). NLR, PLR, and MPV levels were compared among the study groups; these were also examined after RAI in the RAI group. Results Initially, NLR was significantly higher in the RAI group than in the healthy controls. NLR and PLR increased significantly and MPV decreased significantly 2 months after RAI therapy (P=0.021, 0.001, and 0.008, respectively). Although NLR and PLR levels decreased, they were still high compared with the preoperative values. MPV returned to normal levels at 6 months. These parameters did not change significantly in the non-RAI control group. Conclusion This is the first study to evaluate changes in NLR, PLR, and MPV after RAI therapy. Our findings suggest that NLR, PLR, and MPV changes indicate systemic inflammation that occurs after RAI therapy because of thyroid remnant tissue ablation. Nucl Med Commun 37:393-398 © 2016 Wolters Kluwer Health, Inc. All rights reserved.
Databáze: OpenAIRE