Iodine Concentration Research Articles

Association between maternal and cord blood thyroid hormones, and urine iodine concentration with fetal growth.

We planned to evaluate the association of fetal and maternal thyroid hormones and maternal iodine status with neonates' anthropometric parameters. In this cross-sectional study, levels of thyrotropin were measured in maternal serum in the first trimester of pregnancy, and thyrotropin (TSH) and free thyroxin (fT4) were measured in cord blood serum samples at birth. Urinary iodine concentration (UIC) levels in random urine samples of mothers were measured in the third trimester of pregnancy. The relationship between UIC and thyroid hormone levels of mothers with neonates' anthropometric birth parameters of neonates was evaluated. One hundred eighty-eight mother-newborn pairs completed the study. Mean (SD) of cord blood TSH (CB-TSH), cord blood-free thyroxin (CB-FT4) values, and maternal TSH (M-TSH) levels were 8.8 (7.3) mIU/L, 1.01 (0.2) ng/dL, and 2.2 (0.9) mIU/L, respectively. After adjusting for confounders, there was a positive significant association between female neonate length and maternal TSH and log log-transformed CB TSH (LN_CB-TSH) (p<0.05). Median UIC (Q1-Q3) was 157 (53-241) μg/L, and there was no association between birth weight, birth length, and head circumferences of neonates and mothers' UIC (p>0.05). We found a positive correlation between maternal TSH in the first trimester of pregnancy and the birth length of newborns, and a negative correlation was observed between CB-TSH and birth length in girls, but it did not provide conclusive evidence for the relationship between maternal and neonatal thyroid hormone levels and birth weight. There was no association between maternal UIC levels in the third trimester and birth anthropometric parameters.

Electrophoretic deposition of ceramic coatings from modified suspensions of microsized powders of doped BaCeO3 and BaCeO3–BaZrO3 proton-conducting electrolytes

This work investigates the influence of molecular iodine introduced as a charging agent into the suspensions based on the BaCe0.8Sm0.19Cu0·01O3 (BCSCuO), BaCe0·5Zr0·3Y0.1Yb0.1O3-δ (BCZYYbO) and BaCe0.89Gd0.1Cu0·01O3-δ (BCGCuO) proton-conducting electrolytes at concentrations up to 1.0 g/L on their electrokinetic properties. The peculiarities of changes in zeta potential, pH, conductivity of the suspensions, the thickness and morphology of the coatings depending on the amount of iodine added are determined. It has been established that when the iodine concentration increases to 1 g/L, the electrical charge of the particles and the sign of the zeta potential undergo a reversal. Additionally, there is a natural decrease in the pH value towards the acidic side and a corresponding increase in the suspension conductivity. The research has demonstrated that in the suspension with a high iodine content (1 g/L), cathodic and anodic deposition can occur simultaneously under electrophoretic deposition (EPD) conditions at low voltage values (below 8 V). However, as the voltage increases, only cathodic deposition occurs. Therefore, the impact of altering the type of the EPD is threshold in nature relative to the magnitude of the EPD voltage. It has been shown that in order to practically implement EPD of ceramic coatings from modified suspensions of microsized powders of doped BaCeO3 and BaCeO3–BaZrO3 proton-conducting electrolytes, it is necessary to select a small amount of added iodine (0.1–0.2 g/L) to initiate a stable deposition process and to ensure continuity and uniformity of the coatings. This article discusses possible mechanisms of zeta potential inversion, electrophoretic mobility, and the EPD nature under conditions of high concentrations of iodide ions in the suspension bulk. The experiments have demonstrated the viability of the EPD process for the formation of a uniform BCSCuO coating (∼10 μm) on a supporting NiO–BCSCuO anode substrate using an iodine-modified suspension. This coating was subsequently sintered into a dense ceramic film at 1450 °C. In addition to the fundamental significance, the study results have implications for the practical use to improve and simplify the thin-film SOFC technology.

1551: Tumor hypoxia assessment using dual-energy CT derived iodine concentration in head and neck cancer

1551: Tumor hypoxia assessment using dual-energy CT derived iodine concentration in head and neck cancer

Predictive value of spectral computed tomography parameters for EGFR gene mutation in non-small–cell lung cancer

To explore the predictive value of morphological signs and quantitative parameters from spectral CT for EGFR gene mutations in intermediate and advanced non-small-cell lung cancer (NSCLC). This retrospective observational study included patients with intermediate or advanced NSCLC at Xinjiang Medical University Affiliated Tumor Hospital between January 2017 and December 2019. The patients were divided into the EGFR gene mutation-positive and -negative groups. Seventy-nine patients aged 60.75±9.66 years old were included: 32 were EGFR mutation-positive, and 47 were negative. There were significant differences in pathological stage (P<0.001), tumor diameter (P=0.019), lobulation sign, intrapulmonary metastasis, mediastinal lymph node metastasis, distant metastasis (P<0.001), bone metastasis (P<0.001), arterial phase normalized iodine concentration (NIC) (P=0.001), venous phase NIC (P=0.001), slope of the energy spectrum curve (λ) (P<0.001), and CT value at 70 keV in arterial phase (P=0.004) and venous phase (P=0.003) between the EGFR mutation-positive and -negative patients. The multivariable logistic regression analysis showed that intrapulmonary metastasis, distant metastasis, venous phase NIC, venous phase λ, and pathological stage were independent factors predicting EGFR gene mutations, with high diagnostic power (AUC=0.975, 91.5% sensitivity, and 90.6% specificity). The pathological stage and the spectral CT parameters of intrapulmonary metastasis, distant metastasis, venous phase NIC, and venous phase λ might pre-operatively predict EGFR gene mutations in intermediate and advanced NSCLC.

Factors associated with inadequate urinary iodine concentration among pregnant women in Mbeya region Tanzania.

Insufficient and above WHO-recommended levels of iodine intake during pregnancy can lead to serious health outcomes. This study aimed to assess median urine iodine concentration and its associated risk factors among pregnant women in the Mbeya region, Tanzania. A cross sectional survey involving 420 pregnant women (n=420) aged 15-49, registered in Reproductive and Child Health Clinics was conducted. Socio-demographic and dietary factors were assessed by structured questionnaire and the urine samples were analyzed using the ammonium persulfate digestion method. Median urinary iodine concentration (mUIC) was 279.4μg/L and it ranged from 26.1 to 1915μg/L. Insufficient mUIC (below 150μg/L) was observed in 17.14% of participants, sufficient mUIC was 24.29% and 58.57% had mUIC above the recommended level (>250μg/L). Sample women who reported consuming fish in the last 24 hours had an increased risk of insufficient mUIC [Adjusted OR= 2.60 (95%CI 1.31-5.15)] while the risk was lower for those who attended at least primary education [AOR= 0.29 (CI 0.08-0.99)]. Further, sample women resident in Mbarali district, in the oldest age group (35-49) and having a higher socio-economic status were associated with an increased risk of having MUIC above recommended level [AOR=4.09 (CI 1.85-9.010], [AOR=2.51 (CI 0.99-6.330] and, [AOR=2.08 (CI 0.91-4.71) respectively. This study demonstrated a significant association between geographical, age and socio-economic factors and median urine iodine concentration above the WHO-recommended level. Further, this study found association between inadequate iodine in diet and insufficient median urine iodine concentration. Therefore, educational programs on iodine intake should be strengthened.

Response of mineral formulation towards different growth phases of arabica coffee in lowland

Arabica coffee cultivation is limited by altitude, which affects its production. Some farmers in Jember Regency are innovating to grow arabica coffee in the lowland, but the potential for leaf rust disease is quite high. Plant natural resistance can be enhanced by adding minerals formulation (containing silica, iodine, and calcium). This research aimed to determine which phase is more effective for applying mineral formulation that induces plant resistance. The formulation was tested on arabica coffee plants grown at the lowland (460 masl) in Jember Regency on 12 years old (y.o) mature and 1 y.o immature plants. One formulation was dissolved in 14 L of water and applied by foliar feeding. The effect was analyzed using two-way T-test of two samples assuming unequal variances at 95% confidence level to determine the differences. The analysis showed that the plants supplemented with the formulation could increase the variables that supported the natural resistance of plants (both mechanically and through the production of chemical compounds), such as polyphenol content, flavonoids, antioxidant activity, total dissolved protein, vitamin C, reducing sugar, lignin, cellulose, hemicellulose, and iodine content in the plant. The response of the formulation application showed that the most resistance variables was better in 1 y.o immature plants than in 12 y.o mature plants. The application of mineral formulation in immature phase will have a better impact on increasing natural resistance, and it has the potential to be used as a supplement for arabica coffee plants cultivated in the lowland.

Predicting epidermal growth factor receptor mutations in non-small cell lung cancer through dual-layer spectral CT: a prospective study

ObjectiveTo determine whether quantitative parameters of detector-derived dual-layer spectral computed tomography (DLCT) can reliably identify epidermal growth factor receptor (EGFR) mutation status in patients with non-small cell lung cancer (NSCLC).MethodsPatients with NSCLC who underwent arterial phase (AP) and venous phase (VP) DLCT between December 2021 and November 2022 were subdivided into the mutated and wild-type EGFR groups following EGFR mutation testing. Their baseline clinical data, conventional CT images, and spectral images were obtained. Iodine concentration (IC), iodine no water (INW), effective atomic number (Zeff), virtual monoenergetic images, the slope of the spectral attenuation curve (λHU), enhancement degree (ED), arterial enhancement fraction (AEF), and normalized AEF (NAEF) were measured for each lesion.ResultsNinety-two patients (median age, 61 years, interquartile range [51, 67]; 33 men) were evaluated. The univariate analysis indicated that IC, normalized IC (NIC), INW and ED for the AP and VP, as well as Zeff and λHU for the VP were significantly associated with EGFR mutation status (all p < 0.05). INW(VP) showed the best diagnostic performance (AUC, 0.892 [95% confidence interval {CI}: 0.823, 0.960]). However, neither AEF (p = 0.156) nor NAEF (p = 0.567) showed significant differences between the two groups. The multivariate analysis showed that INW(AP) and NIC(VP) were significant predictors of EGFR mutation status, with the latter showing better performance (p = 0.029; AUC, 0.897 [95% CI: 0.816, 0.951] vs. 0.774 [95% CI: 0.675, 0.855]).ConclusionQuantitative parameters of DLCT can help predict EGFR mutation status in patients with NSCLC.Critical relevance statementQuantitative parameters of DLCT, especially NIC(VP), can help predict EGFR mutation status in patients with NSCLC, facilitating appropriate and individualized treatment for them.Key PointsDetermining EGFR mutation status in patients with NSCLC before starting therapy is essential.Quantitative parameters of DLCT can predict EGFR mutation status in NSCLC patients.NIC in venous phase is an important parameter to guide individualized treatment selection for NSCLC patients.Graphical

Effectiveness of iodine derived from Eucheuma spinosum against the bacteria Staphylococcus aureus and Salmonella sp.

Seaweed is the primary source of carrageenan, but it also contains iodine, which can inhibit bacterial activity and growth. The iodine contained in seaweed results from interaction with the marine environment rich in iodine. The research was conducted from June to November 2022 and used iodine from seaweed extraction to test antibacterial activity (Staphylococcus aureus and Salmonella sp). The antibacterial activity test was carried out for 48 hours. The iodine concentration was determined using titration, while the antibacterial activity test used the Disc Diffusion Test. The research showed that Eucheuma spinosum extract contained iodine, 0.38% - 1.22%. The antibacterial activity of seaweed iodine test results revealed an average inhibition zone diameter of 11.5 mm for Staphylococcus aureus and 12 mm for Salmonella sp. This research shows that the iodine in Eucheuma spinosum extract has an inhibitory solid impact on the activity and growth of Staphylococcus aureus and Salmonella sp.

Characterization of tumors of jaw: Additive value of contrast enhancement and dual-energy computed tomography.

Currently, the differentiation of jaw tumors is mainly based on the lesion's morphology rather than the enhancement characteristics, which are important in the differentiation of neoplasms across the body. There is a paucity of literature on the enhancement characteristics of jaw tumors. This is mainly because, even though computed tomography (CT) is used to evaluate these lesions, they are often imaged without intravenous contrast. This study hypothesised that the enhancement characteristics of the solid component of jaw tumors can aid in the differentiation of these lesions in addition to their morphology by dual-energy CT, therefore improving the ability to differentiate between various pathologies. To evaluate the role of contrast enhancement and dual-energy quantitative parameters in CT in the differentiation of jaw tumors. Fifty-seven patients with jaw tumors underwent contrast-enhanced dual-energy CT. Morphological analysis of the tumor, including the enhancing solid component, was done, followed by quantitative analysis of iodine concentration (IC), water concentration (WC), HU, and normalized IC. The study population was divided into four subgroups based on histopathological analysis-central giant cell granuloma (CGCG), ameloblastoma, odontogenic keratocyst (OKC), and other jaw tumors. A one-way ANOVA test for parametric variables and the Kruskal-Wallis test for non-parametric variables were used. If significant differences were found, a series of independent t-tests or Mann-Whitney U tests were used. Ameloblastoma was the most common pathology (n = 20), followed by CGCG (n = 11) and OKC. CGCG showed a higher mean concentration of all quantitative parameters than ameloblastomas (P < 0.05). An IC threshold of 31.35 × 100 μg/cm3 had the maximum sensitivity (81.8%) and specificity (65%). Between ameloblastomas and OKC, the former showed a higher mean concentration of all quantitative parameters (P < 0.001), however when comparing unilocular ameloblastomas with OKCs, the latter showed significantly higher WC. Also, ameloblastoma had a higher IC and lower WC compared to "other jaw tumors" group. Enhancement characteristics of solid components combined with dual-energy parameters offer a more precise way to differentiate between jaw tumors.

Exploring Salivary Iodine Concentration as a Biomarker for Iodine Status and Thyroid Nodules in Females From Different Water Iodine Areas: a Cross-sectional Study

BackgroundIt is unclear whether salivary iodine concentration (SIC) can assess iodine status in females from different water iodine regions. ObjectivesThrough a cross-sectional study, we explored the feasibility of SIC as a biomarker to assess iodine status in females and develop optimal cutoff values. MethodsA total of 1991 females were analyzed in this cross-sectional study from the coastal iodine-deficient areas (CIDAs), inland iodine-deficient areas (IIDAs), iodine-adequate areas (IAAs), iodine-excess areas (IEAs), and iodine extra-high areas (IEHAs). SIC, spot urine iodine concentration (SUIC), and daily total iodine intake (TII) were assessed, and ultrasonography was performed in all subjects. ResultsThere was a positive correlation between SIC and SUIC (r = 0.67; 95% CI: 0.64, 0.69; P < 0.001), and TII (r = 0.47; 95% CI: 0.43, 0.50; P < 0.001). The prevalence of thyroid nodules (TN) showed an upward trend with SIC increasing (Z = −2.83; P-trend = 0.005). The area under the receiver-operating characteristic (ROC) curve for SIC to assess iodine deficiency was 0.62 (95% CI: 0.60, 0.65; P < 0.001) and 0.75 (95% CI: 0.73, 0.77; P < 0.001) for iodine excess. The cutoff values were as follows: SIC < 93.32 μg/L, iodine deficiency; 93.32–224.60 μg/L, iodine adequacy; and >224.60 μg/L, iodine excess. When SIC > 224.60 μg/L, the odds ratio (OR) for UIC > 300 μg/L, excessive TII, and the prevalence of TN were 6.44, 3.68, and 1.27 (95% CI: 4.98, 8.31; 2.83, 4.79; and 1.02, 1.56, respectively; P < 0.05); when SIC < 93.32 μg/L, the OR for UIC < 100 μg/L and insufficient TII were 2.34 and 1.94 (95% CI: 1.73, 3.14 and 1.33, 2.83, respectively; P < 0.05). ConclusionsUsing SIC as a biomarker, females in CIDA exhibited mild iodine deficiency, those in IIDA and IAA demonstrated moderate iodine deficiency, and those in IEA and IEHA exhibited an excess of iodine, consistent with SUIC to assess iodine status. SIC can be used as a good biomarker to evaluate the iodine status in population.

Decreased portal vein attenuation and liver enhancement with reduced intravenous contrast dosage during the national iodinated contrast shortage of 2022.

The worldwide shortage of intravenous (IV) Omnipaque iodinated contrast (Iohexol, GE Healthcare; Milwaukee, WI, USA) forced institutions to adopt various policies regarding contrast allocation. We sought to evaluate the impact of our hospital's response to the shortage, which was to decrease the dose of IV contrast from 100 mL to 75 mL for patients weighing between 45.4 and 136 kg (100-300 lbs) undergoing abdominal computed tomography (CT) examinations. The main objective was to assess for any differences in liver attenuation and enhancement between contrast dosages. Secondary outcomes included assessing differences in aortic and portal vein attenuation, the variance in attenuation measurements, and whether radiology reports included the correct IV contrast dose. Consecutive CT abdomen or CT abdomen and pelvis examinations without and with contrast were analyzed for the 3 months before the contrast shortage and for 3 months during the contrast shortage. Attenuation in Hounsfield units (HUs) was measured in the liver on pre-contrast and portal venous phase images. Vessel attenuation was measured in the aorta (arterial phase) and main portal vein (portal venous phase). Standard deviation of liver attenuation measurements was recorded as an indicator of signal-to-noise. Liver enhancement was calculated as the difference between liver portal venous phase attenuation and pre-contrast attenuations. Thirty-nine fixed dose (100 mL) and 36 reduced dose (75 mL) consecutive CT studies were included in the study. There were no significant differences between the two groups with respect to baseline characteristics such as age, weight, body mass index, and gender. There was no significant difference in pre-contrast liver attenuation between groups, but there was statistically significant greater liver attenuation (99.6 vs. 91.2 HU, P = 0.04) and liver enhancement (51.5 vs. 39.1 HU, P < 0.0001) during the portal venous phase for the fixed-dose group compared to the reduced dose group. There was significantly greater main portal vein opacification during the portal venous phase for the fixed dose group (146.6 vs. 122.2 HU, P < 0.0001). No significant difference was found in aortic opacification during the arterial phase (245 vs. 254 HU, P = 0.52). There was no difference in the standard deviation of liver attenuation measurements on the portal venous phase between the groups. The dose was reported correctly in all the patients receiving the fixed dose and in 92% of patients receiving the reduced dose, which was not statistically significant (P = 0.11). Reducing the IV contrast dose from 100 mL to 75 mL Omnipaque 350 in patients weighing 45.4-136 kg (100-300 lbs) undergoing an abdominal CT examination resulted in significantly decreased portal vein opacification and liver enhancement. In particular, liver enhancement and calculated iodine concentrations fell below suggested thresholds for adequate conspicuity of liver lesions. The change in contrast administration protocol also led to more errors in contrast dose reporting in the radiologist's report. These findings are broadly applicable to many practice settings and can help inform strategies in response to any potential future-iodinated contrast shortage.

Iodine Fortification Study of Some Common Nigerian Vegetables Using Copper Complex

Iodine deficiency (ID) is the result of insufficient dietary iodine intake in humans, the deficiency not only leads to goiter formation but also to severe retardation of growth, development and maturation of nearly all the tissues of the body, especially those that are fast developing. The aim of this research is to evaluate levels of iodine intake by ten Nigerian vegetables using copper complex. Dry alkaline ash method was used in the determination. The results obtained showed that all the ten vegetables used absorbed high concentrations of iodine when inoculated with 0.09 M and 0.14 M [Cu(I)4]2- . Iodine phytotoxicity was observed in all the plants when inoculated with 0.2-0.8 M of the copper complex as all the plants died. Increase in the concentration of copper complex from 0.09-0.14 M increased the absorption of iodine by Amaranthus hybridus, Corchorous olitoruis, Gongronema lotifolium and Solanum melongena. The reverse was observed with Murraya koenigii, Ocimum gratissimum, Talinium triangulare, Abelmoschus esculentus, Cucurbita pepo and Telfairia occidentalis. Ocimum gratissimum absorbed the iodine at 0.09M with value of 164.79 mg/kg, the vegetable also absorbed least at 0.14 M with a dose of 61.80 mg/kg. The intake of the iodine by the plants showed that the method can be used in the fortifying these Nigerian vegetables with iodine, thereby reducing the incidence of Iodine deficiency disorder in humans.

Assessment of iodine nutritional status and gestational thyroid function reference ranges during the first trimester of pregnancy in Taiwan.

Iodine nutrition is critical for fetal neurodevelopment in the first trimester of pregnancy, a period associated with dramatic changes in thyroid function. The aim of this study was to evaluate iodine nutritional status and thyroid function reference ranges in the first trimester in Taiwan. Pregnant women aged 20 years and above in the first trimester were recruited in Taipei Veterans General Hospital, Taiwan from March 2019 to July 2022. Each participant provided a spot urine sample for measurement of urinary iodine concentration (UIC) and a blood sample for checkup of thyroid function and thyroid autoantibodies. A simple food frequency questionnaire was also completed. A total of 209 women with a mean age of 32.9 ± 4.4 years were enrolled. The median UIC was 160.9 μg/L (interquartile range [IQR]: 105.0-246.2 μg/L), indicating overall iodine sufficiency. The gestational thyroid function reference ranges were: thyroid stimulating hormone (TSH) (median: 0.93 [0.007-2.9] µIU/mL), free T4 (1.3 [0.93-2.2] ng/dL), free T3 (3.0 [2.3-5.0] ng/dL), total T4 (9.9 [6.4-16.9] ng/dL), and total T3 (135 [88-231] ng/dL). If the nonpregnant reference range of serum TSH was used, eight women (4.8%) would be misclassified as having subclinical hyperthyroidism, and two women (1.2%) with subclinical hypothyroidism would be missed. In multivariate analysis, nulliparous (adjusted odds ratio [OR] from model 1-3: 2.02, 2.05, 2.02; 95% CI, 1.08-3.77, 1.10-3.81, 1.11-3.66; p = 0.027, 0.023, 0.022, respectively) and multivitamin nonusers (adjusted OR from model 1-3: 1.86, 1.85, 1.78; 95% CI, 1.04-3.34, 1.03-3.32, 1.004-3.71; p = 0.038, 0.039, 0.049, respectively) had increased odds of having lower UIC levels <150 μg/L. The iodine nutritional status in the first trimester is adequate in Taiwan; however, certain subgroups such as nulliparous and multivitamin nonusers are still at risk for iodine deficiency. Gestational thyroid function reference ranges are needed for correct diagnosis of thyroid dysfunction in pregnancy.

Fostering healthy aging through selective nutrition: A long-term comparison of two dietary patterns and their holistic impact on mineral status in middle-aged individuals—A randomized controlled intervention trial in Germany

Aging is associated with a decline in physiological functions and an increased risk of age-related diseases, emphasizing the importance of identifying dietary strategies for healthy aging. Minerals play a crucial role in maintaining optimal health during aging, making them relevant targets for investigation. Therefore, we aimed to analyze the effect of different dietary pattern on mineral status in the elderly. We included 502 individuals aged 50–80 years in a 36-month randomized controlled trial (RCT) (NutriAct study). This article focuses on the results within the two-year intervention period. NutriAct is not a mineral-modulating-targeted intervention study, rather examining nutrition in the context of healthy aging in general. However, mineral status might be affected in an incidental manner. Participants were assigned to either NutriAct dietary pattern (proportionate intake of total energy consumption (%E) of 35–45 %E carbohydrates, 35–40 %E fats, and 15–25 %E protein) or the German Nutrition Society (DGE) dietary pattern (proportionate intake of total energy consumption (%E) of 55 %E carbohydrates, 30 %E fats, and 15 %E protein), differing in the composition of macronutrients. Data from 368 participants regarding dietary intake (energy, calcium, magnesium, iron, and zinc) and serum mineral concentrations of calcium, magnesium, iron, copper, zinc, selenium, iodine, and manganese, free zinc, and selenoprotein P were analyzed at baseline, as well as after 12 and 24 months to gain comprehensive insight into the characteristics of the mineral status. Additionally, inflammatory status - sensitive to changes in mineral status - was assessed by measurement of C-reactive protein and interleukin-6. At baseline, inadequate dietary mineral intake and low serum concentrations of zinc and selenium were observed in both dietary patterns. Throughout two years, serum zinc concentrations decreased, while an increase of serum selenium, manganese and magnesium concentrations was observable, likely influenced by both dietary interventions. No significant changes were observed for serum calcium, iron, copper, or iodine concentrations. In conclusion, long-term dietary interventions can influence serum mineral concentrations in a middle-aged population. Our findings provide valuable insights into the associations between dietary habits, mineral status, and disease, contributing to dietary strategies for healthy aging.

Clinically used lipiodol as an effective radioenhancer

High atomic number (Z) element-based radiosensitizers have been widely reported for enhancing radiotherapeutic effect, while its limited tumor distribution and long-term safety are major limitations in clinics. In this study, we propose the clinically used lipiodol, a liquid radiological imaging agent with high iodine concentration, as a potential radiosensitizer. Compared to clinically approved high Z nanoradiosensitizer HfO2, lipiodol emulsion shows much better tumor spatial distribution and tumor inhibiting ability at in vivo level upon radiation treatment. In addition to primary tumor, lipiodol emulsion also exhibited efficient targetability and inhibition of lymph node metastasis with radiation treatment. Furthermore, the in vitro mechanism study indicates that lipiodol enhances radiotherapeutic effect by generating extra reactive oxygen species to cause DNA damage and cell death, irrespective of cancer type. Lastly, toxicity assessments demonstrate the safety of lipiodol for practical medical applications. This report provides scientific evidence supporting the century-old lipiodol as an effective liquid radiosensitizer ready for clinical implementation.

The problem of iodine deficiency in the environment and prevention of iodine deficiency diseases in the Orel region

Iodine deficiency diseases continue to be a problem in various regions of the world, especially in areas with low iodine content in soils and waters. Among other regions of Russia, the Orel region belongs to territories with a low iodine content in the environment. The aim of the work was to analyze the state of the problem of iodine deficiency in the environment and the prevention of iodine deficiency diseases in the Orel region based on scientific literature data. To achieve this goal, scientific publications, accounting and reporting statistics related to the problem of iodine deficiency were studied. The analysis showed a low iodine content in water, soil and food products produced in the territory of the Oryol region. An assessment of citizens’ preferences for certain foods revealed the priority of bakery and dairy products. Measures are being taken in the region to enrich these food products with iodine, but low awareness of the population reduces the effectiveness of preventive measures. As priority areas for the prevention of iodine deficiency conditions in the Orel region, it is necessary to continue work on the inclusion of food additives and products enriched with this trace element in the diet of residents of the region. At the same time, it will be important to intensify awareness-raising work with the population.

Mixed-halide CsPb(BrxI1-x)3 perovskite nanocrystals in borogermanate glass-ceramics

In this work we successfully synthesize CsPb(BrxI1-x)3 perovskite nanocrystals with different Br/I ratio in a borogermanate glass matrix. The XRD studies show cubic perovskite phase peaks shift as the Br/I ratio changes. The formed nanocrystals have mean size of about 17 nm based on the calculations from the absorption spectra. The smooth change of the Br/I ratio in perovskite nanocrystals allow to obtain luminescence in the range 500–750 nm with quantum yield up to 35 %. The luminescence quantum yield and lifetime of the mixed-halide nanocrystals steadily increase with iodine concentration. Practical application of perovskite glass-ceramics as a radiation converter is shown in the paper.

Association Between Iodine Status and Prevalence of Hypothyroidism, Autoimmune Thyroiditis, and Thyroid Nodule: a Cross-Sectional Study in Shandong Province, China.

In this study, the aim was to investigate the correlation between varying levels of urinary iodine concentration (UIC) in adults and the occurrence of thyroid diseases, with the additional objective of determining the optimal iodine status level for adults. A cross-sectional study was conducted on adults from six areas with different drinking water iodine concentrations (WIC) without eating iodized salt in Heze and Jining counties, Shandong Province, China. A total of 1336 adults were included in this study, and drinking water samples, blood samples, urine samples, thyroid ultrasound, and a questionnaire were collected. UIC, free triiodothyronine (FT3), free thyroid hormone (FT4), thyroid-stimulating hormone (TSH), thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TgAb) were detected. There were no significant differences in the detection rates of hypothyroidism and thyroid autoimmunity (TAI) among the different median UIC groups (UIC < 100μg/L, 100-199μg/L, 200-299μg/L, ≥ 300μg/L). However, the detection rates of hypothyroidism were higher in the UIC < 100μg/L group (16.67%) and the UIC ≥ 300μg/L group (16.51%) compared to the other groups. The detection rate of TAI increased as UIC levels increased. The detection rate of thyroid nodule (TN) in the UIC < 100μg/L group was significantly higher than that in the UIC 200-299μg/L UIC group (χ2 = 10.814, P = 0.001). After adjusting confounding factors, it was found that low UIC (< 100μg/L) was a risk factor for TN (OR 1.83, 95% CI [1.04-3.22]). Meanwhile, there no statistical difference between UIC 200 and 299μg/L and UIC 100 and199 μg/L for OR of hypothyroidism, TAI, and TN. This study identified associations between different UIC levels and the prevalence of thyroid disorders, with low UIC (< 100μg/L) posing a risk for TN, and the detection rate of TN and hypothyroidism was the lowest in UIC (200-299μg/L) group. Therefore, the acceptable UIC range of 'adequate' iodine intake among adults can be widened from 100-199µg/L to 100-299µg/L.

Prediction of pathological activity in Crohn’s disease based on dual-energy CT enterography

PurposeTo explore the feasibility of predicting the pathological activity of Crohn’s disease (CD) based on dual-energy CT enterography (DECTE).MethodsThe clinical, endoscopic, imaging and pathological data of 55 patients with CD scanned by DECTE were retrospectively analyzed; the pathological results were used as a reference standard to classify the diseased bowel segments into active and inactive phases. The normalized iodine concentration (NIC), energy-spectrum curve slope K, dual energy index (DEI), fat fraction (FF) of the arterial phases and venous phases were compared. To assess the parameters’ predictive ability, receiver-operating characteristic curves were used. The Delong test was used to compare the differences between the diagnostic efficiency of each parameter.ResultsA total of 84 intestinal segments were included in the study, including 54 active intestinal segments and 30 inactive intestinal segments. The NIC, energy-spectrum curve slope K and DEI were significantly different between active and inactive bowel segments in the arterial and venous phases (P < 0.05), while FF were not significantly different (P > 0.05). The largest area under the curve (AUC) of NIC, energy-spectrum curve slope K and DEI were higher in arterial phase than in venous phase. For identifying the intestinal activity of CD, the maximum AUC of NIC in arterial phase was 0.908, with a sensitivity of 0.833 and a specificity of 0.800, and the DEI in arterial phase had the highest sensitivity (0.944).ConclusionThe NIC, energy-spectrum curve slope K and DEI can effectively distinguish the active and inactive phases of the intestinal segments of CD patients and provide good assistance for determining further treatment.Graphical abstract

Tracking Progress Towards Sustainable Elimination of Iodine Deficiency Disorders in Selected four Districts of Bihar: An Epidemiological Study

Introduction: Iodine Deficiency Disorders (IDDs) remain a significant global public health challenge, with severe consequences ranging from congenital anomalies, Goitre to mental deficiency. Preventing these disorders through iodized salt consumption is cost-effective and efficient.Aims/ objective: To assess the prevalence of goitre and the proportion of households using adequately iodized salt in selected four districts (Saran, Muzaffarpur, Samastipur, Patna) of Bihar (a state in eastern India) using WHO/UNICEF/ICCIDD criteria.Materials and Method: A community-based cross-sectional study was conducted among children aged 6-12 years.A multi-stage sampling method was employed, and iodine content in household salt samples were analysed.Results: The results showed that the prevalence of goitre ranged from 0.9% to 4.63% across districts, indicating that goitre is not a public health problem. Adequate iodized salt consumption varied from 71.95% to 86.72%,falling short of the 90% USI goal. Urinary iodine excretion data were not available due to ongoing laboratory setup in PMCH, Patna.Conclusion: The study underscores the need for strengthened monitoring and evaluation to ensure thesustainability of IDD control activities for achieving sustainable elimination of IDD in Bihar.