{"id":7481,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"%d0%b4%d0%b8%d1%84%d1%84%d1%83%d0%b7%d0%bd%d0%be-%d0%bf%d0%be%d0%b2%d1%8b%d1%88%d0%b5%d0%bd%d0%bd%d0%be%d0%b5-%d0%bf%d0%be%d0%b3%d0%bb%d0%be%d1%89%d0%b5%d0%bd%d0%b8%d0%b5-%d1%80%d0%b0%d0%b4%d0%b8","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/ru\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\/","title":{"rendered":"\u0414\u0438\u0444\u0444\u0443\u0437\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434\u0430 18F-\u0424\u0414\u0413 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u043e\u0439 \u043d\u0435 \u0432\u0441\u0435\u0433\u0434\u0430 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0433\u0438\u043f\u0435\u0440\u0442\u0438\u0440\u0435\u043e\u0437\u043e\u043c."},"content":{"rendered":"<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<div class=\"section intro\" id=\"sec-1\" readability=\"14.949152542373\">\n<h2 class>\u0412\u0432\u0435\u0434\u0435\u043d\u0438\u0435<\/h2>\n<p id=\"p-2\">\u041f\u0440\u0438 \u0440\u0443\u0442\u0438\u043d\u043d\u043e\u0439 \u043e\u0446\u0435\u043d\u043a\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u044f \u0447\u0430\u0441\u0442\u043e \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043f\u043e\u043b\u0435\u0437\u043d\u044b\u043c \u043c\u0435\u0442\u043e\u0434\u043e\u043c, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0434\u0430\u0435\u0442 \u0430\u043d\u0430\u0442\u043e\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u044b\u0435 \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0441\u0442\u0438\u043a\u0438, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043c\u043e\u0433\u0443\u0442 \u043f\u043e\u043c\u043e\u0447\u044c \u0432 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0435. \u0423\u043b\u044c\u0442\u0440\u0430\u0441\u043e\u043d\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043e\u0441\u043d\u043e\u0432\u043d\u044b\u043c \u043c\u0435\u0442\u043e\u0434\u043e\u043c \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u0432 \u044d\u0442\u043e\u043c \u043e\u0442\u043d\u043e\u0448\u0435\u043d\u0438\u0438, \u0442\u043e\u0433\u0434\u0430 \u043a\u0430\u043a \u041a\u0422, \u041c\u0420\u0422 \u0438 \u041f\u042d\u0422 \u0433\u043e\u0440\u0430\u0437\u0434\u043e \u0440\u0435\u0436\u0435 \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u044e\u0442\u0441\u044f \u0434\u043b\u044f \u043e\u0446\u0435\u043d\u043a\u0438 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u043f\u043e\u0441\u043a\u043e\u043b\u044c\u043a\u0443 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u044f \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u0447\u0430\u0441\u0442\u043e \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0432\u0430\u044e\u0442\u0441\u044f \u0441 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u0442\u0430\u043a\u0438\u0445 \u043f\u0435\u0440\u0435\u0434\u043e\u0432\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043a\u0430\u043a \u0441\u043b\u0443\u0447\u0430\u0439\u043d\u044b\u0435 \u043d\u0430\u0445\u043e\u0434\u043a\u0438.<a id=\"xref-ref-1-1\" class=\"xref-bibr\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#ref-1\">1<\/a> \u0412 \u043e\u0442\u043b\u0438\u0447\u0438\u0435 \u043e\u0442 \u0440\u0435\u043d\u0442\u0433\u0435\u043d\u043e\u043b\u043e\u0433\u043e\u0432, \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u043e \u0432\u0440\u0430\u0447\u0435\u0439, \u043a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u043d\u0435 \u0437\u043d\u0430\u043a\u043e\u043c\u044b \u0441 \u0440\u0435\u043d\u0442\u0433\u0435\u043d\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u044f\u043c\u0438 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0439 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0432\u0430\u0435\u043c\u044b\u0445 \u0441 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u044d\u0442\u0438\u0445 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0445 \u0444\u043e\u0440\u043c \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f.<a id=\"xref-ref-2-1\" class=\"xref-bibr\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#ref-2\">2<\/a>\n<\/p>\n<\/div>\n<div class=\"section\" id=\"sec-2\" readability=\"23.544663767146\">\n<h2 class>\u041e\u043f\u0438\u0441\u0430\u043d\u0438\u0435 \u0441\u043b\u0443\u0447\u0430\u044f<\/h2>\n<p id=\"p-3\">25-\u043b\u0435\u0442\u043d\u044f\u044f \u0436\u0435\u043d\u0449\u0438\u043d\u0430, \u043a\u043e\u0442\u043e\u0440\u0430\u044f \u0432 \u043e\u0441\u0442\u0430\u043b\u044c\u043d\u043e\u043c \u0431\u044b\u043b\u0430 \u044f\u0432\u043d\u043e \u0437\u0434\u043e\u0440\u043e\u0432\u043e\u0439 \u0438 \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u043e\u0439, \u0431\u0435\u0437 \u043a\u0430\u043a\u0438\u0445-\u043b\u0438\u0431\u043e \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0439 \u0438\u043b\u0438 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u043f\u0440\u0438\u0435\u043c\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432, \u0432\u044b\u0437\u0432\u0430\u043b\u0430\u0441\u044c \u043f\u0440\u0438\u043d\u044f\u0442\u044c \u0443\u0447\u0430\u0441\u0442\u0438\u0435 \u0432 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0438 \u0431\u0443\u0440\u043e\u0433\u043e \u0436\u0438\u0440\u0430. \u041e\u043d\u0430 \u043f\u0440\u043e\u0448\u043b\u0430 \u0447\u0435\u0440\u0435\u0437 \u0432\u0441\u0435 \u0442\u0435\u043b\u043e <sup>18<\/sup>\u041f\u042d\u0422\/\u041c\u0420\u0422 \u0441 F-\u0424\u0414\u0413 \u043f\u043e \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u043e\u043c\u0443 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u0443. \u042d\u0442\u043e \u043d\u0435\u043e\u0436\u0438\u0434\u0430\u043d\u043d\u043e \u0432\u044b\u044f\u0432\u0438\u043b\u043e \u0430\u043d\u043e\u043c\u0430\u043b\u044c\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 \u0424\u0414\u0413 (SUVmax = 6,84) \u043d\u0430\u0434 \u043f\u0435\u0440\u0435\u0434\u043d\u0435\u0439 \u0447\u0430\u0441\u0442\u044c\u044e \u0448\u0435\u0438, \u0441\u0442\u0440\u0430\u043d\u043d\u044b\u043c \u043e\u0431\u0440\u0430\u0437\u043e\u043c \u043d\u0430\u043f\u043e\u043c\u0438\u043d\u0430\u044e\u0449\u0435\u0435 \u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0439 \u0440\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434.<sup>99\u043c<\/sup> \u0422\u043a \u0438\u043b\u0438 <sup>131<\/sup>I) \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u043f\u0440\u0438 \u0433\u0438\u043f\u0435\u0440\u0442\u0438\u0440\u0435\u043e\u0437\u0435 (<a id=\"xref-fig-1-1\" class=\"xref-fig\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#F1\">\u0440\u0438\u0441\u0443\u043d\u043e\u043a 1\u0410,\u0411<\/a>). \u041a\u0430\u043a\u043e\u0439 \u0434\u0438\u0430\u0433\u043d\u043e\u0437 \u0438 \u043a\u0430\u043a \u0435\u0433\u043e \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u0442\u044c?<\/p>\n<div id=\"F1\" class=\"fig pos-float odd\" readability=\"5.0046948356808\">\n<div class=\"highwire-figure\">\n<div class=\"fig-inline-img-wrapper\">\n<div class=\"fig-inline-img\"><a href=\"https:\/\/pmj.bmj.com\/content\/postgradmedj\/98\/1166\/e27\/F1.large.jpg?width=800&amp;height=600&amp;carousel=1\" title=\" \u0421\u043a\u0430\u043d\u043e\u0433\u0440\u0430\u043c\u043c\u044b 18F-FDG-PET, \u0434\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0438\u0440\u0443\u044e\u0449\u0438\u0435 \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434\u043e\u0432 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u043e\u0439, \u043a\u0430\u043a \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u043d\u0430 \u0444\u0440\u043e\u043d\u0442\u0430\u043b\u044c\u043d\u043e\u043c \u0441\u0440\u0435\u0437\u0435 (A) \u0438 \u0441\u0430\u0433\u0438\u0442\u0442\u0430\u043b\u044c\u043d\u043e\u043c \u0441\u0440\u0435\u0437\u0435 (B).\" class=\"highwire-fragment fragment-images colorbox-load\" rel=\"gallery-fragment-images-1155453883\" data-figure-caption=\"<div class=&quot;highwire-markup&quot;><div xmlns=&quot;http:\/\/www.w3.org\/1999\/xhtml&quot;> <sup>18<\/sup>F-FDG-PET scans showing diffusely increased radionuclide uptake by the thyroid gland as shown in the coronal section (A) and the sagittal section (B).<\/div><\/div><p>&#8221; data-icon-position data-hide-link-title=&#8221;0&#8243;><span class=\"hw-responsive-img\"><img fetchpriority=\"high\" decoding=\"async\" class=\"highwire-fragment fragment-image lazyload\" alt=\"\u0420\u0438\u0441\u0443\u043d\u043e\u043a 1\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism.gif\" width=\"440\" height=\"156\" style=\"display:none\"><noscript><img decoding=\"async\" class=\"highwire-fragment fragment-image\" alt=\"\u0420\u0438\u0441\u0443\u043d\u043e\u043a 1\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism.gif\" width=\"440\" height=\"156\"><\/noscript><\/span><\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"fig-caption\" readability=\"8\"><span class=\"fig-label\">\u0420\u0438\u0441\u0443\u043d\u043e\u043a 1<\/span> <\/p>\n<p id=\"p-4\" class=\"first-child\">\n<sup>18<\/sup>\u0421\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 F-FDG-PET, \u043f\u043e\u043a\u0430\u0437\u044b\u0432\u0430\u044e\u0449\u0435\u0435 \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434\u043e\u0432 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u043e\u0439, \u043a\u0430\u043a \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u043d\u0430 \u043a\u043e\u0440\u043e\u043d\u0430\u0440\u043d\u043e\u043c \u0441\u0440\u0435\u0437\u0435 (A) \u0438 \u0441\u0430\u0433\u0438\u0442\u0442\u0430\u043b\u044c\u043d\u043e\u043c \u0441\u0440\u0435\u0437\u0435 (B).<\/p>\n<\/div>\n<\/div>\n<p id=\"p-5\">\u041e\u0442\u0432\u0435\u0442: \u041f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 \u0441\u043a\u0440\u0438\u043d\u0438\u043d\u0433\u043e\u0432\u044b\u0439 \u0442\u0435\u0441\u0442 \u0444\u0443\u043d\u043a\u0446\u0438\u0438 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u0432\u044b\u044f\u0432\u0438\u043b \u0441\u0432\u043e\u0431\u043e\u0434\u043d\u044b\u0439 \u0442\u0438\u0440\u043e\u043a\u0441\u0438\u043d \u0432 \u0441\u044b\u0432\u043e\u0440\u043e\u0442\u043a\u0435 (FT4) 10,0 \u043f\u043c\u043e\u043b\u044c\/\u043b (RI: 8\u201320) \u0438 \u0442\u0438\u0440\u0435\u043e\u0442\u0440\u043e\u043f\u043d\u044b\u0439 \u0433\u043e\u0440\u043c\u043e\u043d (TSH) \u0432 \u0441\u044b\u0432\u043e\u0440\u043e\u0442\u043a\u0435 4,28 \u043c\u041c\u0415\/\u043b (RI: 0,45\u20134,50). . \u041d\u0435\u043e\u0446\u0435\u043d\u0438\u043c\u0443\u044e \u043f\u043e\u0434\u0441\u043a\u0430\u0437\u043a\u0443 \u0434\u0430\u043b \u0442\u0435\u0441\u0442 \u0444\u0443\u043d\u043a\u0446\u0438\u0438 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u043d\u044b\u0439 7 \u043c\u0435\u0441\u044f\u0446\u0435\u0432 \u043d\u0430\u0437\u0430\u0434: FT4 = 13,2 \u043f\u043c\u043e\u043b\u044c\/\u043b (RI: 8\u201320) \u0438 TSH = 2,43 (RI: 0,45\u20134,50). \u042d\u0442\u043e \u043f\u043e\u0434\u0440\u0430\u0437\u0443\u043c\u0435\u0432\u0430\u043b\u043e \u043f\u0440\u043e\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u043e\u0435 \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u0435 FT4, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0435 \u0441 \u0440\u0435\u0446\u0438\u043f\u0440\u043e\u043a\u043d\u044b\u043c \u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u0438\u0435\u043c \u0422\u0422\u0413. \u0417\u0430\u0442\u0435\u043c \u0431\u044b\u043b\u043e \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u043e \u0423\u0417\u0418 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u043a\u043e\u0442\u043e\u0440\u043e\u0435 \u0432\u044b\u044f\u0432\u0438\u043b\u043e \u043e\u0431\u0449\u0443\u044e \u043d\u0435\u043e\u0434\u043d\u043e\u0440\u043e\u0434\u043d\u0443\u044e \u044d\u0445\u043e\u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0443 \u0441 \u043f\u0430\u0440\u0435\u043d\u0445\u0438\u043c\u0430\u0442\u043e\u0437\u043d\u043e\u0439 \u0433\u0438\u043f\u043e\u044d\u0445\u043e\u0433\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e, \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u043d\u0443\u044e \u0434\u043b\u044f \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0430.<a id=\"xref-fig-2-1\" class=\"xref-fig\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#F2\">\u0444\u0438\u0433\u0443\u0440\u0430 2<\/a>). \u041f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044f \u0443\u043b\u044c\u0442\u0440\u0430\u0437\u0432\u0443\u043a\u043e\u0432\u043e\u0435 \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435, \u043d\u0435\u0443\u0441\u0438\u043b\u0435\u043d\u043d\u044b\u0435 \u04222-\u0432\u0437\u0432\u0435\u0448\u0435\u043d\u043d\u044b\u0435 \u041c\u0420\u0422-\u0438\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u044f, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0431\u044b\u043b\u0438 \u043e\u0434\u043d\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u043e \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u044b \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u0441\u043b\u0438\u044f\u043d\u0438\u044f \u041f\u042d\u0422-\u041c\u0420\u0422, \u0432\u044b\u044f\u0432\u0438\u043b\u0438 \u0432\u044b\u0441\u043e\u043a\u0443\u044e \u0438 \u043d\u0435\u043e\u0434\u043d\u043e\u0440\u043e\u0434\u043d\u0443\u044e \u0438\u043d\u0442\u0435\u043d\u0441\u0438\u0432\u043d\u043e\u0441\u0442\u044c \u0441\u0438\u0433\u043d\u0430\u043b\u0430 \u0432 \u043f\u0430\u0440\u0435\u043d\u0445\u0438\u043c\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u0447\u0442\u043e \u0441\u0432\u0438\u0434\u0435\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0443\u0435\u0442 \u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u0435 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0430 \u0425\u0430\u0448\u0438\u043c\u043e\u0442\u043e.<a id=\"xref-fig-3-1\" class=\"xref-fig\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#F3\">\u0446\u0438\u0444\u0440\u0430 3<\/a>). \u0423\u0440\u043e\u0432\u0435\u043d\u044c \u0430\u0443\u0442\u043e\u0430\u043d\u0442\u0438\u0442\u0435\u043b \u043a \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u043d\u043e\u0439 \u043f\u0435\u0440\u043e\u043a\u0441\u0438\u0434\u0430\u0437\u0435 \u0432 \u0441\u044b\u0432\u043e\u0440\u043e\u0442\u043a\u0435 \u043f\u0440\u0435\u0432\u044b\u0448\u0430\u043b 1000 \u041c\u0415\/\u043c\u043b (\u043d\u043e\u0440\u043c\u0430 &lt;50 \u041c\u0415\/\u043c\u043b), \u0442\u043e\u0433\u0434\u0430 \u043a\u0430\u043a \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0430\u0443\u0442\u043e\u0430\u043d\u0442\u0438\u0442\u0435\u043b \u043a \u0442\u0438\u0440\u0435\u043e\u0433\u043b\u043e\u0431\u0443\u043b\u0438\u043d\u0443 \u0432 \u0441\u044b\u0432\u043e\u0440\u043e\u0442\u043a\u0435 \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u043b 33,55 \u041c\u0415\/\u043c\u043b (\u043d\u043e\u0440\u043c\u0430 &lt;4,1 \u041c\u0415\/\u043c\u043b). \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u00ab\u043d\u043e\u0440\u043c\u0430\u043b\u044c\u043d\u044b\u0435\u00bb \u0442\u0435\u0441\u0442\u044b \u0444\u0443\u043d\u043a\u0446\u0438\u0438 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u0434\u0430\u043d\u043d\u044b\u0435 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u043b\u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u044e\u0449\u0438\u0439\u0441\u044f \u0430\u0443\u0442\u043e\u0438\u043c\u043c\u0443\u043d\u0438\u0442\u0435\u0442 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0439 \u0440\u0430\u043d\u043d\u0435\u043c\u0443 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0443 \u0425\u0430\u0448\u0438\u043c\u043e\u0442\u043e. \u041a\u043e\u0440\u043e\u0442\u043a\u0438\u0439 \u0442\u0435\u0441\u0442 \u0441\u043e \u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0446\u0438\u0435\u0439 \u0410\u041a\u0422\u0413 \u0438\u0441\u043a\u043b\u044e\u0447\u0438\u043b \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0439 \u0433\u0438\u043f\u043e\u043a\u043e\u0440\u0442\u0438\u0446\u0438\u0437\u043c, \u0447\u0442\u043e \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0440\u0435\u0448\u0430\u044e\u0449\u0438\u043c \u0448\u0430\u0433\u043e\u043c \u0432\u043e \u0438\u0437\u0431\u0435\u0436\u0430\u043d\u0438\u0435 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0430\u0434\u0434\u0438\u0441\u043e\u043d\u043e\u0432\u043e\u0433\u043e \u043a\u0440\u0438\u0437\u0430 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043d\u0430\u0447\u0430\u043b\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u044f L-\u0442\u0438\u0440\u043e\u043a\u0441\u0438\u043d\u043e\u043c \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u043d\u0435\u043e\u0436\u0438\u0434\u0430\u043d\u043d\u044b\u043c \u0430\u0434\u0440\u0435\u043d\u0430\u043b\u0438\u0442\u043e\u043c \u0432\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u0435 \u0430\u0443\u0442\u043e\u0438\u043c\u043c\u0443\u043d\u043d\u043e\u0433\u043e \u043f\u043e\u043b\u0438\u0433\u043b\u0430\u043d\u0434\u0443\u043b\u044f\u0440\u043d\u043e\u0433\u043e \u0441\u0438\u043d\u0434\u0440\u043e\u043c\u0430. \u0415\u0439 \u0431\u044b\u043b \u043d\u0430\u0437\u043d\u0430\u0447\u0435\u043d L-\u0442\u0438\u0440\u043e\u043a\u0441\u0438\u043d \u043f\u043e 25 \u043c\u043a\u0433\/\u0441\u0443\u0442. \u0427\u0435\u0440\u0435\u0437 2 \u0433\u043e\u0434\u0430 \u0434\u043e\u0437\u0430 \u0431\u044b\u043b\u0430 \u0443\u0434\u0432\u043e\u0435\u043d\u0430, \u0447\u0442\u043e \u043e\u043f\u0442\u0438\u043c\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043b\u043e \u0435\u0435 \u044d\u043d\u0435\u0440\u0433\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0438 \u043c\u0430\u0441\u0441\u0443 \u0442\u0435\u043b\u0430. \u041f\u0440\u0438 \u043f\u043e\u0441\u043b\u0435\u0434\u0443\u044e\u0449\u0435\u043c \u043f\u043e\u0441\u0435\u0449\u0435\u043d\u0438\u0438 \u0447\u0435\u0440\u0435\u0437 4 \u0433\u043e\u0434\u0430 \u043e\u043d\u0430 \u043e\u0441\u0442\u0430\u0432\u0430\u043b\u0430\u0441\u044c \u044d\u0443\u0442\u0438\u0440\u0435\u043e\u0438\u0434\u043d\u043e\u0439 \u0441 \u0441\u044b\u0432\u043e\u0440\u043e\u0442\u043e\u0447\u043d\u044b\u043c FT4 12,5 \u043f\u043c\u043e\u043b\u044c\/\u043b (RI: 8-16), FT3 4,7 \u043f\u043c\u043e\u043b\u044c\/\u043b (RI: 3,5-6,0) \u0438 \u0422\u0422\u0413 1,54 \u043c\u041c\u0415\/\u043b. \u0420\u0418: 0,45\u20134,50).<\/p>\n<div id=\"F2\" class=\"fig pos-float odd\" readability=\"4.997641509434\">\n<div class=\"highwire-figure\">\n<div class=\"fig-inline-img-wrapper\">\n<div class=\"fig-inline-img\"><a href=\"https:\/\/pmj.bmj.com\/content\/postgradmedj\/98\/1166\/e27\/F2.large.jpg?width=800&amp;height=600&amp;carousel=1\" title=\"\u0423\u043b\u044c\u0442\u0440\u0430\u0437\u0432\u0443\u043a\u043e\u0432\u043e\u0435 \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u0432\u044b\u044f\u0432\u043b\u044f\u044e\u0449\u0435\u0435 \u0436\u0435\u043b\u0435\u0437\u0443 \u0441 \u043d\u0435\u043e\u0434\u043d\u043e\u0440\u043e\u0434\u043d\u043e\u0439 \u044d\u0445\u043e\u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u043e\u0439 \u0441 \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e\u0439 \u0433\u0438\u043f\u043e\u044d\u0445\u043e\u0433\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e \u0432 \u0434\u0432\u0443\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0438\u0445 \u0434\u043e\u043b\u044f\u0445, \u0447\u0442\u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u0435\u0442 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0443.\" class=\"highwire-fragment fragment-images colorbox-load\" rel=\"gallery-fragment-images-1155453883\" data-figure-caption=\"<div class=&quot;highwire-markup&quot;>Thyroid ultrasound scan revealing a gland with heterogeneous echotexture with diffuse hypo-echogenicity in bilateral lobes consistent with thyroiditis.<\/div><p>&#8221; data-icon-position data-hide-link-title=&#8221;0&#8243;><span class=\"hw-responsive-img\"><img decoding=\"async\" class=\"highwire-fragment fragment-image lazyload\" alt=\"\u0444\u0438\u0433\u0443\u0440\u0430 2\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism-1.gif\" width=\"440\" height=\"308\"><noscript><img loading=\"lazy\" decoding=\"async\" class=\"highwire-fragment fragment-image\" alt=\"\u0444\u0438\u0433\u0443\u0440\u0430 2\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism-1.gif\" width=\"440\" height=\"308\"><\/noscript><\/span><\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"fig-caption\" readability=\"8\"><span class=\"fig-label\">\u0444\u0438\u0433\u0443\u0440\u0430 2<\/span> <\/p>\n<p id=\"p-6\" class=\"first-child\">\u0423\u043b\u044c\u0442\u0440\u0430\u0437\u0432\u0443\u043a\u043e\u0432\u043e\u0435 \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u0432\u044b\u044f\u0432\u043b\u044f\u044e\u0449\u0435\u0435 \u0436\u0435\u043b\u0435\u0437\u0443 \u0441 \u043d\u0435\u043e\u0434\u043d\u043e\u0440\u043e\u0434\u043d\u043e\u0439 \u044d\u0445\u043e\u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u043e\u0439 \u0441 \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e\u0439 \u0433\u0438\u043f\u043e\u044d\u0445\u043e\u0433\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e \u0432 \u0434\u0432\u0443\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0438\u0445 \u0434\u043e\u043b\u044f\u0445, \u0447\u0442\u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u0435\u0442 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0443.<\/p>\n<\/div>\n<\/div>\n<div id=\"F3\" class=\"fig pos-float odd\" readability=\"6.1636363636364\">\n<div class=\"highwire-figure\">\n<div class=\"fig-inline-img-wrapper\">\n<div class=\"fig-inline-img\"><a href=\"https:\/\/pmj.bmj.com\/content\/postgradmedj\/98\/1166\/e27\/F3.large.jpg?width=800&amp;height=600&amp;carousel=1\" title=\"\u041c\u0420\u0422 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u0442\u043e\u0433\u043e \u0436\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430, \u0434\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0438\u0440\u0443\u044e\u0449\u0430\u044f \u043d\u0435\u0443\u0441\u0438\u043b\u0435\u043d\u043d\u044b\u0435 \u04222-\u0432\u0437\u0432\u0435\u0448\u0435\u043d\u043d\u044b\u0435 \u043a\u043e\u0440\u043e\u043d\u0430\u0440\u043d\u044b\u0435 (\u0410) \u0438 \u0441\u0430\u0433\u0438\u0442\u0442\u0430\u043b\u044c\u043d\u044b\u0435 (\u0412) \u0438\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u044f \u0441 \u043d\u0435\u043e\u0434\u043d\u043e\u0440\u043e\u0434\u043d\u043e\u0439 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u0438\u043d\u0442\u0435\u043d\u0441\u0438\u0432\u043d\u043e\u0441\u0442\u044c\u044e \u0441\u0438\u0433\u043d\u0430\u043b\u0430 \u0432 \u043f\u0430\u0440\u0435\u043d\u0445\u0438\u043c\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0435\u0439 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442 \u0425\u0430\u0448\u0438\u043c\u043e\u0442\u043e.\" class=\"highwire-fragment fragment-images colorbox-load\" rel=\"gallery-fragment-images-1155453883\" data-figure-caption=\"<div class=&quot;highwire-markup&quot;>MRI of thyroid of the same patient, showing non-enhanced T2-weighted coronal (A) and sagittal (B) images with inhomogeneous high signal intensities within the thyroid parenchyma supportive of Hashimoto thyroiditis.<\/div><p>&#8221; data-icon-position data-hide-link-title=&#8221;0&#8243;><span class=\"hw-responsive-img\"><img loading=\"lazy\" decoding=\"async\" class=\"highwire-fragment fragment-image lazyload\" alt=\"\u0420\u0438\u0441\u0443\u043d\u043e\u043a 3\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism-2.gif\" width=\"440\" height=\"154\"><noscript><img loading=\"lazy\" decoding=\"async\" class=\"highwire-fragment fragment-image\" alt=\"\u0420\u0438\u0441\u0443\u043d\u043e\u043a 3\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism-2.gif\" width=\"440\" height=\"154\"><\/noscript><\/span><\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"fig-caption\" readability=\"10\"><span class=\"fig-label\">\u0420\u0438\u0441\u0443\u043d\u043e\u043a 3<\/span> <\/p>\n<p id=\"p-7\" class=\"first-child\">\u041c\u0420\u0422 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u0442\u043e\u0433\u043e \u0436\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430, \u0434\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0438\u0440\u0443\u044e\u0449\u0430\u044f \u043d\u0435\u0443\u0441\u0438\u043b\u0435\u043d\u043d\u044b\u0435 \u04222-\u0432\u0437\u0432\u0435\u0448\u0435\u043d\u043d\u044b\u0435 \u043a\u043e\u0440\u043e\u043d\u0430\u0440\u043d\u044b\u0435 (\u0410) \u0438 \u0441\u0430\u0433\u0438\u0442\u0442\u0430\u043b\u044c\u043d\u044b\u0435 (\u0412) \u0438\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u044f \u0441 \u043d\u0435\u043e\u0434\u043d\u043e\u0440\u043e\u0434\u043d\u043e\u0439 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u0438\u043d\u0442\u0435\u043d\u0441\u0438\u0432\u043d\u043e\u0441\u0442\u044c\u044e \u0441\u0438\u0433\u043d\u0430\u043b\u0430 \u0432 \u043f\u0430\u0440\u0435\u043d\u0445\u0438\u043c\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b, \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0435\u0439 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442 \u0425\u0430\u0448\u0438\u043c\u043e\u0442\u043e.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"section conclusions\" id=\"sec-3\" readability=\"11.914163090129\">\n<h2 class>\u0417\u0430\u043a\u043b\u044e\u0447\u0435\u043d\u0438\u0435<\/h2>\n<p id=\"p-8\">\u0420\u0430\u0441\u0442\u0443\u0449\u0430\u044f \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u0430\u0443\u0442\u043e\u0438\u043c\u043c\u0443\u043d\u043d\u043e\u0433\u043e \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0430 \u0432 \u0441\u043e\u0447\u0435\u0442\u0430\u043d\u0438\u0438 \u0441 \u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u0438\u0435\u043c \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u044f <sup>18<\/sup>\u0421\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 F-FDG-PET \u043f\u043e \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u043c \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f\u043c \u0431\u0443\u0434\u0435\u0442 \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0430\u0442\u044c \u0433\u0435\u043d\u0435\u0440\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0442\u0430\u043a\u0438\u0435 \u0441\u043b\u0443\u0447\u0430\u0439\u043d\u044b\u0435 \u043d\u0430\u0445\u043e\u0434\u043a\u0438, \u043a\u0430\u043a \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u0432 \u043d\u0430\u0448\u0435\u043c \u0441\u043b\u0443\u0447\u0430\u0435.<a id=\"xref-ref-3-1\" class=\"xref-bibr\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#ref-3\">3 4<\/a> \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e\u0435 \u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u0438\u0435 <sup>18<\/sup>\u041f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 F-FDG \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u043e\u0439 \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0435\u0442\u0441\u044f \u043f\u0440\u0438 \u0433\u0438\u043f\u0435\u0440\u0442\u0438\u0440\u0435\u043e\u0437\u0435, \u0442\u0430\u043a\u043e\u043c \u043a\u0430\u043a \u0431\u043e\u043b\u0435\u0437\u043d\u044c \u0413\u0440\u0435\u0439\u0432\u0441\u0430, \u0432\u0440\u0430\u0447\u0438 \u0434\u043e\u043b\u0436\u043d\u044b \u043f\u0440\u0438\u0437\u043d\u0430\u0442\u044c, \u0447\u0442\u043e \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 <sup>18<\/sup>\u041f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 F-FDG \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u043e\u0439 \u0442\u0430\u043a\u0436\u0435 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0441\u0432\u044f\u0437\u0430\u043d\u043e \u0441 \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u043e\u043c \u0425\u0430\u0448\u0438\u043c\u043e\u0442\u043e,<a id=\"xref-ref-5-1\" class=\"xref-bibr\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#ref-5\">5<\/a> \u0447\u0442\u043e \u0440\u0435\u0437\u043a\u043e \u043a\u043e\u043d\u0442\u0440\u0430\u0441\u0442\u0438\u0440\u0443\u0435\u0442 \u0441 \u0443\u043c\u0435\u043d\u044c\u0448\u0435\u043d\u0438\u0435\u043c <sup>99\u043c<\/sup>\u0422\u0441\/<sup>131<\/sup>I \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 \u0442\u0438\u043f\u0438\u0447\u043d\u043e \u0434\u043b\u044f \u043f\u043e\u0434\u043e\u0441\u0442\u0440\u043e\u0433\u043e \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\u0430<a id=\"xref-ref-6-1\" class=\"xref-bibr\" href=\"https:\/\/pmj.bmj.com\/content\/98\/1166\/e27?rss=1#ref-6\">6<\/a> \u0438 \u044d\u0442\u043e \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u0434\u0438\u0444\u0444\u0435\u0440\u0435\u043d\u0446\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0441 \u0430\u043d\u0430\u043b\u043e\u0433\u0438\u0447\u043d\u044b\u043c\u0438 \u0441\u0446\u0438\u043d\u0442\u0438\u0433\u0440\u0430\u0444\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0430\u043c\u0438 \u0431\u043e\u043b\u0435\u0437\u043d\u0438 \u0413\u0440\u0435\u0439\u0432\u0441\u0430, \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0437\u0443\u044e\u0449\u0435\u0439\u0441\u044f \u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u043d\u044b\u043c <sup>99\u043c<\/sup>\u0422\u0441\/<sup>131<\/sup>\u044f \u0438 <sup>18<\/sup>\u041f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 F-\u0424\u0414\u0413.<\/p>\n<\/div>\n<div class=\"section ethics-statement\" id=\"sec-4\">\n<h2 class>\u0417\u0430\u044f\u0432\u043b\u0435\u043d\u0438\u044f \u043e\u0431 \u044d\u0442\u0438\u043a\u0435<\/h2>\n<div class=\"section\" id=\"sec-5\">\n<h3>\u0421\u043e\u0433\u043b\u0430\u0441\u0438\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u043d\u0430 \u043f\u0443\u0431\u043b\u0438\u043a\u0430\u0446\u0438\u044e<\/h3>\n<p id=\"p-13\" class=\"ethics-consent-to-publish\">\u041f\u043e\u043b\u0443\u0447\u0435\u043d\u043d\u044b\u0439.<\/p>\n<\/div>\n<\/div>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e27?rss=1\">\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0439 \u0435\u0436\u0435\u0434\u043d\u0435\u0432\u043d\u044b\u0439 \u0438\u0441\u0442\u043e\u0447\u043d\u0438\u043a<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p><sec id=\"s1\"><st>\u0412\u0432\u0435\u0434\u0435\u043d\u0438\u0435<\/st> <\/p>\n<p>\u041f\u0440\u0438 \u0440\u0443\u0442\u0438\u043d\u043d\u043e\u0439 \u043e\u0446\u0435\u043d\u043a\u0435 \u0449\u0438\u0442\u043e\u0432\u0438\u0434\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u044f \u0447\u0430\u0441\u0442\u043e \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043f\u043e\u043b\u0435\u0437\u043d\u044b\u043c \u043c\u0435\u0442\u043e\u0434\u043e\u043c, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0434\u0430\u0435\u0442 \u0430\u043d\u0430\u0442\u043e\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u044b\u0435 \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0441\u0442\u0438\u043a\u0438, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043c\u043e\u0433\u0443\u0442 \u043f\u043e\u043c\u043e\u0447\u044c \u0432 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<\/p>\n<p>25-\u043b\u0435\u0442\u043d\u044f\u044f \u0436\u0435\u043d\u0449\u0438\u043d\u0430, \u043a\u043e\u0442\u043e\u0440\u0430\u044f \u0432 \u043e\u0441\u0442\u0430\u043b\u044c\u043d\u043e\u043c \u0431\u044b\u043b\u0430 \u044f\u0432\u043d\u043e \u0437\u0434\u043e\u0440\u043e\u0432\u043e\u0439 \u0438 \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u043e\u0439, \u0431\u0435\u0437 \u043a\u0430\u043a\u0438\u0445-\u043b\u0438\u0431\u043e \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0439 \u0438\u043b\u0438 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u043f\u0440\u0438\u0435\u043c\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432, \u0432\u044b\u0437\u0432\u0430\u043b\u0430\u0441\u044c \u043f\u0440\u0438\u043d\u044f\u0442\u044c \u0443\u0447\u0430\u0441\u0442\u0438\u0435 \u0432 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0438 \u0431\u0443\u0440\u043e\u0433\u043e \u0436\u0438\u0440\u0430. \u041e\u043d\u0430 \u043f\u0440\u043e\u0448\u043b\u0430 \u0447\u0435\u0440\u0435\u0437 \u0432\u0441\u0435 \u0442\u0435\u043b\u043e <sup>18<\/sup>\u041f\u042d\u0422\/\u041c\u0420\u0422 \u0441 F-\u0424\u0414\u0413 \u043f\u043e \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u043e\u043c\u0443 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u0443. \u042d\u0442\u043e \u043d\u0435\u043e\u0436\u0438\u0434\u0430\u043d\u043d\u043e \u0432\u044b\u044f\u0432\u0438\u043b\u043e \u0430\u043d\u043e\u043c\u0430\u043b\u044c\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435 \u0424\u0414\u0413 (SUVmax = 6,84) \u043d\u0430\u0434 \u043f\u0435\u0440\u0435\u0434\u043d\u0435\u0439 \u0447\u0430\u0441\u0442\u044c\u044e \u0448\u0435\u0438, \u0441\u0442\u0440\u0430\u043d\u043d\u044b\u043c \u043e\u0431\u0440\u0430\u0437\u043e\u043c \u043d\u0430\u043f\u043e\u043c\u0438\u043d\u0430\u044e\u0449\u0435\u0435 \u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0439 \u0440\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434.<sup>99\u043c<\/sup>&#8230;<\/p>","protected":false},"author":2,"featured_media":7482,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism.gif","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7481","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diffusely increased 18F-FDG thyroid radionuclide uptake is not always hyperthyroidism - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/ru\/\u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e-\u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435-\u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435-\u0440\u0430\u0434\u0438\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diffusely increased 18F-FDG thyroid radionuclide uptake is not always hyperthyroidism - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"Introduction In the routine evaluation of the thyroid, imaging is often a useful modality, which gives anatomical and functional characteristics that can aid diagnosis. Thyroid ultrasonography is the principal imaging modality in this regard, whereas CT, MRI and PET scanning are much less frequently ordered for thyroid assessment through thyroid lesions are often discovered via such advanced imaging modalities as incidental findings.1 Unlike radiologists, most physicians tend to be unfamiliar with radiological features of thyroid disorders detected via these latter forms of scanning.2 Case description A 25-year-old woman who was otherwise overtly healthy and asymptomatic without any history of medical illnesses or chronic medications had volunteered for a research study on brown fat. She underwent whole-body 18F-FDG PET\/MR imaging according to a standard protocol. This unexpectedly revealed abnormally increased FDG uptake (SUVmax=6.84) over the anterior neck strangely reminiscent of typical radionuclide (99m...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/ru\/\u0434\u0438\u0444\u0444\u0443\u0437\u043d\u043e-\u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435-\u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435-\u0440\u0430\u0434\u0438\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism.gif\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u041d\u0430\u043f\u0438\u0441\u0430\u043d\u043e \u0430\u0432\u0442\u043e\u0440\u043e\u043c\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u041f\u0440\u0438\u043c\u0435\u0440\u043d\u043e\u0435 \u0432\u0440\u0435\u043c\u044f \u0434\u043b\u044f \u0447\u0442\u0435\u043d\u0438\u044f\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 \u043c\u0438\u043d\u0443\u0442\u044b\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Diffusely increased 18F-FDG thyroid radionuclide uptake is not always hyperthyroidism\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\\\/\"},\"wordCount\":582,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism.gif\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"ru-RU\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/diffusely-increased-18f-fdg-thyroid-radionuclide-uptake-is-not-always-hyperthyroidism\\\/\",\"name\":\"Diffusely increased 18F-FDG thyroid radionuclide uptake is not always hyperthyroidism - 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