Work

The Impact of Iodinated Contrast Media Used in Epidural Steroid Injections on Thyroid Function Tests

Year: 2024

Type: article

Abstract: OBJECTIVE: The use of iodinated contrast media (ICM) inevitably increases in conjunction with the growing number of epidural steroid injection (ESI) administrations. The purpose of this study was to investigate the relationship between thyroid functions and ICM exposure through ESI procedures. DESIGN: This is a prospective observational study. SETTING: The study was conducted at a university hospital pain management center. METHODS: This study was conducted between June 2022 and February 2023. Participants between the ages of 18 and 65 who had received an ESI at our outpatient pain clinic comprised the study's population. Thyroid function tests (free triiodothyronine (FT3), free thyroxine (FT4), and thyroid-stimulating hormone (TSH)) were measured before and three weeks after the procedure. RESULTS: A total of 124 participants (80 women and 44 men) were analyzed. The average amount of contrast media administered was 1.34 ml. A significant increase was observed only in the FT4 value compared to pre-procedure (p = 0.017), and no patient developed thyroid disorders. CONCLUSION: The current study presents an analysis of the relationship between ICM and thyroid functions in the ESI population.

Source: Cureus

DOI: 10.7759/cureus.70888

Authors: Ridvan Isik, Serdar Kokar, Yucel Olgun, Savas Sencan, Osman Hakan Gunduz

Institutions: Sakarya University, Sakarya Eğitim ve Araştırma Hastanesi, Marmara University

Language: English

Topic: Thyroid Disorders and Treatments

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: Marmara Üniversitesi