Evidence map›Paper›PMID 42046014›Full record

ArticleBMC medical imaging2026

Associations among thyroid function, white matter microstructure, and emotional disturbances in thyroid eye disease.

Zimin Zhang, Haiyang Zhang, Xuefei Song, Yang Song, Huifang Zhou, Ling Zhu, Xiaofeng Tao, Mengda Jiang

Abstract read
In one paragraph

Article in BMC medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zimin Zhang *Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Haiyang Zhang *Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xuefei SongDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yang SongDepartment of MR Scientific Marketing, Siemens Healthcare, Shanghai, China.
Huifang ZhouDepartment of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-8636-861X
Ling ZhuDepartment of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaofeng Tao *Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. cjr.taoxiaofeng@vip.163.com.
Mengda Jiang *Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. alexonline@163.com.ORCID 0000-0001-6046-7735

Funding

the National Natural Science Foundation of China 82572166
6 · The paper itself

Abstract

objectivesTo characterize white matter microstructural abnormalities in thyroid eye disease (TED) using tract-based spatial statistics (TBSS) of diffusion tensor imaging (DTI) and diffusion kurtosis imaging (DKI), and to explore their associations with thyroid function and emotional disturbances.

methods24 TED patients and 27 age-, sex-, and education-matched healthy controls (HC) were enrolled. DTI- and DKI-derived maps were analyzed using TBSS to obtain voxel-wise measures of fractional anisotropy (FA) and mean kurtosis (MK). Correlation analyses were performed among diffusion metrics, thyroid function indices, and psychological state assessment questionnaire scores. Mediation analysis was conducted to further understand the relationships between these variables.

resultsCompared with DTI, TBSS analysis of DKI revealed more extensive white matter abnormalities in TED after correction for multiple comparisons. TED patients showed significantly reduced MK values in multiple predominantly left-sided white matter tracts and the corpus callosum, whereas FA showed no significant corrected differences. Lower MK values were associated with lower thyroid function levels and greater emotional disturbances. Exploratory mediation analyses identified significant indirect effects linking thyroid function with emotional disturbances through altered white matter tracts.

conclusionsTED is associated with subtle white matter microstructural abnormalities detectable by DKI, particularly in predominantly left-sided tracts. Altered white matter integrity showed exploratory associations with thyroid hormone levels and emotional disturbances and may represent a potential correlate of their relationship in TED.

Indexed as

Diffusion Tensor ImagingGraves OphthalmopathyThyroid GlandWhite MatterAdultCase-Control StudiesFemaleHumansMaleMiddle AgedThyroid Function TestsDiffusion kurtosis imagingDiffusion tensor imagingEmotionThyroid eye diseaseTract-based spatial statistics

Identifiers

PMID42046014
PMCPMC13130662

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.