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DOI 10.3348/kjr.2025.1334

Медицинская библиотека · Korean journal of radiology · 2026

Ultrasonographic Evaluation of Pediatric Thyroid Nodules: Adult Risk Stratification Systems, 2021 K-TIRADS Revision, and Future Refinements.

Park Dam-Hee, Min Kyeong-Cheol, Kim Na-Ri, Yoo Sung-Sik, Yoon Injoong, Mo Jongseo

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Аннотация

IMPORTANCE

Fowl adenovirus (FAdV) is a significant viral pathogen with major economic impact on the global poultry industry. Recent epidemiological studies indicate that predominant strains in Asia, including Korea, are FAdV-4 (species C), 8b (species E), and 11 (species D).

OBJECTIVE

This study evaluated a novel trivalent inactivated FAdV vaccine containing antigens from FAdV-4, 8b, and 11.

METHODS

An SD1356-like FAdV-8b strain, representing newly emerging variants in Asia and the Middle East, was included as an immunogen. Prior to vaccination-challenge trials, pathogenicity of FAdV-4, 8b, and 11 was assessed in chickens via oral, intramuscular, and intravenous routes. These models were used to determine the minimum protective dose. Cross-neutralization assays were performed using sera from monovalent vaccinations for each serotype. Duration of immunity was evaluated in specific pathogen-free chickens following a single vaccine dose.

RESULTS

Intravenous challenge produced the highest mortality across all serotypes, including the relatively low-pathogenic FAdV-11. A vaccine dose of 107.0 TCID₅₀/bird induced strong neutralizing antibody responses and provided complete protection against virulent strains. Sera showed no cross-neutralization between heterologous serotypes, emphasizing the necessity of multivalent formulations. Protective antibody titers were maintained up to 78 weeks of age.

CONCLUSIONS AND RELEVANCE: The trivalent vaccine provides effective protection against predominant FAdV-4, 8b, and 11 strains. These findings support the use of multivalent vaccines to achieve broad and sustained immunity against emerging FAdV infections in poultry.

Для цитирования: Park Dam-Hee, Min Kyeong-Cheol, Kim Na-Ri, Yoo Sung-Sik, Yoon Injoong, Mo Jongseo. Ultrasonographic Evaluation of Pediatric Thyroid Nodules: Adult Risk Stratification Systems, 2021 K-TIRADS Revision, and Future Refinements.. Korean journal of radiology. 2026. DOI: 10.3348/kjr.2025.1334.

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