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To evaluate the association between computed tomography (CT) scanning and newly diagnosed thyroid cancer cases in relation to the confounding effect of the healthcare utilization rate. This nested case-control study used the Korean National Health Insurance Service-National Sample Cohort 2002-2015 3557 adult thyroid cancer cases were matched to 17,785 controls by age, ****, and diagnosis date. Odds ratios (ORs) were estimated for thyroid cancer associated with cumulative exposure to CT scanning 3 years before cancer diagnosis. Change