Reprinted with permission from pages 201 203231 232 of chapters 23 and 26 of the book thyroid cancer. Because of this radioactive iodine rai also called i 131 can be used to treat thyroid cancer.
Postoperative Radioiodine Ablation In Thyroid Cancer
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Much concerns have been paid to long term side effects and risks of high dose i 131 2.
I 131 ablation therapy for thyroid cancer. The treatment uses a radioactive form of iodine called iodine 131 i 131. Treatment of thyroid cancer. Ablation of the thyroid remnant and i 131.
It is safe and effective but requires you to observe certain precautions to decrease the small amount of radiation that other people may receive from your body and bodily fluids. Radioiodine therapy is a nuclear medicine treatment for an overactive thyroid a condition called hyperthyroidism and also may be used to treat thyroid cancer. Thyroid cancer cells pick up the iodine wherever they are in your body.
Treatment when radioiodine uptake is scintigraphically proven before therapy or after empiric rait radioiodine treatment of non. Evaluation of low dose radioiodine ablation therapy in postsurgical thyroid cancer patients. Radioiodine ablation and treatment for papillary and follicular thyroid cancer by douglas van nostrand md.
Clin nucl med 1985. For this procedure the radioactive iodine is taken into the body either in liquid or capsule form. A guide for patients keystone press 2004.
Radioiodine sodium i 131 is a form of radiation therapy that has been used for many years to treat thyroid conditions. Administration of i 131 for ablation. Because almost all iodine in your bloodstream gets taken up by the thyroid gland radioactive iodine i 131 may be used to destroy the thyroid gland and thyroid cancer cells in lymph nodes or other parts of the body.
Verkooijen rb stokkel mp smit jw pauwels ek. Typical therapeutic doses of i 131 are between 2220 7400 megabecquerels mbq. Iodine 131 in higher doses than for thyrotoxicosis is used for ablation of remnant thyroid tissue following a complete thyroidectomy to treat thyroid cancer.
The rai collects mainly in thyroid cells where the radiation can destroy the thyroid gland and any other thyroid cells including. When a small dose of radioactive iodine i 131 an isotope of iodine that emits radiation is swallowed it is absorbed into the bloodstream and concentrated by the thyroid gland where it begins destroying the glands cells. The radioactive iodine circulates throughout your body in your bloodstream.
Thyroid capsule presence of vascular invasion and in the future thyroid cancer related molecular genetic findings should be considered when deciding whether to perform radioiodine ablation in these patients. Your thyroid gland absorbs nearly all of the iodine in your body. Radioactive iodine therapy with i 131 has been used in the management of differentiated thyroid cancer dtc for the ablation of residual thyroid or treatment of its metastases since 1946 1.
Radioactive iodine treatment is a type of internal radiotherapy. Waxman ad brachman mb tanasescu de sensel n braunstein gd. Radioiodine 131 in differentiated thyroid cancer.
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