Management of hyperthyroidism with radioactive iodine
Radioactive iodine (RAI) is an accepted modality for “curing” thyrotoxicosis, particularly among patients who had failed medical therapy, i.e., not cured by antithyroid drugs (ATD). However, procedures involved in RAI treatment vary greatly among different centers around the world. This possibly res...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Prince of Songkla University
2006-08-01
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| Series: | Journal of Health Science and Medical Research (JHSMR) |
| Subjects: | |
| Online Access: | https://www.jhsmr.org/index.php/jhsmr/article/view/592 |
| _version_ | 1811322934027878400 |
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| author | T Premprapha S Thongmak T Thientunyakit T Yipintsoi |
| author_facet | T Premprapha S Thongmak T Thientunyakit T Yipintsoi |
| author_sort | T Premprapha |
| collection | DOAJ |
| description | Radioactive iodine (RAI) is an accepted modality for “curing” thyrotoxicosis, particularly among patients who had failed medical therapy, i.e., not cured by antithyroid drugs (ATD). However, procedures involved in RAI treatment vary greatly among different centers around the world. This possibly rests on at least 2 factors. Firstly, it was never possible to do a randomized control trial. Secondly, the definition of “cure” differs; in one it is a return to the euthyroid state, in another the euthyroid state needs to be maintained with thyroxine replacement (i.e., RAI produced permanent hypothyroid). This latter needs less monitoring than administration of ATD in a persisting hyperthyroid state. The present review provides evidence with regard to varied practices of RAI therapy, which include procedures before giving RAI, the dosage schemes and procedures given after RAI. Aside from that, some aspects of radiation care will be touched upon. It is hoped this article will be useful to medical practitioners when advising their patients about RAI therapy. |
| first_indexed | 2024-04-13T13:44:56Z |
| format | Article |
| id | doaj.art-a4659491bdb144bd8f412f8c5b57c76e |
| institution | Directory Open Access Journal |
| issn | 2586-9981 2630-0559 |
| language | English |
| last_indexed | 2024-04-13T13:44:56Z |
| publishDate | 2006-08-01 |
| publisher | Prince of Songkla University |
| record_format | Article |
| series | Journal of Health Science and Medical Research (JHSMR) |
| spelling | doaj.art-a4659491bdb144bd8f412f8c5b57c76e2022-12-22T02:44:31ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592006-08-01244377383606Management of hyperthyroidism with radioactive iodineT Premprapha0S Thongmak1T Thientunyakit2T Yipintsoi3Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Radioactive iodine (RAI) is an accepted modality for “curing” thyrotoxicosis, particularly among patients who had failed medical therapy, i.e., not cured by antithyroid drugs (ATD). However, procedures involved in RAI treatment vary greatly among different centers around the world. This possibly rests on at least 2 factors. Firstly, it was never possible to do a randomized control trial. Secondly, the definition of “cure” differs; in one it is a return to the euthyroid state, in another the euthyroid state needs to be maintained with thyroxine replacement (i.e., RAI produced permanent hypothyroid). This latter needs less monitoring than administration of ATD in a persisting hyperthyroid state. The present review provides evidence with regard to varied practices of RAI therapy, which include procedures before giving RAI, the dosage schemes and procedures given after RAI. Aside from that, some aspects of radiation care will be touched upon. It is hoped this article will be useful to medical practitioners when advising their patients about RAI therapy.https://www.jhsmr.org/index.php/jhsmr/article/view/592hyperthyroidismradioactive iodine |
| spellingShingle | T Premprapha S Thongmak T Thientunyakit T Yipintsoi Management of hyperthyroidism with radioactive iodine Journal of Health Science and Medical Research (JHSMR) hyperthyroidism radioactive iodine |
| title | Management of hyperthyroidism with radioactive iodine |
| title_full | Management of hyperthyroidism with radioactive iodine |
| title_fullStr | Management of hyperthyroidism with radioactive iodine |
| title_full_unstemmed | Management of hyperthyroidism with radioactive iodine |
| title_short | Management of hyperthyroidism with radioactive iodine |
| title_sort | management of hyperthyroidism with radioactive iodine |
| topic | hyperthyroidism radioactive iodine |
| url | https://www.jhsmr.org/index.php/jhsmr/article/view/592 |
| work_keys_str_mv | AT tpremprapha managementofhyperthyroidismwithradioactiveiodine AT sthongmak managementofhyperthyroidismwithradioactiveiodine AT tthientunyakit managementofhyperthyroidismwithradioactiveiodine AT tyipintsoi managementofhyperthyroidismwithradioactiveiodine |