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Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine

Abstract

Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine. Introduction: The coadyuvant treatment with 131 I had proven to be useful in patients with differentiated thyroid carcinoma (DTC). Due to the physical characteristics of this radioisotope these patients must be absolutely isolated in order to reduce the radioactive exposure to other individuals. The aim of the study was to determine the time required to reach the maximum permissible radiation exposure level (0,25mR/h) to general public. Material between August 1999 and May 2000, 30 patients with DTC diagnosis in the University of Chile Clinical Hospital Nuclear Medicine Centre were studied, 25 women (83%) and 5 men (17%), mean age 45 years old (15-71 range). Tumoral histology was 86% papillary and 14% follicular types. Thirty one doses of 131 I were administered ( one patient received 2 doses): 24 of 100 mCi (77%), 5 of 150 mCi (16%) and 2 of 200 mCi (7%); afterwards the 1 m exposition rate in air was measured at neck level with a Geiger-Mueller detector. The procedure was repeated on day 4 and every day following until the predicted radiation exposure levels were reached. Results: The average exposure rate  More>>
Authors:
Sierralta, M P; [1]  Military Hospital Nuclear Medicine Department , Santiago (Chile)]; Lillo, R; Massardo, T; [1]  Jofre, M J [2] 
  1. University of Chile Clinical Hospital Nuclear Medicine Centre, Santiago (Chile)
  2. Military Hospital Nuclear Medicine Department, Santiago (Chile)
Publication Date:
Sep 01, 2002
Product Type:
Journal Article
Resource Relation:
Journal Name: World Journal of Nuclear Medicine; Journal Volume: 1; Journal Issue: suppl.2; Conference: 8. Congress of the World Federation of Nuclear Medicine and Biology, Santiago (Chile), 29 Sep - 2 Oct 2002; Other Information: 1 tab; PBD: Sep 2002
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARCINOMAS; IODINE 131; RADIOTHERAPY; THYROID
OSTI ID:
20350488
Country of Origin:
IAEA
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1450-1147; TRN: XA03W0496035555
Submitting Site:
INIS
Size:
page(s) 227
Announcement Date:
Jun 09, 2003

Citation Formats

Sierralta, M P, Military Hospital Nuclear Medicine Department , Santiago (Chile)], Lillo, R, Massardo, T, and Jofre, M J. Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine. IAEA: N. p., 2002. Web.
Sierralta, M P, Military Hospital Nuclear Medicine Department , Santiago (Chile)], Lillo, R, Massardo, T, & Jofre, M J. Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine. IAEA.
Sierralta, M P, Military Hospital Nuclear Medicine Department , Santiago (Chile)], Lillo, R, Massardo, T, and Jofre, M J. 2002. "Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine." IAEA.
@misc{etde_20350488,
title = {Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine}
author = {Sierralta, M P, Military Hospital Nuclear Medicine Department , Santiago (Chile)], Lillo, R, Massardo, T, and Jofre, M J}
abstractNote = {Isolation time determination of patients with differentiated thyroid carcinoma treated with therapeutic doses of 131 radioiodine. Introduction: The coadyuvant treatment with 131 I had proven to be useful in patients with differentiated thyroid carcinoma (DTC). Due to the physical characteristics of this radioisotope these patients must be absolutely isolated in order to reduce the radioactive exposure to other individuals. The aim of the study was to determine the time required to reach the maximum permissible radiation exposure level (0,25mR/h) to general public. Material between August 1999 and May 2000, 30 patients with DTC diagnosis in the University of Chile Clinical Hospital Nuclear Medicine Centre were studied, 25 women (83%) and 5 men (17%), mean age 45 years old (15-71 range). Tumoral histology was 86% papillary and 14% follicular types. Thirty one doses of 131 I were administered ( one patient received 2 doses): 24 of 100 mCi (77%), 5 of 150 mCi (16%) and 2 of 200 mCi (7%); afterwards the 1 m exposition rate in air was measured at neck level with a Geiger-Mueller detector. The procedure was repeated on day 4 and every day following until the predicted radiation exposure levels were reached. Results: The average exposure rate at day 0 ( after given the radiopharmaceutical) was 20,12 mR/h (4-32 range). At day 4 the average rate was 0,21 mR/h (0,08-0,34 ), and 61% (n=19) of the patients reached 0,25 mR/h within that day. On day 5 10% (n=3) reached 0,25 mR/h (0,25-0,26), on day 6 16% (n=5) reached 0,25 mR/h (0,2-0,28), on day 7 6% (n=2) reached 0,39 mR/h (0,25-0,48) and the remaining 7% on day 13 and day 17 (n=2). Conclusion After a treatment dose of 131 iodine over 60% of the cases can finish the isolation on day 4, and 90% on day 7. The measurement of 131 I uptake after 24 hours will help to determine the evolution of post treatment levels.}
journal = []
issue = {suppl.2}
volume = {1}
journal type = {AC}
place = {IAEA}
year = {2002}
month = {Sep}
}