The thyroid gland absorbs iodine to make thyroid hormones. Using the same property, radioactive iodine also gets absorbed in remnant thyroid tissues in the thyroid bed post thyroidectomy. Since the radioactive iodine emits beta particles, it can kill those tissues. This elimination of residual thyroid is called "radioiodine therapy" or "radioiodine ablation". For this therapy, the Thyroid Stimulating Hormone (TSH) level needs to be elevated before the treatment. There are two ways to achieve this. The first is by stopping thyroid hormone supplements i.e. Tab. Thyronorm for 3-6 weeks. This starvation of thyroid hormones allows the body to raise TSH naturally and results in hypothyroidism. During hypothyroidism, the symptoms such as fatigue, mood disorder, cold intolerance, etc., may be significant. Alternatively, TSH can be increased by injecting synthetic TSH called "Recombinant human TSH (Thyrogen®)". The benefit of this is that the patient can continue taking the thyroid hormone medication and avoid possible symptoms related to hypothyroidism. However, both methods have merits and demerits of their own.
Reporting: Not applicable
- Some medications interfere with the therapy and may need to be stopped for 03-04 weeks before radioiodine administration. You are advised to call on 7042928881/82 to check for medicine availability and appointment. Depending upon the availability of Medicine, you can stop medications as advised.
- Serum TSH level should be measured 1–3 days before radioiodine administration and greater than about 30 mIU/L.
- Fasting for 04 hours is needed.
- Please carry all medical documents, including doctor referral, surgical discharge summary, histopathological report, previous radioiodine whole body scan reports, image, blood reports, etc.
- Female patients are to inform the status of their pregnancy and breastfeeding and take advice from Radiation Safety Officer if any.
- The procedure takes 01-02 days.
- कुछ दवाएं हैं जो चिकित्सा में बाधा डालती हैं और रेडियोआयोडीन प्रशासन से पहले 03-04 सप्ताह के लिए बंद करने की आवश्यकता होती है। आपको सलाह दी जाती है कि दवा की उपलब्धता और अपॉइंटमेंट की जांच के लिए 7042928881/82 पर कॉल करें। अपॉइंटमेंट शेड्यूल के आधार पर ही सलाह के अनुसार दवा बंद करें।
- सीरम टीएसएच स्तर रेडियोआयोडीन चिकित्सा से 1-3 दिन पहले मापा जाना चाहिए और लगभग 30 एमआईयू / एल से अधिक होना चाहिए।
- 04 घंटे के उपवास की जरूरत है।
- कृपया डॉक्टर के रेफरल, सर्जिकल डिस्चार्ज सारांश, हिस्टोपैथोलॉजिकल रिपोर्ट, पिछली रेडियोआयोडीन स्कैन की रिपोर्ट सहित छवि, रक्त रिपोर्ट आदि सहित सभी चिकित्सा दस्तावेज ले आए।
- महिला रोगियों को अपनी गर्भावस्था, स्तनपान की स्थिति के बारे में सूचित करना चाहिए और विकिरण सुरक्षा अधिकारी, यदि कोई हो, से सलाह लेनी चाहिए।
- प्रक्रिया में 01-02 दिन लगते हैं।
- Overnight stay is compulsory for this therapy. Once the radiation level falls below the regulatory authority's permissible limit, the patient is discharged.
- On the day of therapy, the patient's medical history is taken after registration and payment, including checking referral, surgical and treatment details, investigation records, history of last meal, etc. Informed consent is also obtained at the same time.
- Radioiodine is administered orally, and the patient is detained in an isolation ward.
- The next day, they are surveyed to check the radiation level. If it falls below the permissible limit, they are discharged else retained further. If the radiation level is below the limit on the next survey, the patient is released and allowed to go home.
- The patient is called again on day 5 for the post-therapy scan.
- On the scan day, whole body and static images are obtained. • The duration of the scan may be up to 1.5 hours.
* For details, please see service-related policies