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Nuclear Medicine/Endocrine/Thyroid
Reference material by Wikibooks contributors. This retains its source identity and is not 411 news reporting.
Scans for Benign Disease
Multinodular Goiter
Indications
Procedure
Graves Disease
Indications
Procedure
Scans for Thyroid Cancer
Indications
Procedure
Thyroid Ablation
Indications
Thyroid cancer - Either localized or metastatic
Benign disease refractory to conservative treatment and/or causing symptoms or complications
Procedure
Calculation of dose
The dose should be calculated with two different variables: The weight of the gland(in grams), and how much it's 24 hr uptake is (For example, 24% would be 0.24). You can then use the following formula:
The weight of the gland is a very subjective measurement. One can attempt to approximate the gland weight with the following guidelines:
A regular non-palpable thyroid gland weighs approximately 15-20 grams.
A thyroid that you cannot see but is palpable weighs approximately 30-40 grams (needs verification)
A gland that is easily seen and palpated can be anywhere from 40-200 grams (needs verification)
Ziessman0-323-02946-9 -- "Nuclear Medicine: The Requisites, Third Edition (Requisites in Radiology)." (Harvey A. Ziessman, Janis P. O'Malley MD, James H. Thrall MD. 2006. Mosby, Inc.)
Acronyms used: