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In this clinical study, we have compared routine diagnostic dose  131 I scan and  99m TcO 4   −  thyroid scintigraphy with therapeutic dose  131 I imaging for accurate thyroid remnant estimation after total thyroidectomy. We conducted a retrospective review of the patients undergoing total thyroidectomy for differentiated thyroid carcinoma (DTC) and subsequently receiving radioactive iodine (RAI) treatment to ablate remnant thyroid tissue. All patients had therapeutic dose RAI whole body scan, which was compared with that of diagnostic dose RAI,  99m TcO 4   −  thyroid scan, and ultrasound examination. We concluded that therapeutic dose RAI scan reveals some extent thyroid remnant in all DTC patients following total thyroidectomy. Diagnostic RAI scan is much superior to ultrasound and  99m TcO 4   −  thyroid scan for the postoperative estimation of thyroid remnant. Ultrasound and  99m TcO 4   −  thyroid scan provide little information for thyroid remnant estimation and, therefore, would not replace diagnostic RAI scan.

biomed research international

Thyroid Remnant Estimation by Diagnostic Dose<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mrow><mml:mrow><mml:mi mathvariant="bold">I</mml:mi></mml:mrow><mml:mrow><mml:mn mathvariant="bold">131</mml:mn></mml:mrow></mml:mrow></mml:math>Scintigraphy or<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M2"><mml:mrow><mml:mrow><mml:msup><mml:mrow><mml:msub><mml:mrow><mml:mi mathvariant="bold">T</mml:mi><mml:mi mathvariant="bold">c</mml:mi><mml:mi mathvariant="bold…

Thyroid Remnant Estimation by Diagnostic DoseI131Scintigraphy orTc