Radioactive Iodine Remnant Ablation: The Beta-knife Completion Thyroidectomy
Author(s) -
Seza Güleç,
Russ Kuker
Publication year - 2017
Publication title -
molecular imaging and radionuclide therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 7
eISSN - 2147-1959
pISSN - 2146-1414
DOI - 10.4274/2017.26.suppl.03
Subject(s) - medicine , radioactive iodine , context (archaeology) , thyroidectomy , thyroid cancer , ablation , thyroid , thyroid carcinoma , risk stratification , general surgery , gynecology , nuclear medicine , paleontology , biology
The rationale and objectives for radioactive iodine (RAI) ablation remain perplexing to many. This review addresses the meaning, clinical context and the goals of "ablation": the RAI treatment after a total thyroidectomy. This article also aims to clarify the definition of a total thyroidectomy and how a thyroid remnant can introduce a confounding factor in the postoperative management of patients with differentiated thyroid cancer. The implications of an existing thyroid remnant on RAI diagnostic imaging and serum thyroglobulin levels are discussed. This review provides a rational approach validating the utility of RAI remnant ablation regardless of the patient's risk stratification.
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