Variations in radioiodine ablation: decision-making after total thyroidectomy.

Details

Serval ID
serval:BIB_2A878F928C74
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Variations in radioiodine ablation: decision-making after total thyroidectomy.
Journal
European journal of nuclear medicine and molecular imaging
Author(s)
Maas O., Forrer F., Maas M., Panje C.M., Blautzik J., Brühlmeier M., Engel-Bicik I., Giovanella L., Haldemann A., Kamel M.E., Kneifel S., Rottenburger C., Schaefer N., Walter M.A., Weidner S., Putora P.M.
ISSN
1619-7089 (Electronic)
ISSN-L
1619-7070
Publication state
Published
Issued date
03/2020
Peer-reviewed
Oui
Volume
47
Number
3
Pages
554-560
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The role of radioiodine treatment following total thyroidectomy for differentiated thyroid cancer is changing. The last major revision of the American Thyroid Association (ATA) Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer in 2015 changed treatment recommendations dramatically in comparison with the European Association of Nuclear Medicine (EANM) 2008 guidelines. We hypothesised that there is marked variability between the different treatment regimens used today.
We analysed decision-making in all Swiss hospitals offering radioiodine treatment to map current practice within the community and identify consensus and discrepancies. RESULTS AND CONCLUSION: We demonstrated that for low-risk DTC patients after thyroidectomy, some institutions offered only follow-up, while RIT with significant activities is recommended in others. For intermediate- and high-risk patients, radioiodine treatment is generally recommended. Dosing and treatment preparation (recombinant human thyroid stimulation hormone (rhTSH) vs. thyroid hormone withdrawal (THW)) vary significantly among centres.
Keywords
Radiology Nuclear Medicine and imaging, General Medicine, Decision Making, Radioiodine, Thyroidectomy, Treatment
Pubmed
Web of science
Create date
13/11/2019 9:02
Last modification date
18/02/2020 6:20
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