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그레이브스 갑상선기능항진증 환자의 방사성옥소 ( 131I ) 치료시 실제 유효반감기의 측정
Measurements of Actual Effective Half - Life in 131I Therapy for Graves ` Hyperthyroidism
김종순(Chong Soon Kim),김은실(Eun Sil Kim),소용선(Yong Seon So),김명선(Myung Seon Kim),권기현(Ki Hyun Kwon),김석환(Seok Whan Kim),김태형(Tae Hyung Kim),한상웅(Sang Woong Han)
UCI I410-ECN-0102-2009-510-005494432
* This article is free of use.

Radioiodine[131I] has been used for the treatment of Graves' hyperthyroidism since the late 1940's and is now generally regarded as the treatment of choice for Graves' hyperthyroidism who does not remit following a course of antithyroid drugs. But for the dose given, several different protocols have been described by different centers, each attempting to reduce the incidence of long-term hypothyroidism while maintaining an acceptable rate control of Graves' hyperthyroidism. Our goals were to evaluate effective half-life and predict absorbed dose in Graves' hyperthyroidism patients, therefore, to calculate and readminister radioiodine activity needed to achieve aimed radiation dose. Our data showed that the mean effective 131I half-life for Graves' disease is 5.3 days(S.D=0.88) and mean biologic half-life is 21 days, range 9.5-67.2 days. The mean admininistered activity and the mean values of absorbed doses wert: 532 MBq(S.D.=254), 112 Gy (S.D.=50.9), respectively. The mean activity needed to achieve aimed radiation dose were 51 MBq and marked differences of 131I thyroidal uptake between tracer and therapy ocurred in our study. We are sure that the dose calculation method that uses 5 days thyroidal 131I uptake measurements after tracer and therapy dose, provides sufficient data about the effective treatment in Graves' hyperthyroidism

[자료제공 : 네이버학술정보]
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