대한핵의학회지 (1967년~2009년)
대한핵의학회지 1994;28(1)124~9
원저 : 갑상선암 환자에 대한 방사선옥소 치료시 물리적 선량 측정 ( Physical Dosimetry in Radioactive Iodine Treatment in the Patients with Thyroid Cancer )
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Author 김명선(Myung Seon Kim),정내인(Nae In Jeong),이재용(Jai Yong Lee),김종순(Chong Soon Kim),김종호(Chong Ho Kim),이명철(Myung Chul Lee),고창순(Chang Soon Koh),김희근(Hee Geun Kim),강덕원(Duck Won Kang),송명재(Myung Jae Song),
Affiliation
Abstract

Radioactive iodine has been widely used in patients with thyroid cancer combined with surgical treatment. However, due to individual variations in absorption and excretion and uptake by tumor tissue of radioactive iodine, there are differences in therapeutic effect and adverse effects even if the same doses are administrated. So this study compared the therapeutic effect and radiation hazard by measuring internal radiation dose. Of total 27 patients with well differentiated thyroid cancer who had been thyroidectomized, we administered radioactive iodine 100 mCi, 150 mCi, 200 mCi. According to BEL DOSIMETRY PROTOCOL, beta and gamma ray dose were estimated from a polt of the logarithrn of the percent of dose per liter of whole blood versus day, and percent dose retained versus day using semilogarithmic paper, respectivel y. 1) Physical dose to whole blood averaged 56.54+13.02 rad in 100 mCi administered group, 76.83+ 19.97 rad in 150 mCi administered group, 95.08 +- 25.51 rad in 200 mCi administered group and there has been a significant correlation among the groups. 2) Mean percent dose retained 48 hours later was 26.34%. 3) There was no significant correlation of physical dose between absence and presence of metastasis. 4) l7 of 19 patients who has been followed up with TSH and serum throglobulin, Thallium scan were successfully ablated by radioactive iodine. 5) Leukocyte, lymphocyte, neutrophil, platelet counts all declined in 4-6 weeks and most of all were restored 3 months 1ater. 6) There was no significant correlation between physical dosimetry and biologic dosimetry. Generally administered doses of radioactive iodine (100-200 mCi) to patients with thyroid cancer postoperatively had developed transient bone marrow suppression and minimal chromosomal aberration, but they were within safety dose to blood (200 rad). And there has been no significant differences in residual dose 48 hours later between Korean and western people.

Keyword thyroid cancer; Radioactive iodine treatment; Physical dosimetry
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