Abstract:
There are 52 patients with DTC who were referred to our department for radioiodine ablation for the first time were adopted. 30 patients (experimental group) were given a diagnostic scan (Dscan) 24 hours after the administration of 74 MBq
131I before radioiodine therapy, and a therapeutic scan (Tscan) was performed after radioiodine therapy. The fractional concentrations of
131I in remnants or functional metastases were quantified on Dscan and Tscan, and were expressed as
Dx and
Tx respectively. 22 patients (control group) received
131I therapy directly after thyroidectomy. And Tscan was performed after the radioiodine ablation. As a result the mean
Tx(experimental group) was lower both than
Dx(experimental group) and
Tx(control group). According to the interval time between the diagnostic dose and therapy dose was 1.2, 3.7 and 832 days, the experimental group patients were divided into three subgroups A、B、C. The mean
Tx/
Dx of subgroup B was lower than
Tx/
Dx of subgroups A and C. There was no statistically significant difference of
Tx/
Dx between subgroup A and C. In conclusions that 74 MBq
131I for diagnostic scan can cause thyroid stunning. And the stunning effect is more significant when the radioiodine ablation was performed on 3 to 7 days after diagnostic dose.