Erschienen in:
07.08.2019 | Guidelines
EANM practice guideline/SNMMI procedure standard for RAIU and thyroid scintigraphy
verfasst von:
Luca Giovanella, Anca M. Avram, Ioannis Iakovou, Jennifer Kwak, Susan A. Lawson, Elizabeth Lulaj, Markus Luster, Arnoldo Piccardo, Matthias Schmidt, Mark Tulchinsky, Frederick A. Verburg, Ely Wolin
Erschienen in:
European Journal of Nuclear Medicine and Molecular Imaging
|
Ausgabe 12/2019
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Abstract
Introduction
Scintigraphic evaluation of the thyroid gland enables determination of the iodine-123 iodide or the 99mTc-pertechnetate uptake and distribution and remains the most accurate method for the diagnosis and quantification of thyroid autonomy and the detection of ectopic thyroid tissue. In addition, thyroid scintigraphy and radioiodine uptake test are useful to discriminate hyperthyroidism from destructive thyrotoxicosis and iodine-induced hyperthyroidism, respectively.
Methods
Several radiopharmaceuticals are available to help in differentiating benign from malignant cytologically indeterminate thyroid nodules and for supporting clinical decision-making. This joint practice guideline/procedure standard from the European Association of Nuclear Medicine (EANM) and the Society of Nuclear Medicine and Molecular Imaging (SNMMI) provides recommendations based on the available evidence in the literature.
Conclusion
The purpose of this practice guideline/procedure standard is to assist imaging specialists and clinicians in recommending, performing, and interpreting the results of thyroid scintigraphy (including positron emission tomography) with various radiopharmaceuticals and radioiodine uptake test in patients with different thyroid diseases.