Radioiodtherapie bei benignen Schilddrüsenerkrankungen (Version 5)^*

 

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Zusammenfassung

Die Version 5 der Leitlinie zur Radioiodtherapie bei benignen Schilddrüsenerkrankungen ist ein Update der Version 4, die im Jahr 2007 durch die Deutsche Gesellschaft für Nuklearmedizin (DGN) in Abstimmung mit der Deutschen Gesellschaft für Endokrinologie (DGE, Sektion Schilddrüse) und der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV) publiziert worden war. Die Leitlinie ist mit den Empfehlungen der European Association of Nuclear Medicine (EANM) harmonisiert worden. Nach der „Richtlinie Strahlenschutz in der Medizin“ ist die „rechtfertigende Indikation“ zur Radioiodtherapie durch einen fachkundigen Arzt („Fachkunde in der Therapie mit offenen radioaktiven Stoffen“) zu stellen. Daher werden Indikationen zur Radioiodtherapie und alternative Behandlungsmöglichkeiten in dieser Leitlinie diskutiert. Die Leitlinie wurde von einer repräsentativen Expertengruppe im informellen Konsens verabschiedet und entspricht damit einer Verfahrensanweisung der ersten Stufe (S1) nach den Kriterien der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF).

Summary

The version 5 of the guideline for radioiodine therapy of benign thyroid disorders is an update of the version 4, which was published by the German Society of Nuclear Medicine (Deutsche Gesellschaft für Nuklearmedizin, DGN) in co-ordination with the German Society of Endocrinology (Deutsche Gesellschaft für Endokrinologie, DGE, Sektion Schilddrüse) and the German Society of General- and Visceral-Surgery (Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie, DGAV) in 2007. This guideline was harmonized with the recommendations of the European Association of Nuclear Medicine (EANM). According to the German “Directive on Radiation Protection in Medicine” the physician specialised in nuclear medicine („Fachkunde in der Therapie mit offenen radioaktiven Stoffen”) is responsible for the justfication to treat with radioiodine. Therefore, relevant medical indications for radioiodine therapy and alternative therapeutic options are discussed within the guideline. This procedure guideline is developed in the consensus of a representative expert group. This fulfils the level S1 (first step) within the German classification of Clinical Practice Guidelines.

^* Stand 10/2015 – AWMF-Registrierungsnummer: 031 – 003; Herausgeber: Deutsche Gesellschaft für Nuklearmedizin, Nikolaistr. 29, 37073 Göttingen; weitere Beteiligte: Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie e. V. (DGAV), Chirurgische Arbeitsgemeinschaft Endokrinologie (CAEK) der DGAV, Deutsche Gesellschaft für Chirurgie e. V. (DGCH), Deutsche Gesellschaft für Endokrinologie e. V. (DGE), Sektion Schilddrüse der DGE

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