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分化型甲状腺癌的放射性碘治疗:从核医学角度看韩国甲状腺协会2024年指南总结,第二部分

Radioactive Iodine Therapy in Differentiated Thyroid Cancer: Summary of the Korean Thyroid Association Guidelines 2024 from Nuclear Medicine Perspective, Part-II.

作者信息

Oh So Won, Park Sohyun, Chong Ari, Kim Keunyoung, Bang Ji-In, Seo Youngduk, Hong Chae Moon, Lee Sang-Woo

机构信息

Department of Nuclear Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.

Department of Nuclear Medicine, National Cancer Center, Goyang, Korea.

出版信息

Nucl Med Mol Imaging. 2025 Feb;59(1):8-26. doi: 10.1007/s13139-024-00886-x. Epub 2024 Nov 1.

Abstract

Thyroid cancer, one of the most common endocrine tumors, generally has a favorable prognosis but remains a significant medical and societal concern due to its high incidence. Early diagnosis and treatment of differentiated thyroid cancer (DTC) significantly affect long-term outcomes, requiring the selection and application of appropriate initial treatments to improve prognosis and quality of life. Recent advances in technology and health information systems have enhanced our understanding of the molecular genetics of thyroid cancer, facilitating the identification of aggressive subgroups and enabling the accumulation of research on risk factors through big data. The Korean Thyroid Association (KTA) has revised the "KTA Guidelines on the Management of Differentiated Thyroid Cancers 2024" to incorporate these advances, which were developed by a multidisciplinary team and underwent extensive review and approval processes by various academic societies. This article summarizes the 2024 KTA guidelines for radioactive iodine (RAI) therapy in patients with DTC, written by the Nuclear Medicine members of the KTA Guideline Committee, and covers RAI therapy as initial management of DTC and RAI therapy in advanced thyroid cancer.

摘要

甲状腺癌是最常见的内分泌肿瘤之一,总体预后良好,但由于其高发病率,仍然是一个重大的医学和社会问题。分化型甲状腺癌(DTC)的早期诊断和治疗对长期预后有显著影响,这需要选择并应用合适的初始治疗方法来改善预后和生活质量。技术和健康信息系统的最新进展加深了我们对甲状腺癌分子遗传学的理解,有助于识别侵袭性亚组,并通过大数据积累对风险因素的研究。韩国甲状腺协会(KTA)修订了《2024年KTA分化型甲状腺癌管理指南》,以纳入这些进展,该指南由多学科团队制定,并经过多个学术团体的广泛审查和批准程序。本文总结了KTA指南委员会核医学成员撰写的2024年KTA关于DTC患者放射性碘(RAI)治疗的指南,内容涵盖RAI治疗作为DTC的初始治疗以及晚期甲状腺癌的RAI治疗。

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