Freeman S J, Girolamo R F
Department of Radiology, New York Medical College, Valhalla, USA.
Clin Geriatr Med. 1995 May;11(2):189-218.
The use of radioactive isotopes in thyroid evaluation and therapy gives important information in the endocrine assessment of the aged. Thyroid uptake imaging can be used to establish a hypothyroid or hyperthyroid state and can determine the functional status of a palpable nodule. Investigational agents, such as T1 201m DMSA, MIBG, FDG, and Gallium are reviewed in relation to the evaluation of neoplasia. A detailed discussion of thyroid carcinoma ablation and subsequent radioiodine therapy is described, as are radiation safety procedures as they relate to the elderly.
放射性同位素在甲状腺评估和治疗中的应用为老年人的内分泌评估提供了重要信息。甲状腺摄取显像可用于确定甲状腺功能减退或亢进状态，并可确定可触及结节的功能状态。本文综述了用于肿瘤评估的研究性药物，如铊-201m二巯基丁二酸（T1 201m DMSA）、间碘苄胍（MIBG）、氟代脱氧葡萄糖（FDG）和镓。文中还详细讨论了甲状腺癌消融及后续的放射性碘治疗，以及与老年人相关的辐射安全程序。
