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Clinical applications of SPECT/CT after first I-131 ablation in patients with differentiated thyroid cancer

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Author(s)
김해원송봉일
Alternative Author(s)
Kim, Hae WonSong, Bong Il
Publication Year
2014
Abstract
Summary


Objective

This study aimed to determine which thyroid cancer patients would benefit from SPECT/CT in addition to whole-body planar scintigraphy (RxWBS) for the detection and characterization of I-131 focal uptake after first ablation.


Design and Patients

Neck and thoracic SPECT/CT was performed in 187 patients with I-131 focal uptake suggestive of remnant thyroid tissue (Rem group, n = 152) or presumed lymph node (LN) metastases (mLN group, n = 35) on RxWBS. Clinical and pathologic parameters were analysed and compared in patients with and without additional SPECT/CT findings.


Results

wIn the Rem group, SPECT/CT revealed additional occult findings on RxWBS in 13 patients (8·6%). The serum thyroglobulin levels at the time of ablation were significantly higher in patients with additional SPECT/CT findings than in patients without additional findings (4·3 ± 3·4 ng/ml vs 1·6 ± 2·7 ng/ml, P = 0·001). In the mLN group, SPECT/CT demonstrated only remnant thyroid tissues without evidence of lymph node metastasis in 14 (40·0%) patients, whereas in the remaining 21 (60·0%) patients, I-131 uptake was confirmed in the corresponding neck and mediastinal lymph nodes on SPECT/CT.


Conclusions

Even in the Rem group, additional SPECT/CT could provide useful information for detecting hidden metastasis, especially in patients with high serum thyroglobulin levels. SPECT/CT should be recommended for patients with focal uptake lymph node metastasis on RxWBS.
Department
Dept. of Nuclear Medicine (핵의학)
Publisher
School of Medicine
Citation
Clinical Endocrinology, Vol.81(3) : 445-451, 2014
Type
Article
ISSN
0300-0664
DOI
10.1111/cen.12460
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35445
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