Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-5-23
pubmed:abstractText
In the last decade new knowledge has been acquired on the cellular and molecular biology, growth and prognostic factors responsible for the clinical evolution and response to therapy of differentiated thyroid carcinoma. At the same time, the procedures for early diagnosis of small (occult), poorly aggressive thyroid tumors as high resolution neck sonography combined with fine needle aspiration have greatly advanced. This led to reconsider the definition of the most adequate management with a more frequent use of combined radiochemotherapy and surgery for aggressive forms and simple lobectomy for occult tumors. These progressive changes in the therapeutic approach required the diversification of corresponding follow-up protocols of differentiated thyroid carcinoma. The efforts of radiologists and nuclear physicians in particular, were focused on two sectors: 1) the early visualization of metastases no longer able of radioiodine uptake where, therefore, this radionuclide cannot be used for diagnosis or therapy; 2) the diagnosis of metastases in patients undergoing subtotal thyroidectomy. In these cases, 131I has no role in imaging and the determination of serum TG is not very significant. To assess the diagnostic role of nuclear medicine in these situations, the main characteristics of radioiodine scintigraphy with particular reference to the use of high 131I doses and of recombinant human TSH, the diagnostic potentialities of scintigraphy with the most common oncotropic tracers other than 131I were analyzed.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0390-7740
pubmed:author
pubmed:issnType
Print
pubmed:volume
25
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
207-19
pubmed:dateRevised
2005-11-16
pubmed:meshHeading
pubmed:articleTitle
Diagnostic scintigraphy in postoperative staging and follow-up of differentiated thyroid carcinoma.
pubmed:affiliation
Servizio di Medicina Nucleare 2, Divisione di Radioterapia, Azienda Ospedaliera, Padova.
pubmed:publicationType
Journal Article, Review