Out of 450 patients referred for thyroid scintigraphy 83 consecutive patients with nodular goitre were selected for dual scintigraphy with 99mTc and 123I. Seventy-four patients had one or more palpable nodules and the other nine patients had palpably diffuse goitres with one or more nodules on the r
Quantitative differences between the thyroid uptake of123I and99mTc
โ Scribed by Jeffry A. Siegel; Michael D. Harpen; W. Paul Lee; Ramesh C. Verma; Moses A. Greenfield
- Publisher
- Springer
- Year
- 1984
- Tongue
- English
- Weight
- 485 KB
- Volume
- 9
- Category
- Article
- ISSN
- 0340-6997
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โฆ Synopsis
Unlike 123I, sodium pertechnetate Tc99m is known to be trapped by the thyroid gland without being further processed. Whether this property alone explains the total difference between the early thyroid uptake of these two isotopes was studied in a group of goitrous patients. The absolute activities of 99mTc were measured by a conjugate-view counting method and those of 123I by a coincidence counting method. The uptake was continuously registered to give uptake curves which were analyzed according to a three-compartment model of the thyroid. Both isotopes are postulated to bind to some carriers and then to be transported into the thyroid gland before they are further metabolized. Although the differences observed between the two uptakes were somewhat model dependent, the application of compartmental analysis provides a more detailed description of the differences between the two uptakes which occur even before the organification step.
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