Radioactive iodine uptake - Types and Procedures

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What is radioactive iodine uptake?

A radioactive iodine absorption test (RAIU) uses a radioactive tracer and a exceptional probe to measure how considerable tracer the thyroid gland absorbs from the blood. The test can show how much of the marker is absorbed by the thyroid gland. The RAIU test is often done in conjunction with a thyroid scan, which shows if the marker is evenly distributed in the gland. This helps your physician know if the thyroid gland is working accurately. The radioactive tracer that is commonly used in this test is iodine.

A radioactive iodine uptake test is done to find problems with the functioning of the thyroid gland, such as hyperthyroidism.

Types of Radioacctive iodine test

RAIU is a type of nuclear test that measures the amount of radioactive iodine absorbed by the thyroid gland in a set period of time. You are asked to swallow (swallow) radioactive iodine (I-123 or I-131) in liquid or capsule form.

• hypothyroidism.

• subacute thyroiditis.

• iodine overload (excessive intake of iodine)

Radioactive iodine test

Depending on the dose, radioactive iodine can kill part or all of the thyroid. Your physician will order a radioactive iodine acceptance and scan to determine your dose, the cause of your hyperthyroidism, and information about your thyroid tissue.

In this test, you swallow a very small dose of radioactive iodine. Your doctor will monitor your thyroid's activity level by measuring the amount of iodine it absorbs. He or she will do this by scanning your thyroid, which will show healthy and diseased tissues.

In determining the best dose, the size of the thyroid gland (determined by a physical exam) and the results of the uptake test are the two most important factors. The larger the gland, the higher the dose of radioactive iodine. The higher the absorption of iodine, the lower the dose.

How Radioactive Iodine Works

Radioactive iodine is available as an oral pill, so you will not have to be hospitalized. After taking the pill, your  Gastroenterologist near me will advise you to drink plenty of fluids to cause the release of radioactive iodine through your urine.

Fortunately, radioactive iodine therapy is aimed at treating only the thyroid gland. Thyroid cells are the main cells in the body that can absorb iodine, so there is very little radiation exposure to the rest of the body's cells. When thyroid cells absorb radiation, they are damaged or destroyed.

About 90% of patients need only one dose before their hyperthyroidism is cured. Although you may only need a single dose, it may take up to six months for the medicine to completely destroy part or all of your thyroid. Fortunately, most patients experience a reduction in symptoms about a month after treatment.

If your symptoms persist 6 months after treatment, you may essential a second dose. In the fewest cases, some patients will not benefit from a second dose and may in its place require surgery.

Side effects of radioactive iodine

The most common side effect of radioactive iodine may seem ironic, but it makes perfect sense: hypothyroidism. Radioactive iodine often kills too many thyroid cells, leaving the thyroid unable to produce enough hormones - the opposite problem it had before.

It may seem strange to replace one disorder with another, but hypothyroidism is much easier to treat in the long term than hyperthyroidism. If you develop hypothyroidism, you will need to take thyroid hormone replacement therapy for life, but it is a safe, reliable, and cost-effective treatment.

Other side effects of radioactive iodine include:

  • Metallic flavor in the mouth: This can last for a few weeks.

  • Nausea: Usually disappears a day or two after treatment.

  • Swollen salivary glands: This can last a few weeks. It is caused by iodine absorbed by the salivary glands, although stimulating the flow of saliva one day after treatment (sucking on a drop of lemon, for example) is an effective remedy

Procedure

You will be given a pill or liquid that contains radioactive iodine. It will take time for the iodine to get into your system so that your thyroid can absorb it.

You will be allowed to eat again within an hour or two after ingesting the radioactive iodine. However, until the test is complete, you will have to follow the same dietary limitations that you monitored in preparation for the test.

You will be asked to return to the testing center at certain intervals (usually six and 24 hours after ingesting the radioactive iodine). At this time, you will be asked to sit down and the technologist will place a device called a gamma probe over your thyroid gland (on the outside of your neck). There is no pain. Each scan takes only about five minutes, although you may be asked to sit for additional images if the first ones are not clear.

The gamma probe measures the amount of radioactive iodine that the thyroid has absorbed at the time of the scan.

You will excrete the radioactive iodine in your urine for 24 to 48 hours after the test. The amount of radioactive iodine used in a RAIU scan is so small that you don't need to take any precautions.

 

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