Thyroid Uptake Process

Inserting radioiodine Pill Thyroid Neck Phantom with radioiodine pill
  1. After measuring the radioactive iodine pill in the dose calibrator it is placed into a clear plastic tube (LT). The tube is then places into a thyroid neck phantom (RT)
  2. Thryroid Neck Phantom being counted with a the probe

  3. The thyroid neck phantom is then placed under a probe and counted for 1 to 3 minutes. There are several issues that must be addressed at this point to assure that the correct counting method is being applied
    1. The probe must always maintain the same same distance - from phantom to the patient's neck. If the distances vary what do you think might might happen? Consider the inverse square law.
    2. Usually most clinics use a distance between 20 and 25 cm
    3. The counting of the pill determines the zero hour counts for the pill. This value will be saved and then decayed to a 24 hour value
    4. The patient is swallows the pill and is instructed to return 24 hours later
    5. Counting the patient's neck at 24 hours post dose

  4. At 24-hours post the patient's neck is counted (in the area of the thyroid). Several key points must be applied to assure that the application is being done correctly
    1. Distance between the patient's neck and the probe must be the same as the distance between the probe and thyroid neck phantom (taken at 0 hours)
    2. The amount of time counted should be same at 0 and 24 hours
    3. The 0 hour count must be decayed to the time in which the patient's neck was counted (usually somewhere around 24 hours
    4. As noted in the previous lecture the following formula is applied
  5. thyuptakesimplecorrected2.gif - 9268 Bytes

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    Images were obtained from the following website
    http://www.mcg.edu/radscape/NuclearMedicine/ThyroidPhantom/neck_phantom.htm