Research Article
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Wrongs known as right in thyroid scintigraphy and uptake study

Year 2019, , 142 - 147, 04.01.2019
https://doi.org/10.18621/eurj.410060

Abstract

Objectives:
Thyroid scintigraphy using
99mTc-pertechnetate is commonly used to study function and
structure of thyroid
gland. Pin-hole
collimator is generally preferred in thyroid scintigraphy
and uptake
studies
. The purpose
of the present study was to
determine
actual radiopharmaceutical uptake value in
an
experimental 99mTc-pertechnetate
thyroid scintigraphy and uptake
model.



Methods: Thyroid hyperactive and hypoactive nodule models were created using 4 mCi (148 MBq) 99mTc-pertechnetate.
In
the
experimental model, 4 mm, 6 mm and 8 mm
diameter pin-hole collimators, and 5 cm, 7 cm and 10 cm object-to-pinhole
distances were investigated.



Results: In thyroid
hyperactive nodule model, despite the same activity value, uptake at 7 cm
object-to-pinhole distance was higher compared to 10 cm distance (122%
and 103%, respectively). In the patient with Graves’ disease, despite the same
activity value, uptake at 5 cm object-to-pinhole distance was higher compared
to 10 cm distance (8% and 4%, respectively). In thyroid hypoactive nodule
model, 4 mm, 6 mm and 8 mm diameters pin-hole collimators were imaged at 5 cm,
10 cm and 15 cm
object-to-pinhole distances. The resolution differences between the images were
evaluated.



Conclusion: It
was determined that imaging using 10 cm
object-to-pinhole
distance
and 4 mm
diameter pin-hole collimator was best in terms of image resolution and optimum 99mTc-pertechnetate
uptake level. 

References

  • [1] Higgins HP, Ball D, Eastham S. 20-Min 99mTc thyroid uptake: a simplified method using the gamma camera. J Nucl Med 1973;14:907-11.
  • [2] Schneider PB. Simple, rapid thyroid function testing with 99mTc-pertechnetate thyroid uptake ratio and neck/thigh ratio. Am J Roentgenol 1979;132:249-353.
  • [3] Becker D, Charkes ND, Dworkin H, Hurley J, McDougall IR, Price D, et al. Procedure guideline for thyroid uptake measurement: 1.0. Society of Nuclear Medicine. J Nucl Med 1996;37:1266-8.
  • [4] Ziessman HA, Fahey FH, Gochoco JM. Impact of radiocontaminants in commercially available iodine-123: dosimetric evaluation. J Nucl Med 1986;27:428-32.
  • [5] Ramos CD, Zantut-Wittmann DE, Tambascia MA, Assumpcao L, Etchebehere EC, Camargo EE. Thyroid suppression test with L-thyroxine and [99mTc] pertechnetate. Clin Endocrinol (Oxf) 2000;52:471-7.
  • [6] Anjos DA, Etchebehere EC, Santos AO, Lima MC, Ramos CD, Paula RB, et al. Normal values of [99mTc] pertechnetate uptake and excretion fraction by major salivary glands. Nucl Med Commun 2006;27:395-403.
  • [7] Smith JJ, Croft BY, Brookeman VA, Teates CD. Estimation of 24-hour thyroid uptake of I-131 sodium iodide using a 5-minute uptake of technetium-99m pertechnetate. Clin Nucl Med 1990;15:80-3.
  • [8] Gullberg GT, Zeng GL, Datz FL, Christian PE, Tung CH, Morgan HT. Review of convergent beam tomography in single photon emission computed tomography. Phys Med Biol 1992;37:507-34.
  • [9] Anger K, Feine U, Kaiser E. Improved quality of thyroid scintigrams by using a gamma camera with pin-hole collimator. Rofo 1981;135:188-92.
  • [10] Tai YC, Wu H, Pal D, O’Sullivan JA. Virtual-Pinhole PET. J Nucl Med 2008;49:471-9.
  • [11] Selby JB, Buse MG, Gooneratne NS, Moore DO. The Anger camera and the pertechnetate ion in the routine evaluation of thyroid uptake and imaging. Clin Nucl Med 1979;4:233-7.
  • [12] Volckaert V, Vandermeulen E, Duchateau L, Saunders JH, Peremans K. Inter- and intraobserver variability of (semi-) quantitative parameters commonly used in feline thyroid scintigraphy. Res Vet Sci 2016;105:87-91.
  • [13] Ramos CD, Zantut Wittmann DE, Etchebehere EC, Tambascia MA, Silva CA, Camargo EE. Thyroid uptake and scintigraphy using 99mTc pertechnetate: standardization in normal individuals. Sao Paulo Med J 2002;120:45-8.
  • [14] Sarkar SD. Benign thyroid disease: what is the role of nuclear medicine? Semin Nucl Med 2006;36:185-93.
  • [15] Clerc J. Imaging the thyroid in children. Best Pract Res Clin Endocrinol Metab 2014;28:203-20.
  • [16] Biassoni L, Easty M. Paediatric nuclear medicine imaging. Br Med Bull 2017;123:127-48.
  • [17] Alimanovic-Alagic R, Brkovic A, Kucukalic-Selimovic E. Evaluation of thyroid diseases in nuclear medicine. Med Arh 2008;62:303-6.
  • [18] Töre G, Karayalçın B, Esen B, Türkmen C, Yüksel D, Varoğlu E, et.al. Tiroit sintigrafisi uygulama kılavuzu. Turk J Nucl Med 2003;12:178-80.
  • [19] Chung JK. Sodium iodide symporter: its role in nuclear medicine. J Nucl Med 2002;43:1188-200.
  • [20] Chung JK, Youn HW, Kang JH, Lee HY, Kang KW. Sodium iodide symporter and the radioiodine treatment of thyroid carcinoma. Nucl Med Mol Imaging 2010;44:4-14.
  • [21] Ogawa K, Hashimoto J, Kubo A, Hashimoto S, Suzuki K, Ruike T. Development of a converging collimator for thyroid scintigraphy. KakuIgaku 1990;27:303-11.
  • [22] Meier DA, Kaplan MM. Radioiodine uptake and thyroid scintiscanning. Endocrinol Metab Clin North Am 2001;30:291-313.
  • [23] Franklyn JA. What is the role of radioiodine uptake measurement and thyroid scintigraphy in the diagnosis and management of hyperthyroidism. Clin Endocrinol (Oxf) 2010;72:11-2.
  • [24] Green CH. Technetium-99m production issues in the United Kingdom. J Med Phys 2012;37:66-71.
  • [25] Shapiro B, Zanin DE, Schipper R. Reference-free thyroid uptake measurement. Nucl Med Commun 2014;35:382-90.
  • [26] Meier DA, Brill DR, Becker DV, Clarke SE, Silberstein EB, Royal HD, et al. Procedure guideline for therapy of thyroid disease with (131) iodine. J Nucl Med 2002;43:856-61.
  • [27] Lee H, Kim JH, Kang YK, Moon JH, So Y, Lee WW. Quantitative single-photon emission computed tomography/computed tomography for technetium pertechnetate thyroid uptake measurement. Medicine (Baltimore) 2016;95:e4170.
  • [28] Pelletier-Galarneau M, Martineau P, Klein R, Henderson M, Zuckier LS. Reproducibility of radioactive iodine uptake (RAIU) measurements. J Appl Clin Med Phys 2018;19:239-42.
Year 2019, , 142 - 147, 04.01.2019
https://doi.org/10.18621/eurj.410060

Abstract

References

  • [1] Higgins HP, Ball D, Eastham S. 20-Min 99mTc thyroid uptake: a simplified method using the gamma camera. J Nucl Med 1973;14:907-11.
  • [2] Schneider PB. Simple, rapid thyroid function testing with 99mTc-pertechnetate thyroid uptake ratio and neck/thigh ratio. Am J Roentgenol 1979;132:249-353.
  • [3] Becker D, Charkes ND, Dworkin H, Hurley J, McDougall IR, Price D, et al. Procedure guideline for thyroid uptake measurement: 1.0. Society of Nuclear Medicine. J Nucl Med 1996;37:1266-8.
  • [4] Ziessman HA, Fahey FH, Gochoco JM. Impact of radiocontaminants in commercially available iodine-123: dosimetric evaluation. J Nucl Med 1986;27:428-32.
  • [5] Ramos CD, Zantut-Wittmann DE, Tambascia MA, Assumpcao L, Etchebehere EC, Camargo EE. Thyroid suppression test with L-thyroxine and [99mTc] pertechnetate. Clin Endocrinol (Oxf) 2000;52:471-7.
  • [6] Anjos DA, Etchebehere EC, Santos AO, Lima MC, Ramos CD, Paula RB, et al. Normal values of [99mTc] pertechnetate uptake and excretion fraction by major salivary glands. Nucl Med Commun 2006;27:395-403.
  • [7] Smith JJ, Croft BY, Brookeman VA, Teates CD. Estimation of 24-hour thyroid uptake of I-131 sodium iodide using a 5-minute uptake of technetium-99m pertechnetate. Clin Nucl Med 1990;15:80-3.
  • [8] Gullberg GT, Zeng GL, Datz FL, Christian PE, Tung CH, Morgan HT. Review of convergent beam tomography in single photon emission computed tomography. Phys Med Biol 1992;37:507-34.
  • [9] Anger K, Feine U, Kaiser E. Improved quality of thyroid scintigrams by using a gamma camera with pin-hole collimator. Rofo 1981;135:188-92.
  • [10] Tai YC, Wu H, Pal D, O’Sullivan JA. Virtual-Pinhole PET. J Nucl Med 2008;49:471-9.
  • [11] Selby JB, Buse MG, Gooneratne NS, Moore DO. The Anger camera and the pertechnetate ion in the routine evaluation of thyroid uptake and imaging. Clin Nucl Med 1979;4:233-7.
  • [12] Volckaert V, Vandermeulen E, Duchateau L, Saunders JH, Peremans K. Inter- and intraobserver variability of (semi-) quantitative parameters commonly used in feline thyroid scintigraphy. Res Vet Sci 2016;105:87-91.
  • [13] Ramos CD, Zantut Wittmann DE, Etchebehere EC, Tambascia MA, Silva CA, Camargo EE. Thyroid uptake and scintigraphy using 99mTc pertechnetate: standardization in normal individuals. Sao Paulo Med J 2002;120:45-8.
  • [14] Sarkar SD. Benign thyroid disease: what is the role of nuclear medicine? Semin Nucl Med 2006;36:185-93.
  • [15] Clerc J. Imaging the thyroid in children. Best Pract Res Clin Endocrinol Metab 2014;28:203-20.
  • [16] Biassoni L, Easty M. Paediatric nuclear medicine imaging. Br Med Bull 2017;123:127-48.
  • [17] Alimanovic-Alagic R, Brkovic A, Kucukalic-Selimovic E. Evaluation of thyroid diseases in nuclear medicine. Med Arh 2008;62:303-6.
  • [18] Töre G, Karayalçın B, Esen B, Türkmen C, Yüksel D, Varoğlu E, et.al. Tiroit sintigrafisi uygulama kılavuzu. Turk J Nucl Med 2003;12:178-80.
  • [19] Chung JK. Sodium iodide symporter: its role in nuclear medicine. J Nucl Med 2002;43:1188-200.
  • [20] Chung JK, Youn HW, Kang JH, Lee HY, Kang KW. Sodium iodide symporter and the radioiodine treatment of thyroid carcinoma. Nucl Med Mol Imaging 2010;44:4-14.
  • [21] Ogawa K, Hashimoto J, Kubo A, Hashimoto S, Suzuki K, Ruike T. Development of a converging collimator for thyroid scintigraphy. KakuIgaku 1990;27:303-11.
  • [22] Meier DA, Kaplan MM. Radioiodine uptake and thyroid scintiscanning. Endocrinol Metab Clin North Am 2001;30:291-313.
  • [23] Franklyn JA. What is the role of radioiodine uptake measurement and thyroid scintigraphy in the diagnosis and management of hyperthyroidism. Clin Endocrinol (Oxf) 2010;72:11-2.
  • [24] Green CH. Technetium-99m production issues in the United Kingdom. J Med Phys 2012;37:66-71.
  • [25] Shapiro B, Zanin DE, Schipper R. Reference-free thyroid uptake measurement. Nucl Med Commun 2014;35:382-90.
  • [26] Meier DA, Brill DR, Becker DV, Clarke SE, Silberstein EB, Royal HD, et al. Procedure guideline for therapy of thyroid disease with (131) iodine. J Nucl Med 2002;43:856-61.
  • [27] Lee H, Kim JH, Kang YK, Moon JH, So Y, Lee WW. Quantitative single-photon emission computed tomography/computed tomography for technetium pertechnetate thyroid uptake measurement. Medicine (Baltimore) 2016;95:e4170.
  • [28] Pelletier-Galarneau M, Martineau P, Klein R, Henderson M, Zuckier LS. Reproducibility of radioactive iodine uptake (RAIU) measurements. J Appl Clin Med Phys 2018;19:239-42.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Serdar Savaş Gül 0000-0003-4822-2588

Publication Date January 4, 2019
Submission Date March 27, 2018
Acceptance Date August 13, 2018
Published in Issue Year 2019

Cite

AMA Gül SS. Wrongs known as right in thyroid scintigraphy and uptake study. Eur Res J. January 2019;5(1):142-147. doi:10.18621/eurj.410060

e-ISSN: 2149-3189 


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