ACR–ACNM–ARS–SNMMI–SPR PRACTICE PARAMETER FOR TREATMENT OF BENIGN AND MALIGNANT THYROID DISEASE WITH I-131 SODIUM IODIDE

PREAMBLE

I. INTRODUCTION

II. DEFINITION

III. INDICATIONS

IV. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

A. General Procedures

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

B. Unique Situations

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

C. Treatment of Benign Thyroid Disease

1. Therapy for Hyperthyroidism

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

D. Treatment of Malignant Thyroid Disease

1. Clinical Evaluation

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

D. Treatment of Malignant Thyroid Disease

Radiation precautions, and considerations unique to therapy of malignant thyroid disease

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

D. Treatment of Malignant Thyroid Disease

3. Therapy

V. SPECIFICATIONS OF THE EXAMINATION AND TREATMENT

D. Treatment of Malignant Thyroid Disease

4. Complications

VI. DOCUMENTATION

VII. ACR STATEMENT On THERAPEUTIC USE OF UNSEALED RADIOPHARMACEUTICAL SOURCES

VIII. RADIATION SAFETY

IX. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR Boike, Thomas MD, Co-Chair Lai, Hollie A MD Trout, Andrew T MD	ACNM Avram, Anca M MD Dadparvar, Simin MD Tulchinsky, Mark MD	ARS Barry, Parul MD Duriseti, Sai MD, PhD Yom, Sue S MD, PhD	SNMMI Flavell, Robert MD, PhD Grant, Frederick MD Van Nostrand, Douglas MD
SPR Kwatra, Neha MD Parisi, Marguerite T. MD, MS

Committee on Practice Parameters – Nuclear Medicine and Molecular Imaging

(ACR Committee responsible for sponsoring the draft through the process)

Ghesani, Munir V MD, Chair	Subramaniam, Rathan M MBA, MD, MPH, PhD, Chair	Aboian, Mariam MD, PhD	Akin, Esma A MD
Bartel, Twyla B DO, MBA	Dibble, Elizabeth H MD	Gerard, Perry S MD	Karagulle Kendi, A. Tuba MD
Marcus, Charles MD	Mercier, Gustavo A MD, PhD	Peacock, Justin G MD, PhD	Solnes, Lilja B MBA, MD
Surasi, Devaki Shilpa MD	Wong, Terence Z MD, PhD	Zukotynski, Katherine MD, PhD

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Newell, Mary S MD, Chair

Caplin, Drew M MD

Committee on Practice Parameters – Pediatric Imaging

(ACR Committee responsible for sponsoring the draft through the process)

Levin, Terry L MD, Chair	Alizai, Hamza MD	Amodio, John B MD	Betz, Bradford W MD
Blumfield, Einat MD	Collard, Michael MD	Goldman-Yassen, Adam MD	Lai, Hollie A MD
Lala, Shailee V MD	Lasiecka, Zofia M MD, PhD	Laufer, Adina MD	Li, Arleen MD
Maloney, John A MD	Noda, Sakura MD	Shah, Summit MD	Trout, Andrew T MD
Vatsky, Seth DO

Committee on Practice Parameters – Radiation Oncology

(ACR Committee responsible for sponsoring the draft through the process)

Schechter, Naomi MD, Chair	Berkowitz, Aviva MD	Chao, Samuel MD	Davis, Brian J MD, PhD
Frank, Steven J MD	Freedman, Laura MD	Garsa, Adam MD	Lo, Simon S. ChB, MB
Morris, Zachary MD	Rabatic, Bryan MD	Reilly, Michael PhD	Saeed, Hina MD
Sio, Terence Tai-Weng MD, MS	Wallner, Paul DO

Barth, Richard MD, Chair, Commission on Pediatric Radiology

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Rohren, Eric MD, PhD, Chair, Commission on Nuclear Medicine & Molecular Imaging

Small, William MD, Chair, Commission on Radiation Oncology

Comments Reconciliation Committee

Brady, Matthew MD - CSC, Chair	Weissman, Ian DO - CSC, Co-Chair	Amodio, John B MD	Avram, Anca M MD
Barry, Parul MD	Bartel, Twyla B DO, MBA	Barth, Richard MD	Boike, Thomas MD
Caplin, Drew M MD	Chao, Samuel MD	Crummy, Timothy MD, MHA - CSC	Dadparvar, Simin MD
Duriseti, Sai MD, PhD	Flavell, Robert MD, PhD	Ghesani, Munir V MD	Grant, Frederick MD
Kwatra, Neha MD	Lai, Hollie A MD	Larson, David B MBA, MD	Levin, Terry L MD
Newell, Mary S MD	Parisi, Marguerite T. MD, MS	Rohren, Eric MD, PhD	Schechter, Naomi MD
Schoppe, Kurt MD - CSC	Small, William MD	Subramaniam, Rathan M MBA, MD, MPH, PhD	Trout, Andrew T MD
Tulchinsky, Mark MD	Van Nostrand, Douglas MD	Yom, Sue S MD, PhD

REFERENCES