• 제목/요약/키워드: Radioactive iodine-131

검색결과 79건 처리시간 0.025초

Dietary evaluation of a low-iodine diet in Korean thyroid cancer patients preparing for radioactive iodine therapy in an iodine-rich region

  • Ju, Dal Lae;Park, Young Joo;Paik, Hee-Young;Kim, Min-Ji;Park, Seonyeong;Jung, Kyong Yeun;Kim, Tae Hyuk;Choi, Hun Sung;Song, Yoon Ju
    • Nutrition Research and Practice
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    • 제10권2호
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    • pp.167-174
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    • 2016
  • BACKGROUND/OBJECTIVES: Despite the importance of a low-iodine diet (LID) for thyroid cancer patients preparing for radioactive iodine (RAI) therapy, few studies have evaluated dietary intake during LID. This study evaluated the amount of dietary iodine intake and its major food sources during a typical diet and during LID periods for thyroid cancer patients preparing for RAI therapy, and examined how the type of nutrition education of LID affects iodine intake. SUBJECTS/METHODS: A total of 92 differentiated thyroid cancer patients with total thyroidectomy were enrolled from Seoul National University Hospital. All subjects completed three days of dietary records during usual and low-iodine diets before $^{131}I$ administration. RESULTS: The median iodine intake was $290{\mu}g/day$ on the usual diet and $63.2{\mu}g/day$ on the LID. The major food groups during the usual diet were seaweed, salted vegetables, fish, milk, and dairy products and the consumption of these foods decreased significantly during LID. The mean energy intake on the LID was 1,325 kcal, which was 446 kcal lower than on the usual diet (1,771 kcal). By avoiding iodine, the intake of most other nutrients, including sodium, was significantly reduced during LID (P < 0.005). Regarding nutritional education, intensive education was more effective than a simple education at reducing iodine intake. CONCLUSION: Iodine intake for thyroid cancer patients was significantly reduced during LID and was within the recommended amount. However, the intake of most other nutrients and calories was also reduced. Future studies are needed to develop a practical dietary protocol for a LID in Korean patients.

한국성인 남성을 대상으로 한 방사성옥소의 갑상선 섭취율에 따른 각 장기별 흡수선량 평가 (Assessment of Absorbed Dose of by Organ according to Thyroidal Uptake of Radioactive Iodine for Adult Korean Males)

  • 김정훈;임창선;황주호
    • 한국의학물리학회지:의학물리
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    • 제18권4호
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    • pp.187-193
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    • 2007
  • 한국인의 생리적 특성에 맞는 방사성핵종의 체내 흡수선량 평가를 위한 일환으로 한국 성인 남성 28명을 대상으로 $^{131}|$을 경구투여 후 갑상선섭취율 및 소변 일일배설률을 산정하고 각 장기별 흘수선량을 평가하였다 그 결과, 첫째, 투여 24시간 후 갑상선이 평균 19.70%의 섭취율과 71.12%의 소변 일일배설률을 나타냈다. 둘째 본 연구에서 산출한 갑상선섭취율과 기존 ICRP에서 제시하는 갑상선섭취율 30%에 따른 전신유효선량은 각각 1.464E-08 Sv, 2.189E-08 Sv로 약 1.5배의 차이를 나타났다. 정량적인 방사성 옥소의 흡수선량 평가를 위해서는 기존 ICRP에서 제시하는 자료에 의존하기 보다는 인종별 새로운 측정을 통해 각 핵종별 자료의 확보만이 체내피폭평가시 오류를 최소화 할 수 있다.

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감마분광분석을 이용한 환경 중 방사성요오드(131I)의 측정 불확도에 관한 사례 연구 (A Case Study about Counting Uncertainty of Radioactive Iodine (131I) in Public Waters by Using Gamma Spectrometry)

  • 조윤해;설빛나;민경옥;김완석;이준배;이수형
    • 대한환경공학회지
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    • 제38권1호
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    • pp.42-46
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    • 2016
  • 환경에 존재하는 인공방사성핵종 중 방사성요오드($^{131}I$)는 주로 갑상선질환의 치료에 사용되며 환자의 배출과정을 통해 체외로 방출된다. 붕괴가 채 끝나지 않은 $^{131}I$는 환경으로 방출되어 공공수역에서 검출될 수 있다. 본 연구는 공공수역에서 검출된 $^{131}I$ 방사능 결과의 정확도 및 신뢰도에 영향을 미치는 불확도 중 계측 과정에서 발생하는 불확도에 대하여 금강수계의 실제 사례를 조사하였다. 시료는 금강권역 삽교천 수계의 하천수 및 그 상류의 하수처리장 방류수를 대상으로 하였으며, 시료량에 따른 불확도를 확인하기 위하여 각 지점의 시료를 1, 10, 20 L로 채수하였다. 채취한 시료는 시료량에 따라 전 처리를 거친 후 1 L 마리넬리 비커에 충전하여 HPGe (High Purity Germanium) 감마선 검출기를 이용하여 10,000초 단위로 계측 분석하여 계측시간 및 방사능에 따른 측정불확도를 비교하였다. 각 지점의 방사능 농도는 0.03~1.8 Bq/L로, 채취시점에 따라 차이가 있는 것으로 나타났다. $^{131}I$의 방사능 농도가 0.3 Bq/L 수준인 경우 시료량이 1 L이면 약 80,000초 계측 시까지 핵종의 존재여부를 판단하지 못하는 경우가 발생하였으나, 같은 조건에서 시료량을 증가시켜 계측한 경우 10,000초 이상의 계측시간부터 불확도 10% 범위에 포함되는 것으로 나타났다. $^{131}I$의 짧은 반감기를 고려하여 즉시 계측이 가능한 1 L 생시료 계측 방법을 사용할 수 있으나, 불확도 수준과 전처리 및 계측에 소요되는 시간을 비교하였을 때, 10 L 시료의 계측을 통해 높은 신뢰도의 측정 결과를 얻을 수 있는 합리적인 방법이라고 판단되었다.

핵의학 영상검사 후 시행된 핵의학 검체검사에서의 영향 (The Effect on The Result, in Case of the In-vitro Test Performance after an Imaging Test)

  • 문기춘;권원현;김정인;이인원
    • 핵의학기술
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    • 제18권1호
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    • pp.149-152
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    • 2014
  • 핵의학과 영상검사 후에 검체검사를 시행할 경우 결과값에 미치는 영향을 알아보기 위해 PET-CT, Gated Myocardial SPECT, DTPA GFR Scan을 시행하기 전 후에 채혈하여 Tumor marker (AFP,CEA,CA19-9), Hormone (TSH,T3,TG,TG Ab)검사를 시행하여 Difference를 구하였다. 대부분의 결과가 10% 이내의 차이를 나타냈지만 Table 7의 sample 2와 Table 8의 sample 1, sample 6, sample 8의 저 농도 값에서 20%를 넘는 차이를 나타내는 경우가 있었다. 그렇지만 cpm값은 Table 7의 sample 2는 984(전), 1057(후) Table 8의 sample 1은 243(전), 301(후) sample 6은 58(전), 64(후) sample 8은 258(전), 203(후)으로 매우 흡사한 값을 나타냈다. 이 같은 값을 바탕으로 볼 때 영상검사를 시행한 후에 검체검사를 시행하더라도 결과값에 미치는 영향은 없는 것으로 판단된다.

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방사성동위원소옥소(放射性同位元素沃素)($^{131}I$)가 "마우스"의 주요장기(主要臟器)의 병리조직상(病理組織像)에 미치는 영향(影響)에 관(關)한 연구(硏究) (Histopathological Studies of Mice after Administration of Radioactive Iodine($^{131}I$))

  • 노재성;이문호
    • 대한핵의학회지
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    • 제1권2호
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    • pp.85-97
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    • 1967
  • Histopathological changes of various organs of the mice after intra-peritoneal injections of radioactive iodine ($^{131}I$) were experimentally observed. Sixity healthy female mice, weighing average 25 gm, devided into 6 groups, were used. The various doses of $^{131}I$ were injected intraperitoneally at different intervals. The histopathological changes after these treatments were observed in organs such as thyroids, parathyroids, livers, kidneys and gonads. Following were the results; 1) Thyroid: In the group A given $^{131}I$ with a single dose of $10{\mu}C$ per gm body weight, it was observed that the protoplasms of follicular epithelial cells were destroyed, the nuclei were expanded or dissoluted, showing pyknotic changes of nuclei and vacuolizations of protoplasms. In the group B given $^{131}I$ with a single dose of $5{\mu}C$ per gm body weight, hyperemias, hemorrhages and hyaline degenerations in the whole area were observed. In the group C given $^{131}I$ with 3 doses of $2.5{\mu}C$ per gm body weight every week, the thyroid parenchyms were destroyed and epithelial cells of varing size were observed in the fibrinous tissues. In the group D given $^{131}I$ with 6 doses of $0.5{\mu}C$ per gm body weight every week, some destroyed follicles and new borne follicles were observed. But the histopathological changes resemble the follicles of the normal thyroid gland. In the group E and F given $^{131}I$ with 8 and 10 doses of $0.2{\mu}C\;and\;0.01{\mu}C$ for each group per gm body weight every two days, both pyknotic changes of nuclei and cytoplasmic vacuolizations of the follicular epithelia, hypertrophies of follicles and abnormal irregular follicular structures were observed, and in the group F, lymphocytes appeared around the thyroid glands. 2) Parathyroid: In the group A, hyperemia, proliferations of connective tissues, karyorrhexes and vacuolizations were observed. In other experimental groups, no particular pathological change was observed. 3) Liver: The degnerative changes and acute or chronic inflammatory changes were observed in proportion to the amount of $^{131}I$ injected. Atrophies of the liver cells, dilatations of sinusoids, hyaline degenerations and necrotic pictures were observed. 4) Kidney: In the group A, congestions and infiltrations of mononuclear cells and granulocytes were observed around the cortical arteries, and in the group B, the degenerative changes of cortexes, and, in the group C and D, hydronephrotic changes were observed respectively, and hyaline degenerations were partially observed. 5) Gonad: In the group A, the follicles were degenerated. The ova in the follicles showed irregular figures. The changes in the group B were almost the same as in the group A, but the changes were mild. In the group C, the destructions of whole ova, the hypertrophies of ovarian follicular membranes and pyknotic changes of nuclei were observed. In the group D, the pathological changes were similar to that of group C, but mild in the grade. In the group E, almost none of ovarian follicular fluid was observed, and in the group F, the tissue pictures were almost similar to that of the normal group.

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그레이브스병에서 방사성요오드 치료 후 발생한 갑상샘항진증 악화의 지연된 발현 (Delayed presentation of aggravation of thyrotoxicosis after radioactive iodine therapy at Graves disease)

  • 이지현;나현진;박진우;이철호;한현정;김태호;김세화
    • Journal of Yeungnam Medical Science
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    • 제31권2호
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    • pp.148-151
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    • 2014
  • Radioactive iodine (RAI) therapy is widely used for the treatment of Graves disease. After RAI therapy, 44% become hypothyroid and up to 28% remain hyperthyroid. The development of thyrotoxicosis after RAI therapy is believed to be mediated by 2 different mechanisms: a transient increased release of thyroid hormone due to radiation thyroiditis and the rare development of Graves disease due to the formation of antibodies to the thyroid-associated antigens released from the damaged follicular cells. A 55-year-old woman was hospitalized with severe headache, weight loss, and palpitation. She received a dose of 7 mCi of RAI (I-131) about 6 weeks earlier. Thyroid function test showed 7.98 ng/dL free T4, >8 ng/mL T3, < $0.08{\mu}IU/L$ thyroid stimulating hormone, and high titer thyroid stimulating immunoglobulin (TSI) (85.8 IU/L). She improved with propylthiouracil, propranolol, and steroid treatment. The TSI, however, was persistently elevated for 11 months.

우리나라의 원자력 연구 개발에 수반된 방사선 사고 (A Summary of Radiation Accidents in Atomic Energy Activities of Korea)

  • 이현덕;하정우
    • Nuclear Engineering and Technology
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    • 제2권2호
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    • pp.97-106
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    • 1970
  • 원자력연구, 개발, 응용 및 이용사업이 시작된지 10년이 된 오늘날, 방사선을 포함한 오염사고등이 수많이 일어났고(Tablet 참조) 이들 방사선 사고로 인하여 인체 및 시설, 기구등에 까지도 자그마한 피해나마 장해 및 손상을 주었을 것이다. 이들 방사선 사고 가운데 비교적 주요한 4건의 방사선 피폭을 포함한 신체오염 사고, 말하자면 1) Cobalt-60 gamma선으로 부터의 전신피폭사고 (130 rem), 2) iodine-131에 의한 실험실내의 표면오염사고(13 mrad/hr), 3) 기체상의 iodine-131로 인한 전신오염 사고(흡입때문에 갑상선에 집적된 방사능량: 0.36$\mu$Ci) 4) 치료용 Radium 선원의 누출로 인한 Capsule이 텅빈사고[3 mg(\ulcorner)], 등에 대하여 발견하는 즉시 최대의 노력과 최소의 비용으로써 조사, 측정하고 아울러 사고의 확대를 줄이기 위하여 가능한 모든 조처를 취하였으며, 사고의 요인분석, 평가를 하였다.

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갑상선(甲狀腺) 기능항진증(機能亢進症)에서 $Tapazole^{(R)}$$^{131}I$섭취율(攝取率)에 미치는 영향(影響)에 관(關)한 임상적(臨床的) 고찰(考察) (The Clinical Study on the Effects of $Tapazole^{(R)}\;upon\;^{131}I$ Uptake in Hyperthyroidism)

  • 노흥규;이정상;고창순;이문호
    • 대한핵의학회지
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    • 제3권2호
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    • pp.17-22
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    • 1969
  • The differences in the change of the uptake rate of radioactive iodine ($^{131}I$) in the thyroid gland after $Tapazole^{(R)}$ administration before $^{131}I$ treatment were analysed in 137 patients who were diagnosed as diffuse toxic goiter in the Radioisotope Clinic and Laboratory, Seoul National University Hospital since Jan. 1967 to July, 1969. The uptake rate of the therapeutic dose of $^{131}I$ was changed diffusely compared with that of the trace dose in the patients who had no $Tapazole^{(R)}$ administration before $^{131}I$ treatment. In those patients who had $Tapazole^{(R)}$ more than 20 mg/day for more than one week before $^{131}I$ treatment, the uptake rate was decreased significantly. When the patients discontinued the administration of $Tapazole^{(R)}$ 7 days prior to $^{131}I$ treatment, the uptake rate was increased in all cases.

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Radioiodine removal from air streams with impregnated UVIS® carbon fiber

  • Obruchikov, Alexander V.;Merkushkin, Aleksei O.;Magomedbekov, Eldar P.;Anurova, Olga M.
    • Nuclear Engineering and Technology
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    • 제53권5호
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    • pp.1717-1722
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    • 2021
  • This study is devoted to the ability of carbon fiber material samples impregnated with various amounts of barium iodide and triethylenediamine to remove radioactive methyliodide from air streams. The main sorption characteristics of impregnated UVIS® carbon fiber were determined and the use of this material for purifying of technological gas flows at nuclear power plants was evaluated. The methyliodide trapping efficiency by samples impregnated with barium iodide, TEDA, and their mixture was 83.4 ± 0.8%; 93.1 ± 0.6% and 93.5 ± 0.7% respectively, under the same conditions. The study established a significantly higher capacity (8.3 ± 0.07 mg/cm2) of samples impregnated simultaneously with both chemical compounds toward methyliodide. Under the same test conditions, the values of this parameter for the samples impregnated separately with TEDA and BaI2 were 2.85 ± 0.05 mg/cm2 and 0.86 ± 0.04 mg/cm2, respectively.