Treatment of Thyroid Carcinoma: Emphasis on High-Dose 131I Outpatient Therapy

Article Figures & Data

TABLE 1

Instructions

Patient instructions	Duration (d)
Patient instructions		1.11–3.7 GBq* (30–100 mCi)	3.7–5.55 GBq* (100–150 mCi)	5.55–7.4 GBq* (150–200 mCi)
To reduce external exposure to others
Limit time spent in public places	2	3	4
Limit private travel (at 0.914-m separation of >2 h)	1	2	3
Do not travel by mass transportation or airplane	2	3	4
Do not travel on prolonged automobile trip with others	2	3	4
Delay returning to work if workplace or office is shared	2	3	4
Avoid prolonged close contact with children and pregnant women	4	5	6
Sleep in separate bed (>1.829-m separation)	4	5	6
Flush used facial tissues down the toilet (flush toilet, at least twice, after urination)	4	5	6
To minimize transfer of ¹³¹I or internal exposure
Avoid mouth-to-mouth contact	4	5	6
Do not share items that contact mouth or saliva (e.g., eating utensils, water/pop/beer bottles/cans, etc.)	4	5	6
Use separate towels and washcloths	4	5	6
Use regular utensils and plates and wash them separately	4	5	6
Wash your hands thoroughly after going to toilet (use separate bathroom, if possible, and men should also sit down while urinating)	3	4	5

↵* Treatment dose range.
Based on NRC Regulatory Guide 8.39 and James E. Carey, Jr., MS, DABR presentations at Society of Nuclear Medicine meetings and local presentation in December 1998.