Re: Fwd: I-131 Thyroid CA Therapy Question

["David V. Becker" <dvb2001@med.cornell.edu>]

Greg and Chris...sorry for the typographical errors in my email. In the
second paragraph it is recombinant TSH (not ASH) and the pharmaceutical
is Thyrogen, not thyroxine.  Its getting late....

David Becker





Chris Alston wrote:
> 
> >From: "Greg Madison, MS" <gemadison@INETONE.NET>
> >
> >Hello all,
> >
> >I have a physician who would like to provide I-131 ablation for his
> >patients post removal of the thyroid by surgery.  We are a private
> >practice and would rely on the local nuclear medicine clinic in the
> >hospital to order, hold, assay, etc. the I-131.  This hospital has no
> >interest in performing inpatient therapies of 300mCi so we would seek to
> >administer 33mCi or less (IAW NRC Reg Guide 8.39) and maintain the patient
> >as an outpatient.
> >
> >The physician is considering the possibility of multiple 33mCi outpatient
> >I-131 fractions to accomplish the ablation procedure.  Has anyone ever
> >heard of this practice or can point to a reference on the total number of
> >fractions required to obtain a radiobiologic equivalent dose of 300mCi in
> >33mCi fractions?
> >
> >Your feedback is appreciated.
> >
> >Greg Madison, MS, DABR
> >Medical Physicist
> >Princetion Radiation Oncology Center
> 
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