131I治疗分化型甲状腺癌术后患者体内剂量测定方法的临床应用进展

Advances in clinical application of residual radioactivity measurment method in patients with differentiated thyroid cancer surgery after 131I treatment

  • 摘要: 根据分化型甲状腺癌(DTC)患者术后不同危险度分层结果,部分患者可能需要进一步行131I治疗,但131I可对周围人群产生辐射,因此正确评估患者体内的辐射剂量,对辐射防护个体化及131I治疗流程的优化至关重要。DTC患者术后131I治疗期间辐射剂量的测量方法主要分为体内和体外测量两大类,体外测量包括尿液测量法和血液剂量测定法;体内测量主要包括局部测量法和全身测量法,笔者就辐射剂量相关测定方法及其临床应用进行综述。

     

    Abstract: According to different risk stratification results of differentiated thyroid cancer (DTC) patients after surgery, some patients may need further 131I treatment, but 131I can emit radiation to the surrounding population. Therefore, the correct assessment of radiation dose in patients is crucial to the individualization of radiation protection and the optimization of 131I treatment process. For the measurement method of radiation dose during 131I treatment after DTC, there are mainly two types, which are in vivo and in vitro. In vitro measurements include urine and blood measurement methods; in vivo measurements mainly include local and systemic measurement methods. The authors mainly discuss dose-related measurement methods and clinical application.

     

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