The role of PPSUS in the incorporation of routine dosimetric procedures for the treatment of Graves' hyperthyroidism at the Hospital das Clínicas da FMUSP
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Keywords

Hyperthyroidism
Radioisotopes/therapeutic use
iodine-131
Dosimetry

How to Cite

Sapienza, M. T., Buchpiguel, C. A., Watanabe, T., & Carvalho, J. W. de A. de. (2025). The role of PPSUS in the incorporation of routine dosimetric procedures for the treatment of Graves’ hyperthyroidism at the Hospital das Clínicas da FMUSP. Boletim Do Instituto De Saúde - BIS, 26(1), 65–72. https://doi.org/10.52753/bis.v26i1.41909

Abstract

Although used for decades, there is no consensus on the ideal 131I activity to be administered in radioiodine therapy-RIT of hyperthyroidism due to Graves disease-HDG. Objectives: To establish a standard for dosimetry in RIT of HDG and to determine dosimetric and clinical variables related to therapeutic success. Results: better standardization of dosimetry, recommending USG for volume measurements. The dosimetry can be used in RIT planning, with a target of 300 Gy, with an increase in the target for elderly or high-volume goiter. Discussion: the improvement of the methods for dosimetry application in RIT planning was appropriately transferred from the PPSUS project to the clinical routine. In addition to paper publications and talks, it should be noticed that HCFMUSP is a training center with a national impact in the dissemination of knowledge in the specialty, so that residents formed carry the concepts of dosimetry guided RIT in their future activities. The need for a deepening of internal dosimetry concepts by the training physicians has been worked together with medical physics professionals, increasing knowledge through the creation of stages, courses and discussions. Externally, the faculty participates in Congresses with subjects related to dosimetry with the same purpose.

https://doi.org/10.52753/bis.v26i1.41909
pdf (Português (Brasil))

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 Marcelo Tatit Sapienza, Carlos Alberto Buchpiguel, Tomoco Watanabe, José Willegaignon de Amorim de Carvalho

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