This case presents a pragmatic approach to the management of a radioiodine remnant
ablation patient on hemodialysis which required no pretherapeutic dosimetric measurements.
Pretreatment radiation dose modeling was performed using literature values for radioiodine
hemodialysis extraction efficacies to determine a safe treatment regimen including
adjustment of the administered activity and hemodialysis frequency. The pretreatment
modeling was subsequently verified using external and blood radiation monitoring during
treatment.
Keywords
thyroid carcinoma - I-131 - hemodialysis - end-stage renal disease