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Treatment of thyroid cancer with radioiodine therapy (410459) | ATOS Clinic Heidelberg - BookingHealth
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After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the thyroid gland and lymph nodes of the neck, thyroid scintigraphy. This will allow your doctor to assess how effective radioiodine therapy will be and how well you will tolerate it. In addition, the doctor will calculate the dosage of the drug you need.<\/p>\n\n<p style=\"text-align:justify\"><strong>Radioiodine therapy with I-131<\/strong> includes oral administration of the drug. You will take 1 to 4 radioactive iodine capsules or drink about a teaspoon of liquid with radioactive iodine. You will take the drug in your ward, without visiting the manipulation room or operating room.<\/p>\n\n<p style=\"text-align:justify\"><strong>After taking radioactive iodine<\/strong>, you will stay in your ward for 24 to 48 hours. The next morning after the procedure, the dosimetrist will determine the amount of radiation in your body. If the amount is low, you will be allowed to leave your ward and will be discharged from the hospital. If the amount is high, then the dosimetric control will continue for another day, until a low amount of radiation in your body is detected.<\/p>\n\n<p style=\"text-align:justify\">The isotope I-131 can accumulate not only in the thyroid gland, but also partially in the salivary glands. This can cause dry mouth. To get rid of this side effect, you will dissolve sour candies, as this stimulates the work of salivary glands.<\/p>\n\n<p style=\"text-align:justify\">The drug is quickly excreted by the kidneys, and after 48 hours you will no longer pose a danger to others. After the procedure, you should drink at least 1 glass of water per hour and visit the toilet regularly. This will allow you to quickly remove radioactive iodine from the body. Food can be usual, without excess iodine in the diet.<\/p>\n\n<p style=\"text-align:justify\">During these 48 hours, you can read, use a mobile phone, tablet or computer. All these devices will not be a source of radiation in the future.<\/p>\n\n<p style=\"text-align:justify\"><strong>Control examination<\/strong> includes scintigraphy, which is performed 7-10 days after radioiodine therapy. Based on the results of the examination, the doctor will determine how well the cells of the thyroid gland (or cancer metastases) have accumulated radioactive iodine. In a few weeks after the procedure, you will have a control blood test for thyroid hormones. In the future, you will visit an endocrinologist regularly.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>case history collection<\/li>\n\t<li>general clinical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood&nbsp;count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>TSH-basal, fT3, fT4<\/li>\n\t\t<li>tumor markers (thyroglobulin (TG),<br \/>\n\t\tTG antibodies (TgAb))<\/li>\n\t\t<li>indicators of inflammation<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>ultrasound scan of the thyroid gland<\/li>\n\t<li>thyroid scintigraphy<\/li>\n\t<li>radioiodine therapy<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>cost of essential medicines<\/li>\n\t<li>nursing services<\/li>\n\t<li>stay in the hospital with full board&nbsp;&nbsp;in 2-bed room<\/li>\n\t<li>elaboration of further recommendations<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>During the first visit<\/strong>, the doctor will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the thyroid gland and lymph nodes of the neck, thyroid scintigraphy. This will allow your doctor to assess how effective radioiodine therapy will be and how well you will tolerate it. In addition, the doctor will calculate the dosage of the drug you need.<\/p>\n\n<p style=\"text-align:justify\"><strong>Radioiodine therapy with I-131<\/strong> includes oral administration of the drug. You will take 1 to 4 radioactive iodine capsules or drink about a teaspoon of liquid with radioactive iodine. You will take the drug in your ward, without visiting the manipulation room or operating room.<\/p>\n\n<p style=\"text-align:justify\"><strong>After taking radioactive iodine<\/strong>, you will stay in your ward for 24 to 48 hours. The next morning after the procedure, the dosimetrist will determine the amount of radiation in your body. If the amount is low, you will be allowed to leave your ward and will be discharged from the hospital. If the amount is high, then the dosimetric control will continue for another day, until a low amount of radiation in your body is detected.<\/p>\n\n<p style=\"text-align:justify\">The isotope I-131 can accumulate not only in the thyroid gland, but also partially in the salivary glands. This can cause dry mouth. To get rid of this side effect, you will dissolve sour candies, as this stimulates the work of salivary glands.<\/p>\n\n<p style=\"text-align:justify\">The drug is quickly excreted by the kidneys, and after 48 hours you will no longer pose a danger to others. After the procedure, you should drink at least 1 glass of water per hour and visit the toilet regularly. This will allow you to quickly remove radioactive iodine from the body. Food can be usual, without excess iodine in the diet.<\/p>\n\n<p style=\"text-align:justify\">During these 48 hours, you can read, use a mobile phone, tablet or computer. All these devices will not be a source of radiation in the future.<\/p>\n\n<p style=\"text-align:justify\"><strong>Control examination<\/strong> includes scintigraphy, which is performed 7-10 days after radioiodine therapy. Based on the results of the examination, the doctor will determine how well the cells of the thyroid gland (or cancer metastases) have accumulated radioactive iodine. In a few weeks after the procedure, you will have a control blood test for thyroid hormones. 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Treatment of thyroid cancer with radioiodine therapy

ATOS Clinic Heidelberg

Heidelberg, Germany
Program id # 410459
Doctor photo
Dr. med. Dirk Aufderstrasse
Department of Nuclear Medicine
Specialized in: nuclear medicine

The program includes:

  • Initial presentation in the clinic
  • case history collection
  • general clinical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers (thyroglobulin (TG),
      TG antibodies (TgAb))
    • indicators of inflammation
    • indicators of blood coagulation
  • ultrasound scan of the thyroid gland
  • thyroid scintigraphy
  • radioiodine therapy
  • symptomatic treatment
  • cost of essential medicines
  • nursing services
  • stay in the hospital with full board  in 2-bed room
  • elaboration of further recommendations

How program is carried out

During the first visit, the doctor will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the thyroid gland and lymph nodes of the neck, thyroid scintigraphy. This will allow your doctor to assess how effective radioiodine therapy will be and how well you will tolerate it. In addition, the doctor will calculate the dosage of the drug you need.

Radioiodine therapy with I-131 includes oral administration of the drug. You will take 1 to 4 radioactive iodine capsules or drink about a teaspoon of liquid with radioactive iodine. You will take the drug in your ward, without visiting the manipulation room or operating room.

After taking radioactive iodine, you will stay in your ward for 24 to 48 hours. The next morning after the procedure, the dosimetrist will determine the amount of radiation in your body. If the amount is low, you will be allowed to leave your ward and will be discharged from the hospital. If the amount is high, then the dosimetric control will continue for another day, until a low amount of radiation in your body is detected.

The isotope I-131 can accumulate not only in the thyroid gland, but also partially in the salivary glands. This can cause dry mouth. To get rid of this side effect, you will dissolve sour candies, as this stimulates the work of salivary glands.

The drug is quickly excreted by the kidneys, and after 48 hours you will no longer pose a danger to others. After the procedure, you should drink at least 1 glass of water per hour and visit the toilet regularly. This will allow you to quickly remove radioactive iodine from the body. Food can be usual, without excess iodine in the diet.

During these 48 hours, you can read, use a mobile phone, tablet or computer. All these devices will not be a source of radiation in the future.

Control examination includes scintigraphy, which is performed 7-10 days after radioiodine therapy. Based on the results of the examination, the doctor will determine how well the cells of the thyroid gland (or cancer metastases) have accumulated radioactive iodine. In a few weeks after the procedure, you will have a control blood test for thyroid hormones. In the future, you will visit an endocrinologist regularly.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Nuclear Medicine at the ATOS Clinic Heidelberg offers the full range of services in this focus. Much attention is paid to all traditional diagnostic methods in the field of nuclear medicine and outpatient therapeutic procedures, for example, radiation synovectomy (a method for treating inflammatory joint diseases with the help of isotopes). The medical team of the department consists of qualified and experienced workers, whose goal is to provide quality medical care in accordance with the international standards. The department is headed by Dr. med. Dirk Aufderstrasse.

The department has the state-of-the-art equipment: a dual-core Philips camera of the latest generation, a BrightView camera that allows to take images from various angles, the latest system for single-photon emission computed tomography, etc. The use of such innovative technologies allows minimizing radiation exposure as much as possible. In cooperation with the Department of Radiology, patients are offered combined examinations – SPECT-CT and SPECT-MRI.

The range of medical services of the department includes:

  • Skeletal scintigraphy
    • Arthrosis
    • Bone tissue inflammation
    • Avascular necrosis (circulatory disorders in bones)
    • Impaired healing after fractures, replacement of a joint prosthesis or other operations on the bones
    • Bone pain of unknown origin
    • Pain that persists after trauma if there is no fracture on the X-ray
    • Bone tumors or destructive changes in bones
    • Monitoring of malignant tumors that can lead to bone metastases
  • Renal scintigraphy
    • Examination to identify the causes of high blood pressure, which can be caused by impaired kidney function
    • Examination of the function of each kidney separately and their overall function in diseases, such as a contracted kidney
    • Kidney failure (with or without obstruction of the urinary tract)
    • Impaired outflow of ureters with reflux or obstruction (e.g., impaired outflow due to the tumor)
    • Monitoring after urinary tract surgery
    • Functional examination after kidney transplantation, kidney damage and prior to certain interventions
  • Thyroid scintigraphy
    • Reduced or increased activity of thyroid nodules and abnormalities in the tissue structure
    • Assessment of the total metabolic activity of thyroid tissue (quantitative assessment)
  • Single-photon emission computed tomography (SPECT)
  • Pain therapy in joint diseases (under the control of imaging systems)
  • And other methods of diagnosis and treatment

Curriculum vitae

  • 1981 - 1987 Study of medicine and PhD defense at the Heidelberg University.

Clinical Activities

  • 1988 - 1993 Internship in the Municipal Hospital Wuppertal-Barmen (Academic Hospital of the Heinrich Heine Düsseldorf University).
  • 1992 Medical Specialist in Nuclear Medicine (Medical Association of the North Rhine).
  • 1993 - 1998 Medical practice specializing in nuclear medicine, Hagen, Westphalia.
  • Since 1999 Head of the Department of Nuclear Medicine at the ATOS Clinic Heidelberg.

Membership in Professional Societies

  • German Society of Nuclear Medicine (DGN).
  • Southwestern German Society of Nuclear Medicine (SWDGN).
  • Professional Association of Physicians specializing in Nuclear Medicine (BDN).

Photo of the doctor: (c) ATOS Klinik Heidelberg 


About hospital

Founded in 1991, the ATOS Clinic Heidelberg combines top-quality service and cutting-edge medicine. It keeps track of the latest scientific developments and contributes to those developments. 

The clinic has 73 beds. It treats about 3,000 inpatients every year. There are 5 modern operating rooms with the state-of-the-art equipment, where experienced surgeons perform surgical procedures of any severity. 

The clinic employs respected medical experts whose reputations reach beyond regional and national borders. They have the very latest treatment methods and ensure the best treatment results with the help of qualified application of modern medical equipment.

Much attention is paid to interdisciplinary cooperation, which opens the possibilities for developing complex and individual approaches to treatment, allowing to achieve the most favorable results of therapy. At the primary admission to the clinic, it usually offers a special examination with the involvement of specialists from different fields. Thus, the patient has the opportunity to undergo a thorough, comprehensive preventive check-up, which, in addition to orthopedic aspects, includes an examination of the state of the cardiovascular system and other vital organs. In addition, there can be made additional examinations in allergies, oncological diseases, diabetes mellitus, etc.

The clinic provides highly specialized medical services corresponding to the strictest international standards. Every effort of the medical staff is aimed at ensuring the best treatment result and making the patient feel comfortable during the entire period of the hospital stay.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

Patients of the ATOS Clinic Heidelberg live in single, double and triple rooms. In addition, the clinic offers enhanced-comfort rooms and suites. In order to make patients feel at home, the rooms have light colors and modern design. Standard rooms are equipped with air conditioning, radio, minibar, safe and comfortable sofa, where the patient can communicate with their visitors. Also, patients are offered a modern multimedia system and access to the Internet throughout the clinic.

Meals and Menus

The restaurant of the clinic offers delicious food. The choice of dishes is very diverse: the menu features German and exotic cuisine. All dishes are cooked from quality, fresh products, so even real gourmets will appreciate the dishes. All individual dietary preferences of patients are also taken into account.

Breakfast is served at 08:00 a.m. in a buffet-style. Lunch begins at 12:00 p.m. Here patients are offered a menu of three dishes to choose from, incl. soup or salad and a delicious dessert. Dinner, consisting of 2 dishes to choose from, is served at 17:30 p.m. From 14:45 p.m., you can also enjoy a cup of coffee with a tasty cake.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV