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Treatment of thyroid cancer with radioiodine therapy (279798) | University Hospital Frankfurt am Main - 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

University Hospital Frankfurt am Main

Frankfurt am Main, Germany
Program id # 279798
Doctor photo
Prof. Dr. med. Frank Grünwald
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 University Hospital Frankfurt am Main offers the full range of modern diagnostics and therapy using various radioisotopes.

The department is headed by Prof. Dr. med. Frank Grünwald. In 1990, the doctor had his board certification in nuclear medicine, after which he worked for about 10 years at the University Hospital Bonn. At the moment, Prof. Grünwald, who has over 30 years of experience in treating patients with radionuclide methods, is recognized as one of the best specialists in Germany. He always makes every effort to ensure that his patients receive first-class medical care. The doctor has special experience in radioiodine therapy, positron emission tomography, and the use of radionuclide methods for cancer treatment. He is a member of many professional organizations and a winner of awards for his scientific work. He authored about 90 publications in the scientific literature, as well as some full books and individual chapters of books on nuclear medicine.

The department is equipped with the advanced systems for carrying out such high-precision and informative examinations as SPECT, PET, etc. The department carries out more than 8,000 outpatient examinations annually. The key focus in the field of diagnostics is on the detection of neurological, cardiac and oncological diseases. The department's therapeutic options include the treatment of benign and malignant diseases of the thyroid gland, pain therapy in bone metastases, treatment of malignant tumors in children (for example, neuroblastomas). The spectrum is also complemented by such innovative techniques as radiosynoviorthesis, selective internal radiation therapy and radioimmunotherapy.

Of particular interest to the department's specialists is the diagnostics and treatment of thyroid diseases. To make an accurate diagnosis, they conduct reliable and proven examinations, such as ultrasound and scintigraphy. The doctors mostly have to deal with such pathologies as goiter, thyroid hyperfunction and hypofunction, Graves' disease, thyroid inflammations, thyroid cancer. Once an accurate diagnosis is made, the doctor will develop an individualized treatment regimen aimed at the successful treatment outcome. One of the most common treatment methods is radioiodine therapy.

The service range of the department includes:

Diagnostics
  • Thyroid scintigraphy
  • (Whole-body) scintigraphy using iodine after the surgical removal of the thyroid gland
  • Brain scintigraphy
  • Kidney scintigraphy
  • Skeletal scintigraphy
  • Heart scintigraphy
  • Parathyroid scintigraphy
  • Lung scintigraphy
  • Tumor scintigraphy using mIBG
  • Sentinel lymph node scintigraphy
  • PET-CT
  • SPECT
Therapy
  • Radioiodine therapy
  • Radium therapy (Ra-223) in pain syndrome caused by bone metastases
  • 177Lu-PSMA-617 radioligand therapy
  • Lu-177 radio peptide therapy
  • Selective internal radiation therapy
  • Radioimmunotherapy
  • Radiosynoviorthesis
  • 131I-MIBG therapy
Other diagnostic examinations and treatment methods 

Curriculum vitae

  • 1978 - 1984 Study of Human Medicine at the University of Bonn.
  • 1984 Medical state examination.
  • 1984 Admission to medical practice.
  • 1984 - 1986 Research Fellow at the Institute of Physiology I of the University of Bonn. 
  • 1986 Doctoral Degree.
  • 1986 Research Fellow in the Department of Nuclear Medicine at the University of Bonn 
  • 1990 Board certification in Nuclear Medicine.
  • 1992 Habilitation in Nuclear Medicine and appointment as PD.
  • 1992 Senior Physician in the Department of Nuclear Medicine.
  • 1994 Leading Senior Physician in the Department of Nuclear Medicine. 
  • 1997 Appointed as an Extraordinary Professor.
  • 1999 Taking up the duties as the Head of the Department of Nuclear Medicine at the University Hospital Frankfurt am Main.

 Photo of the doctor: (c) Universitätsklinikum Frankfurt 

Sources:

Wikipedia

PubMed, National Library of Medicine


About hospital

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! 

The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about the health of patients around the clock, ensuring them with the highest standards of medical care and best possible safety.

The hospital has 32 specialized departments and more than 20 research institutes, which have all the necessary resources for the provision of the most effective care for any patient. The hospital has 1,488 beds for inpatient medical care. The medical facility diagnoses and treats more than 51,000 inpatients and about 44,800 outpatients every year. Due to the demonstration of outstanding treatment results, the number of patients seeking medical care here increases significantly annually.

The hospital presents all areas of modern medicine, whereas its special competence lies in neuroscience, oncology, cardiovascular medicine, cardiac surgery and other fields. Many treatment methods available here are unique not only in Europe, but also internationally.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Frankfurt am Main live in comfortable rooms made in modern design and meeting the highest standards of European medicine. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room includes a comfortable, automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors and a TV. If desired, patients can use Wi-Fi. The patients can also stay in the enhanced-comfort rooms.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or in a hotel of your choice.

Hotel

During the outpatient program, you may stay in a hotel of your choice. Managers will help you choose the most suitable options.