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Nuclear Medicine

Diagnostic imaging using radioactive materials.

Thyroid Scan And Uptake

A thyroid scan and uptake test are nuclear medicine procedures that provide information about the structure and function of the thyroid gland. These tests are commonly used to evaluate thyroid nodules, assess thyroid function, and diagnose certain thyroid disorders.

Thyroid Scan:

Radioactive Tracer Injection: A small amount of a radioactive iodine substance, usually iodine-123 or technetium-99m pertechnetate, is injected into the bloodstream or administered orally. The thyroid gland takes up this radioactive material.

Waiting Period: The patient waits for a certain period to allow the thyroid gland to absorb the radioactive tracer.

Imaging: A gamma camera is used to capture images of the thyroid gland as it accumulates and concentrates the radioactive material. The camera detects the gamma rays emitted by the tracer, creating a visual representation of the thyroid’s structure and function.

Scan Interpretation: The images obtained can reveal the size, shape, and distribution of the thyroid gland. Abnormalities, such as nodules or areas of increased or decreased function, can be identified.

Thyroid Uptake Test:

Radioactive Iodine Ingestion: The patient typically ingests a small amount of radioactive iodine, usually in the form of a pill.

Measurement of Radioactive Uptake: After a specified period, the amount of radioactive iodine taken up by the thyroid gland is measured using a special device called a gamma probe.

Calculation of Uptake Percentage: The percentage of radioactive iodine taken up by the thyroid is calculated, providing information about the thyroid’s ability to concentrate iodine.

Both the thyroid scan and uptake test are useful in evaluating various thyroid conditions.

  • The thyroid scan is used to determine the size, shape and position of the thyroid gland. The thyroid uptake is performed to evaluate the function of the gland. A whole-body thyroid scan is typically performed on people who have or had thyroid cancer.
  • A physician may perform these imaging tests to:
    • determine if the gland is working properly
    • help diagnose problems with the thyroid gland, such as an overactive thyroid gland, a condition called hyperthyroidism, cancer or other growths
    • assess the nature of a nodule discovered in the gland
    • detect areas of abnormality, such as lumps (nodules) or inflammation
    • determine whether thyroid cancer has spread beyond the thyroid gland
    • evaluate changes in the gland following medication use, surgery, radiotherapy or chemotherapy
  • Women should always inform their physician or technologist if there is any possibility that they are pregnant or if they are breastfeeding.
  • You should inform your physician and the technologist performing your exam of any medications you are taking, including vitamins and herbal supplements. You should also inform them if you have any allergies and about recent illnesses or other medical conditions.
  • Jewelry and other metallic accessories should be left at home if possible, or removed prior to the exam because they may interfere with the procedure.
  • In some instances, certain medications or procedures may interfere with the examination ordered
  • You should avoid caffeine (caffeinated as well as decaffeinated coffee, hot and cold tea, caffeinated soft drinks and energy drinks, etc.) and smoking for up to 48 hours before your examination.

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