Intraoperative radiation exposure with the use of (18)F-FDG-guided thyroid cancer surgery

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Charles NalleyBrendan C Stack

Abstract

Radio-guided surgery is an established means for surgeons to identify a target of interest for biopsy or excision. This technique is used for a variety of malignancies as well as minimally invasive parathyroid surgery. The primary radionuclide used for these procedures is technetium-99m (Tc-99m), but others have been used. Use of (18)fluorine-fluorodeoxyglucose ((18)F-FDG) in oncology has proliferated. This has created the opportunity to use (18)F-FDG as a potential radio tracer in the operating room. A pilot study of three patients with non-iodine avid thyroid cancers undergoing (18)F-FDG-guided revision thyroid cancer surgery is reported. Radiation exposure to operating room personnel was measured. Radiation exposure to the surgeon and staff members of an operating room is well below the limits of the National Regulatory Commission. Therefore, utilization of this radiopharmaceutical intraoperatively should not be limited in the future because of concern regarding exposure of operating room personnel to radiation.

References

Jun 15, 2000·European Journal of Nuclear Medicine·N A BenatarM J O'Doherty
Oct 24, 2007·European Journal of Nuclear Medicine and Molecular Imaging·P A AndersenB Hesse
Jul 12, 2008·European Journal of Nuclear Medicine and Molecular Imaging·Stephen P PovoskiMichael V Knopp

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Citations

Jun 30, 2010·Expert Review of Medical Devices·Edward W MartinStephen P Povoski
Sep 29, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Carrie L FrancisBrendan C Stack
Mar 19, 2014·The British Journal of Surgery·R S R WoodsC Timon
Jan 10, 2012·Clinical Nuclear Medicine·Daniel KaemmererMerten Hommann

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