Thursday 21 March 2019

If a patient has thyroid cancer is iodinated contrast contraindicated?

If a patient has thyroid cancer is iodinated contrast contraindicated?

Patients with carcinoma of the thyroid deserve special consideration before the intravascular or oral administration of iodinated contrast media (ionic or nonionic). Uptake of I-131 in the thyroid becomes moderately decreased to about 50% at one week after iodinated contrast injection but seems to become normal within a few weeks. Therefore, if systemic radioactive iodine therapy is part of planned treatment, a pretherapy diagnostic study of the patient using an iodinated radiographic contrast medium (intravascular or oral) may be contraindicated; consultation with the ordering clinician prior to contrast administration in these patients is recommended.

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