Treatment FAQ

how much is radioactive iodine treatment

by Prof. Sadye Langworth Published 2 years ago Updated 2 years ago
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The average cost per patient ranged between $5587.73 and $8442.11 in 2011 US dollars and $5429.58 and $9105.67 in 2014 US dollars. The average total number of patients was 1768 per year, with a total cost of $9 879 109 to $14 925 650 per year in 2011 US dollars and $9 599 497 to $16 098 824 per year in 2014 US dollars.Feb 16, 2015

How much does it cost to have radioactive iodine treatment?

A radioactive iodine treatment costs about $390 to $750 for an average dose, according to a February 2011 article[1] published in the New England Journal of Medicine, but patients at ThyroidBoard.com report[2] total costs of $4,000 or more, including hospital and radiologist fees.

What is the cost of radioactive iodine treatment for thyroid cancer?

For patients without health insurance, thyroid cancer treatment typically costs from about $20,000-$40,000 for surgery and up to $4,000 for radioactive iodine treatment, which is often recommended for thyroid cancer.

Does radioactive iodine shorten your life?

Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves' disease compared with treatment with antithyroid drugs or surgery. Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves' disease compared with treatment with antithyroid drugs or surgery.

How successful is radioactive iodine treatment?

Conclusion: Radioactive iodine treatment is an effective modality for definitive treatment of hyperthyroidism with long-term cure approaching 80%.

Which is better radioactive iodine or surgery?

Surgery for hyperthyroidism was associated with a lower risk of all-cause and cardiovascular death as compared to radioactive iodine therapy during long-term follow-up, particularly in men.

What is the average cost of thyroid surgery?

How Much Does a Thyroidectomy Cost? On MDsave, the cost of a Thyroidectomy ranges from $7,620 to $13,551. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

Can radioactive iodine cause other cancers?

This new analysis concluded that radioactive iodine was associated with an increased risk for mortality from overall cancer, breast cancer, and non-breast solid cancers.Jan 18, 2022

How long does it take to feel better after radioactive iodine?

It usually gets better within 4 to 8 weeks. It can help to drink plenty of fluids after your treatment.May 24, 2021

What are the long term side effects of radioactive iodine?

NCI study finds long-term increased risk of cancer death following common treatment for hyperthyroidism. New study findings show an association between the dose of a common treatment for hyperthyroidism and risk of death from solid cancers.Jul 1, 2019

Does thyroid removal shorten life expectancy?

We have also shown that treatment per se (thyroidectomy, high-dose radioactive iodine and thyroid hormone medication) is safe and does not shorten life expectancy.

Can I use my cell phone after radioactive iodine?

You will have to stay in your room for at least 1 to 2 hours after your treatment. You can use your cell phone or watch TV to help pass the time. You won't be able to have visitors during this time. You may not have any side effects from the treatment right after you get it, but you may have side effects later.Aug 19, 2020

Do you lose your hair with radioactive iodine treatment?

Radioiodine does not cause hair loss.Oct 2, 2019

What are the side effects of RAI?

Temporary side effects of RAI may include: 1 Neck tenderness and swelling. 2 Nausea. 3 Swollen salivary glands. 4 Loss of taste or taste change. 5 Dry mouth/insufficient salivary production. 6 Dry eyes. 7 Excessive tearing from the eyes.

How does RAI work?

The thyroid is the most efficient organ at concentrating iodine. RAI treats hyperthyroidism by damaging or destroying thyroid cells through radiation. RAI is taken in an oral capsule form. You don’t need to be hospitalized unless the dose is very high, which is rarely needed.

Does iodine help with thyroid cancer?

How does radioactive iodine treat thyroid cancer? The most common types of thyroid cancer (papillary and follicular) can usually be treated with large doses of radioactive iodine. (The dosages of RAI are much higher than with hyperthyroidism treatment.)

What is the treatment for thyroid cancer?

The most common types of thyroid cancer (papillary and follicular) can usually be treated with large doses of radioactive iodine. (The dosages of RAI are much higher than with hyperthyroidism treatment.) The therapy is usually given after removal of the thyroid gland to destroy any remaining thyroid tissue. A “tracer” dose of radioactive iodine can ...

What is a tracer used for?

A “tracer” dose of radioactive iodine can also be used to track remaining thyroid tissue and/or cancer that could have spread to other parts of the body. These tests show if iodine concentrates in areas that contain thyroid cancer, and whether large amounts of RAI are needed to destroy the tumor implants.

Can RAI cause hypothyroidism?

Permanent hypothy roidism (or underactive thyroid, when the thyroid does not produce enough hormones) is an expected side effect of RAI treatment for hyperthyroidism. Fortunately, hypothyroidism is much easier to treat than hyperthyroidism using hormone replacement therapy.

When should breast feeding be stopped?

Breast feeding should be stopped at least six weeks before RAI and should not be resumed. In the days immediately following your RAI therapy, be aware of these general precautions to prevent radioactive exposure to others.

Is radioactive iodine used for thyroid cancer?

Radioactive iodine treatment for papillary thyroid cancer was truly the first targeted therapy ever to be developed for any cancer. The mechanism of how RAI Treatment works to treat thyroid cancer was not discovered until years following its use to treat papillary thyroid cancers. We now know today that papillary thyroid cancers can possess ...

Can thyroid cancer pick up iodine?

Papillary thyroid cancer cells can pick up the radioactive iodine (if the possess the symporter for iodine) wherever they are located in the body. Once taken into the papillary thyroid cancer cells, the radioactive iodine delivers a local radiation treatment in the area where the iodine is concentrated. The papillary thyroid cancer diagnosis, ...

Does RAI kill thyroid cancer?

There is a theory called “stunning” where it is suggested that low dose of RAI during the thyroid cancer uptake study may be taken up by papillary thyroid cancer and will result in "stunning" but not killing of thyroid cancer cells, making the high dose of radioactive iodine less effective.

How much iodine is needed for thyroid cancer?

The papillary thyroid cancer treatment dose of radioactive iodine ranges from about 30 millicuries to approximately 150 millicuries.

What is the iodine 131?

The papillary thyroid cancer patient swallows a radioactive iodine form of iodine called iodine 131 (I-131) in a liquid or pill (capsule) form. The RAI is absorbed through digestion and circulated throughout the body in bloodstream. Papillary thyroid cancer cells can pick up the radioactive iodine (if the possess the symporter for iodine) ...

Why is iodine important for the thyroid gland?

Iodine is essential for proper function of the thyroid gland, which use s it to make the thyroid hormones. The thyroid is equipped with an active system or “pump” for moving iodine into its cells, where it is concentrated as iodide. The thyroid gland is the only tissue in the body that takes up and holds onto iodine.

Can RAI cause thyroid cancer?

Hypothyroidism is a common side effect of RAI for hyperthyroidism and always seen after RAI for thyroid cancer. This is usually easily treated with thyroid hormone replacement (see Hypothyroidism brochure ). Some studies suggest a slight increase in thyroid cancers may be seen after RAI treatment for hyperthyroidism.

What is iodine used for?

Iodine, in the form of iodide, is made into two radioactive forms of iodine that are commonly used in patients with thyroid diseases: I-123 ( harmless to thyroid cells) and I-131 ( destroys thyroid cells ). The radiation emitted by each of these forms of iodine can be detected from outside the patient to gain information about thyroid function ...

What is the purpose of I-131?

THYROID CANCER – Large doses of I-131 are used to destroy thyroid cancer cells (see Thyroid Cancer brochure ). This is performed after the remaining thyroid cells ( including any cancer cells) are stimulated by raising TSH levels by either withdrawing the thyroid hormone pills or by treating with recombinant human TSH.

What is the purpose of radioactive iodine?

The aim of the treatment is to damage and kill the cells responsible for the hyperthyroidism. Radioactive iodine and some other radioisotopes used in Nuclear Medicine are produced during the production of nuclear energy. They are a by-product or, if you like, a useful waste product.

How many people will get cancer from radiation?

There is a tiny chance that the exposure to radiation can cause cancer approximately a 1 in 10000 chance. However, when put into context 1 in 3 people will naturally develop cancer at some point in their life. Doctors will always weigh up the pros and cons of treatment and this should all be explained to the patient.

Does radiation affect DNA?

This is because the radiation that is used could potentially affect the DNA in human cells. The chance is extremely low, at around a 1 in 10000 chance of causing cancer, but childrens DNA is more susceptible to change as it is replicating far faster as they are growing.

What are the three types of radiation?

Nuclear Medicine concerns three types of radiation: Alpha particles, which are made up of two protons and two neutrons (the material that makes up the nucleus of any atom), Beta, which is either an electron or a positron (smaller particles that form part of an atom) and Gamma, which is basically an energy wave.

Why is lead used in medicine?

The lead captures the emitted radiation, preventing it from resulting in a dose to anybody. It also helps to reduce the amount of time staff spend in contact with radiation, making it possible for us to prepare injections and transport doses without exposing ourselves to an unnecessary dose of radiation.

How long does I131 last?

The half-life of I131, used in radio-iodine treatment, is 8 days. So after 8 days half of the radiation contained in the original dose will have decayed away (been released), and after another 8 days the residual will be half again.

How does half life work?

On top of that is something called biological half-life which is the time it takes for half of the dose to be excreted from the body , which further reduces the time that the radioactive substance is in the body. This happens mainly via the urine.

How to treat hyperthyroidism?

What should be included: 1 The most common treatment for hyperthyroidism is a single dose of radioactive iodine [ 4] , taken in pill form, which can shrink or destroy the thyroid. The treatment typically is administered at a hospital under radiologist supervision; depending on the dose, the patient might need to be hospitalized. After treatment, the patient must avoid close contact with others for several days. Symptoms usually begin to lessen within weeks, but it takes about six months or longer for the treatment to finish working. 2 As an alternative, a doctor might prescribe oral anti-thyroid medications [ 5] such as methimazole, which make it more difficult for the thyroid to make thyroid hormones. Symptoms typically begin to lessen in weeks, but treatment might continue for a year or more. Symptoms could return after treatment ends. 3 In rare cases, a surgeon might perform a thyroidectomy [ 6] , which typically requires general anesthesia and a one-day hospital stay. 4 The Mayo Clinic offers an overview of hyperthyroidism treatment [ 7] .

What is the most common treatment for hyperthyroidism?

What should be included: The most common treatment for hyperthyroidism is a single dose of radioactive iodine [ 4] , taken in pill form, which can shrink or destroy the thyroid.

How much does tapazole cost?

And a one-month supply of the brand-name drug Tapazole costs about $90-$150 or more, depending on the dose -- or, about $1,080-$1,800 per year. Once the hyperthyroidism is under control, the dose typically can be lowered to a maintenance dose, which typically would cost $10-$30 a month ($120-$360 a year) for the generic drug or $30-$90 a month ...

How long does it take for a thyroid to work?

Symptoms usually begin to lessen within weeks, but it takes about six months or longer for the treatment to finish working. As an alternative, a doctor might prescribe oral anti-thyroid medications [ 5] such as methimazole, which make it more difficult for the thyroid to make thyroid hormones.

How long does it take for thyroid symptoms to go away?

Symptoms typically begin to lessen in weeks, but treatment might continue for a year or more. Symptoms could return after treatment ends. In rare cases, a surgeon might perform a thyroidectomy [ 6] , which typically requires general anesthesia and a one-day hospital stay.

How much does thyroid replacement cost?

After the thyroid is destroyed by a radioactive iodine treatment or surgically removed, the patient typically needs to take thyroid hormone replacement such as levothyroxine [ 9] , which typically costs $15-$45 per month.

What is Radioactive Iodine Treatment?

Radioactive iodine is a procedure that is often used to treat hyperthyroidism.

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How to treat hyperthyroidism in cats?

Feline Hyperthyroidism may be treated with medicine, surgery, or radioactive iodine: 1 Medical therapy for feline hyperthyroidism (methimazole - Tapazole®) is required daily, is a life-long treatment, and does not cure the cat's hyperthyroid condition. The difficulties associated with giving pills to cats often causes stress to both the animal and owner. Tapazole may have side effects, especially relative to the liver and blood system. The drug therapy must be adjusted, based on periodic blood tests, and the cost of therapy and tests is usually over $800 per year. 2 Surgical therapy for feline hyperthyroidism requires anesthesia, may need to be repeated, and may result in a deficiency of parathyroid hormone if these glands are inadvertently removed. Surgery may not be effective in removing all of the affected thyroid tissue causing feline hyperthyroidism. 3 Radioactive Iodine (I-131) therapy for feline hyperthyroidism is very effective, has few side effects, is a one-time treatment in over 95% of cats with hyperthyroidism, and does not require administration of pills or anesthesia. One injection under your cat's skin is all that is needed! The cost of radioactive iodine therapy is similar to the other forms of therapy, and is often less expensive when compared to long term medical therapy or the higher probability of a required second surgery.

What is the cause of cat hyperthyroidism?

Cat hyperthyroidism is a commonly diagnosed endocrine pathology in older cats. It is caused by a tumor that produces too much feline thyroid hormone. The disease is usually fatal if left untreated.

Does tapazole help cats?

Medical therapy for feline hyperthyroidism (methimazole - Tapazole®) is required daily, is a life-long treatment, and does not cure the cat's hyperthyroid condition. The difficulties associated with giving pills to cats often causes stress to both the animal and owner.

Can Iodine be used for hyperthyroidism in cats?

Surgery may not be effective in removing all of the affected thyroid tissue causing feline hyperthyroidism. Radioactive Iodine (I-131) therapy for feline hyperthyroidism is very effective, has few side effects, is a one-time treatment in over 95% of cats with hyperthyroidism, and does not require administration of pills or anesthesia.

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Mechanism of action

  • The mechanism of how RAI Treatment works to treat thyroid cancer was not discovered until years following its use to treat papillary thyroid cancers. We now know today that papillary thyroid cancers can possess a type of key hole on the surface of their cell called a symporter that allows iodine to be taken into the cell. Under normal circumstances...
See more on thyroidcancer.com

Treatment

  • The papillary thyroid cancer diagnosis, itself, is not an indication for RAI treatment. If you had a papillary thyroid cancer, 25 years ago, you would have almost certainly been treated with surgery and RAI. Today, only approximately 20% of all papillary thyroid cancer patients undergo post-0perative RAI treatment. RAI treatment is primarily beneficial only when the patient has undergo…
See more on thyroidcancer.com

Contraindications

  • Papillary thyroid cancer patients must be taken off of levothyroxine thyroid hormone (T4 hormone) for a minimum of four weeks, taken off of liothyrionine thyroid hormone (T3 hormone) for a minimum of two weeks, or receive a medication which is TSH (which is a pharmaceutical production of the Thyroid Stimulating Hormone [TSH] produced as a recombinant protein which …
See more on thyroidcancer.com

Diagnosis

  • Papillary thyroid cancer guidelines for post operative treatment with radioactive iodine were last updated in the American Thyroid Association 2015 edition. Some endocrinologists and nuclear medicine specialists order a preliminary nuclear study called a thyroid cancer uptake study. After your doctor has prepared your body for RAI by either stopping your use of thyroid hormone pills …
See more on thyroidcancer.com

Results

  • In a papillary thyroid cancer uptake scan, the image will determine if there is any evidence of iodine uptake in the body. Approximately 90% of patients will have some uptake of iodine following a total thyroidectomy. Papillary thyroid cancer is not the only reason that iodine can be taken up by tissue. One such issue is retained thyroid tissue. How much retained thyroid tissue i…
See more on thyroidcancer.com

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