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Contrast Material Iodides: Potential Effects on Radioactive Iodine Thyroid Uptake

Department of Radiology 0632, University of California, San Diego, School of Medicine, La Jolla, California

Correspondence: For reprints contact: Elliott C. Lasser, MD, Department of Radiology 0632, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0632.

ABSTRACT

The levels of contaminant, free inorganic iodide and iodine were determined in several commonly used ionic and nonionic intravenous contrast media to gain a better understanding of the roles of these compounds in radioactive iodine uptake inhibition. The method, which involved a reduction-oxidation reaction using sodium nitrite, yielded accurate and precise data for the iothalomate based ionic contrast media as well as the nonionic contrast media. There was no free iodine in any of the contrast media tested. There was considerable variation in free iodide levels, ranging from 1.38 µg/ml to 20.84 µg/ml among the different contrast media, although significant differences between the ionic and nonionic media were not found. These levels of contaminant iodide are thought to play a role in the short-term inhibition of radioactive iodine uptake.

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