TABLE 1

Hormone and Dosimetric Data

DateThyroxine (μg/dL)fT4 (ng/dL)TSH (mU/L)Tg (ng/mL)TSI indexBody retention (fraction of activity)Body dose (cGy)Blood dose (cGy)131I treatment (GBq)Other treatment
Patient 1
    Jan-9813.1<0.01>30,0006.20.871501941.85Restart antithyroid drug*
    Apr-981.60.060.762072752.59Restart antithyroid drug*
    Sep/Oct-980.711.1>30,0000.773093.15
    Oct-9813Begin thyroxine at 0.05 mg/d
    Nov-982.2
    Jan-990.917.840.292193115.7Restart thyroxine at 0.1 mg/d
    Apr-991.40.828,193
    Jul-990.448>30,0000.583444164.81Restart thyroxine at 0.1 mg/d
    Oct/Nov-991.31.812,120Change thyroxine to 0.125 mg/d
    Jan-000.5727,3003.1Continue thyroxine
    Mar/Apr-001.60.2317,800Continue thyroxine
Patient 2
    Dec-976.7184,8000.581442222.2Begin thyroxine at 0.125 mg/d
    Apr-980.9480Continue thyroxine
    Sep-987.681,3100.392024.6Restart thyroxine
    Nov-981.621110
    Feb-009.711.2150Stop thyroxine
    Mar-000.67342470.231615.6Restart thyroxine at 0.137 mg/d
    Apr-001
  • * Before treatments with 131I, antithyroid drug was stopped at least 1 wk and thyroxine for 6 wk.

  • fT4 = free thyroxine; Tg = thyroglobulin.

  • Reference ranges are 4.4–12.4 μg/dL for thyroxine, 0.7–1.79 ng/dL for fT4, 0.3–5.5 mU/L for TSH, and ≤1.3 for TSI.