JOHNS HOPKINS -cancer.net



Dosimetric Radioiodine Treatment of

Iodine-Avid Thyroid Cancer after rTSH

Patient:_______________

Date:_________________

Prior to Testing

- Start the Low Iodine Diet Instructions for two weeks

- Continue Thyroid hormone

Week of Testing

On Monday ______________ you will receive an injection of recombinant TSH (Thyrogen ®) at ________________________.

On Tuesday _____________________you will receive a second injection at the same location. Do not eat or drink anything for four hours before your appointment.

- 10:00 AM - Report to the laboratory for a TSH and thyroglobulin blood tests, a complete blood count, and a stat pregnancy blood test (hCG), if indicated.

- 12:00 PM – Report to __________________________ to receive a test dose pill of radioactive iodine

- 2:00 PM - Return to ______________________ for a blood test and thyroid uptake measurement

On Wednesday ________________ at _____am report to______________for a blood test, thyroid uptake measurement, and scan.

On Thursday _________________ at _____am report to___________________ for a thyroid uptake measurement.

On Friday ___________________at ____am report to____________________ for a blood test and thyroid uptake measurement

On Saturday ________________at _____am report to _______________ for a blood test and thyroid uptake measurement.

Prior to Admission

On Tuesday ________________ at ____am you will receive an injection of recombinant TSH (Thyrogen®) at _____________________________.

On Wednesday _______________ at ____am you will receive a second injection at the same location.

Post-Treatment Scan

- On Thursday ______________ at ______, you have an appointment for a radioactive iodine scan at _____________________________________ followed by a physician appointment. With Dr. _____________________.

If you have any questions call _______________________ at ____________.

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