Therapeutic
Treatment by radioactive iodine:
Radio-nuclide therapy services are applied to the following diseases:
1. Differentiated thyroid cancer ( Papillary & follicular types)
2. Hyperthyroidism
a) Graves’ disease,
b) Toxic MNG,
c) Toxic adenoma
131-I therapy for thyrotoxicosis patient:
Treatment of primary hyperthyroidism by radioactive 131-I is given under proper guidelines. These patients are also followed up to evaluate the efficacy of the therapy and help to maintain quality of life.
131-I therapy for differentiated thyroid Cancer patient:
131-I therapy is given after thyroid operation (total or near-total thyroidectomy). These patients are also provided with lifelong follow-up by - 131-I scan, Tg, Anti TgAb, TSH estimation.
Working Schedule
Working hour
Every Saturday to Thursday at 8.00am -2.30pm
Except Friday and all government holiday
Service Start Time
Every Saturday to Thursday at 7.30 AM
Except Friday and all government holiday
Alert
| Investigations | Rate | Preparation |
|---|---|---|
| Brain CT with reporting | 2000 | Preparation Get Appointment |
| Brain CT without reporting | 1500 | Preparation Get Appointment |
| Brain Perfusion CT with reporting | 2200 | Preparation Get Appointment |
| Brain Perfusion CT without reporting | 1700 | Preparation Get Appointment |
| Brain tumor recurrence | 6750 | Preparation Get Appointment |
| Cervical CT with reporting | 2000 | Preparation Get Appointment |
| Cervical CT without reporting | 1500 | Preparation Get Appointment |
| Chest CT with reporting | 2500 | Preparation Get Appointment |
| Chest CT without reporint | 2000 | Preparation Get Appointment |
| CT Reporting | 500 | Preparation Get Appointment |
| Lower Abdomen CT with reporting | 2000 | Preparation Get Appointment |
| Lower Abdomen CT without reporitng | 1500 | Preparation Get Appointment |
| Lumber CT with reporting | 2000 | Preparation Get Appointment |
| Lumber CT without reporting | 1500 | Preparation Get Appointment |
| Other parts CT with reporting | 2500 | Preparation Get Appointment |
| Other parts CT without reporting | 2000 | Preparation Get Appointment |
| SPECT Lung VQ Scan | 2500 | Preparation Get Appointment |
| Thoracic CT with reporting | 2000 | Preparation Get Appointment |
| Thoracic CT without reporting | 1500 | Preparation Get Appointment |
| Upper Abdomen CT with reporting | 2000 | Preparation Get Appointment |
| Upper Abdomen CT without reporting | 1500 | Preparation Get Appointment |
| Whole Abdomen CT with reporting | 4000 | Preparation Get Appointment |
| Whole Abdomen CT without reporting | 3500 | Preparation Get Appointment |
| Whole Spine CT with reporting | 4000 | Preparation Get Appointment |
| Whole Spine CT without reporting | 3500 | Preparation Get Appointment |
Absolute contraindication of radioiodine therapy:
1. Pregnant ladies
2. Lactating mother
Advice for patient:
Patients are advised to be isolated for 5-10 days in hospital cabin if the amount of radioiodine is given 30 millicurie (mCi) or more.
The patients are advised to follow the instructions given below after receiving radioiodine therapy:
|
1. Minimum 5-10 days isolation of patients in separate hospital cabin with attached bathroom. |
|
2. Intake of plenty of water with frequent micturition is required which helps in decreasing the radiation burden of the body. |
|
3. Chewing of sour pickle and lemon candy frequently after 24 hours of radioiodine therapy for 5 days to prevent salivary gland destruction. |
|
4. Spit, vomit, urine, stool all have to discard in toilet pan and wash with large amount of water or flash the toilet twice. |
|
5. Patient is not allowed to come outside the room. Telephone can be used in those cases, if necessary. |
|
6. Patients’ used things are not allowed to take outside from the cabin. All used things can be stored for few days and then can be washed before use. |
|
7. Pregnant lady or children should not be allowed to visit the patient. Only an adult person can stay maximum 5 minutes with patient and no one is allowed more than 3 times to visit the patient within 24 hours. |
Preparation & Caution:
1. Patient should be in low iodine diet (<50 µgm/d of dietary iodine) for 2 weeks before and 1-2 days after 131-I therapy.
2. Patients with taking levothyroxine are asked to withdraw levothyroxine for 4 weeks prior to therapy.
3. In cases of radiographic contrast injection (e.g. contrast CT) 131-I therapy should be postponed for 2-3 months.
4. In case of lactating mother- RAI therapy should be given 6-8 weeks after cessation of breast-feeding.
5. Avoid pregnancy for one year and fathering a child for 6 months following RAI therapy
90Sr irradiation
Ophthalmic bowl-shaped applicator is being given to the patients with pterygium. Irradiation is conducted starting on the first postoperative day for 2 days. Irradiation is carried out ~900 rad fraction (total dose of ~1800-2000 rad) in pterygium and in squamous cell carcinoma of eyes ~13000 rad in five fractions in consecutive days.