• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.12
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• pp.4935-4944
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• 2010

The purpose of this study was to investigate the perceived difficulties during both pre-treatment period and admission period for radioactive iodine therapy (RAIT), the level of information about RAIT provided by medical staffs and the satisfaction of RAIT process in thyroid cancer patients receiving RAIT. Participants were 165 thyroid cancer patients, who had total thyroidectomy and had been offered RAIT. The data were collected using structured questionnaire and open-ended questions and analyzed by descriptive statistics and content analysis. The most frequent perceived difficulties of RAIT was associated with thyroid specific symptoms during both pre-RAIT period and RAIT admission period(38.2% vs 43.0%). The rating of RAIT information provided by medical staffs was evaluated as over moderate level(mean $3.63{\pm}0.80$). The RAIT process satisfaction was investigated as moderate level(mean $6.43{\pm}2.21$). the satisfaction of RAIT was the highest in medical attention and coping procedure (mean $7.64{\pm}2.37$) however it was the lowest in adequacy of RAIT information(mean $5.67{\pm}2.78$). Thus the nursing intervention program for thyroid cancer patient undergoing RAIT should be developed to support needs of thyroid cancer patients related to thyroid specific symptoms and to improve patients' understanding about RAIT procedure so that patients have competence to participate in therapeutic activities efficiently.

• Proceedings of the Korean Radioactive Waste Society Conference
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• 2005.06a
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• pp.432-432
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• 2005

사용후핵연료시료 중에 함유된 요오드(I-127 및 129)를 정량하기 위하여 화학적 방법으로 분리 회수하고 중성자방사화분석법을 이용하였다. 사전실험으로 모의사용후핵연료를 이용하여 회수율을 측정하였다. 모의 및 실제사용후핵연료시료를 $90^{\circ}C$에서 8 M $HNO_3$ 용액으로 용해하고 용해 후 용해용액 중의 잔류 요오드, 응축 및 휘발된 요오드 각각을 정량하였다. 응축 요오드는 핵연료 용해 후 재증류하여 회수하였다. 잔류 및 응축 요오드는 시료의 산화상태를 조절한 후 용매추출로 요오드를 회수한 다음 이온교환 또는 침전법으로 방사화학적으로 분리한 후 중성자방사화분석(RNAA)으로 정량하였다. 제작한 이온교환분리관 및 여과키트에 요오드를 흡착 또는 침전시켜 분리한 다음 중성자조사를 위한 삽입체(Insert)로 이용하였다. 휘발 요오드는 제조한 흡착체(Ag-silica gel)를 담은 흡착관에 포집하고 홉착체를 구간별 균질시료로 만든 다음 비파괴중성자 방사화분석(INAA)으로 정량하였다. 침전 및 흡착 요오드의 화학적 특성을 EPMA(electron probe microanalysis) 분석으로 조사하였다. 요오드 정량결과를 다른 방법으로 비교분석하기 위하여 음이온교환수지상에서 요오드를 정제 및 회수하기 위한 용리거동을 조사하였다.

• Journal of radiological science and technology
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• v.39 no.4
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• pp.565-570
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• 2016

Radioactive iodine($^{131}I$) treatment reduces recurrence and increases survival in patients with differentiated thyroid cancer. However, it is important in terms of radiation safety management to measure the radiation dose rate generated from the patient because the radiation emitted from the patient may cause the exposure. Research methods, it measured radiation dose-rate according to the elapsed time from 1 m from the upper abdomen of the patient by intake of radioactive iodine. Directly comparing the changes over time, high dose rate sensitivity and efficiency is statistically significant, and higher chamber than GM counter(p<0.05). Low dose rate sensitivity and efficiency in the chamber had lower levels than gm counter, but not statistically significant(p>0.05). In this study confirmed the characteristics of calibrated ionization chamber and GM counter according to the radiation intensity during high-dose radioactive iodine therapy by measuring the accurate and rapid radiation dose rate to the patient explains, discharged patients will be reduced to worry about radiation hazard of family and others person.

• Analytical Science and Technology
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• v.22 no.6
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• pp.519-523
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• 2009

$^{129}I$ is especially one of the most harmful radioactive elements because of its long half-life ($t_{1/2}$=$1.7{\times}10^7$ yr). The efficient removal of iodide ($I^-$) and iodate (${IO_3}^-$) in a aqueous solution by adsorption using activated alumina and activated carbon was studied. The removal efficiency was over 99% for iodide ion with silver treated basic alumina and iodate ion with acidic alumina or silver treated acidic alumina without any chemical addition or physical treatments.

• Nuclear Medicine and Molecular Imaging
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• v.41 no.5
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• pp.350-358
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• 2007

Purpose: Localizing and differentiating a metastatic lesion of differentiated thyroid cancer (DTC) by using radio iodine whole body scan could be difficult because a whole body scan (WBS) lacks anatomic information. This study was performed to evaluate the usefulness of radio-iodine SPECT/CT for differentiating equivocal lesions. Materials & Methods: Among 253 patients with DTC who had undergone radio-iodine scan between February and July 2006, 26 patients were enrolled (M:F = 8:18, Age $50.7{\pm}12.5$ years) in this study. The patients had abnormal uptakes in the WBSs that necessitated precise anatomical localization for differentiating between a metastatic lesion and a false-positive lesion. SPECT/CT was performed for the region with abnormal uptake in the WBS. WBS and SPECT/CT were evaluated visually. Metastases were diagnosed based on the results of the radio-iodine scan along with the results of other radiological examinations and serological tests. Results: Based on the WBS images, 13 were suspected with cervical lymph node (LN) metastases in 16 patients with abnormal neck uptake, and in the 11 patients with abnormal extra-cervical uptakes, extra-cervical metastases were doubtful in all. After SPECT/CT was performed, the diagnostic results were altered for 16 patients (62%). SPECT/CT revealed that only 5 patients had cervical LN metastases, while 3 patients had extra-cervical (mediastinal) LN metastases. Overall, there was a 58% (15/26) change in diagnoses and plans for treatment due to SPECT/CT. Among 8 patients suspected with metastases on SPECT/CT, 6 patients underwent another radio-iodine therapy. In 96% (24/25) of the patients, the results of SPECT/CT corresponded with those of further radiological examinations and with other clinical information. Conclusion: Radio-iodine SPECT/CT images permitted the differentiation of abnormal radio-iodine uptake and improved anatomical interpretation in DTC.

• Nuclear Medicine and Molecular Imaging
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• v.42 no.5
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• pp.375-382
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• 2008

A low iodine diet (LID) is the recommended preparation for radioactive iodine treatment. However, the recommended duration and stringency of LID are different among each recommendation. More stringent LID is expected in Korea because Korea is a iodine-rich region. We investigated the decrement of urine iodine excretion by two-week stringent LID for remnant thyroid ablation with radioactive iodine in Korean patients with thyroid cancer, prospectively. Material and Method: From November 2006, patients who referred to our hospital for remnant ablation after total thyroidectomy were included in this study. To decrease total body iodine, our protocol included three strategies. First, we checked medication which could inhibit the radioactive iodine uptake. Second, the date of 1-131 treatment was scheduled at least 3 months later if contrast agent had been used. The last strategy was two-week stringent LID education by specialized nutritionist. Before and after two-week stringent LID, 24hr-urine iodine was analyzed respectively. 24hr-urine creatinine was also analyzed for determining more valid 24hr urine sampling subgroup. Results: Total 51 patients were finally enrolled. Average of 24hr-urine iodine excretion was significantly lowered ($787{\pm}2242\;{\rightarrow}\;85{\pm}85\;{\mu}g/d$, p=0.03) after LID and 74.4% of patients reached below the recommended urine iodine excretion level ($<100\;{\mu}g/d$). In subgroup (n=14), similar results was showed ($505{\pm}666\;{\rightarrow}\;99{\pm}116\;{\mu}g/d$, p=0.05) and 78.6% of patients met the criteria. Conclusion: Most patients could reach below the recommended urine iodine level after two-week stringent LID. Therefore, in our opinion, at least two-week stringent LID should be recommended in Korea.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.8 no.4
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• pp.329-337
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• 2010

Radiotracer experiments were performed over two years using pot cultures in a greenhouse to investigate soil-torice seeds transfer factors of radioiodine and technetium for paddy fields around the radioactive-waste disposal site in Gyeongju. Before transplanting rice seedlings, the top about 20 cm soils were thoroughly mixed with $^{125}I$ (2007) and $^{99}Tc$ (2008), and the pots were irrigated to simulate flooded rice fields. Transfer factors were determined as the ratios of the radionuclide concentrations in dry rice seeds (brown rice) to those in dry soils. Transfer factors of radioiodine and technetium were in the ranges of $1.1{\times}10^{-3}{\sim}6.4{\times}10^{-3}$ (three soils) and $5.4{\times}10^{-4}{\sim}2.5{\times}10^{-3}$ (four soils), respectively, for different soils. It seems that the differences in the clay content among soils played a more important role for such variations than those in the organic matter content and pH. As the representative values of radioiodine and technetium transfer factors for rice seeds, $2.9{\times}10^{-3}$ and $1.1{\times}10^{-3}$, respectively, were proposed. In order to obtain more highly representative values in the future, investigations for the sites of interest need to be carried out continuously.

• Clean Technology
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• v.14 no.2
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• pp.110-116
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• 2008

The radioactive wastes generated from the nuclear industry can be divided into the forms of solid, liquid, or gas. Radioactive methyl iodide, a gaseous radioactive waste, is absorbed by activated carbon with 5 wt% of Trietylenediamine (1,4-diazania-bicycle[2.2.2]octane, TEDA) impregnated on the surface. Methyl Iodide ($CH_3I$) is combined chemically with TEDA (the final product : I-TEDA). To recycle radioactive activated carbon, removal of I-TEDA from activated carbon is needed. A wet method for recycling impregnated active carbon was developed to remove radioactive I-TEDA using an acetonitrile solution, which produces lots of secondary wastes. We suggest the removal of I-TEDA by supercritical carbon dioxide with co-solvents. In this experiment, we used a quartz crystal microbalance (QCM) for measuring the removal rate of the I-TEDA. From the experimental results, methanol was found to be the optimum co-solvent, and the optimum conditions such as temperature, pressure, and co-solvent flow rate were obtained. Possibility of using supercritical fluid in the removal of I-TEDA from radioactive activated carbon was also discussed.

• Proceedings of the Korean Radioactive Waste Society Conference
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• 2011.10a
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• pp.491-492
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• 2011

• The Journal of the Korea Contents Association
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• v.13 no.11
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• pp.261-268
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• 2013

This study presents a descriptive research on the degree of self-care related to the prevention of radiation exposure after radioactive iodine therapy and on the relations between self-efficacy and social support to propose nursing interventions required for patients after radioactive iodine therapy. The research period lasted from March to May, 2013. The subjects included 108 patients that were receiving radioactive iodine therapy after thyroidectomy at a cancer hospital in Gyeonggi Province. The subjects scored mean 52.10 on self-care out of full 56 and as for the general characteristics of the subjects, there were significant differences in their self-care according to whether they had a child or not(t=-2.312, p=.023) and interest in health(t=5.689, p<.001). There were significant positive correlations between their self-care and their self-efficacy(r=.610, p<.001), family support(r=.646, p<.001), and medical staff support(r=.276, p=.004). Interest in health(t=5.301, p<.001) was predictor on level 1 of hierarchical regression and interest in health(t=2.140, p=.035) and family support(t=3.353, p=.001) turned out to influence the self-care of the subjects, recording total 46.3% explanatory power. The most important predictor was interest in health(${\beta}$=1.309, p=.035) of self-care.