title: Effectiveness of Fixed Dose Radioactive Iodine (RAI) for the Treatment of Hyperthyroidism: Experience of a Teaching Hospital in South West Nigeria.
abstract: OBJECTIVE
  Using radioactive iodine (RAI) as the first line therapy for Graves' hyperthyroidism and as the treatment of choice for relapsed Graves' disease is increasing in recent times. However, there has been little consensus on the most appropriate dose to use. So this study is to determine the response of hyperthyroidism to fixed doses of 370 MBq and 555 MBq RAI therapies and determine the incidence of hypothyroidism at 6 months post therapy.
  
  
  METHODS
  Hyperthyroid patients' case records treated with radioiodine was retrospectively reviewed to determine the response rate of hyperthyroidism to the two fixed dose regimens. Statistical analysis was done with SPSS version 15.0 and the level of statistical significance was taken as p<0.05. Forty subjects, 6 males (15%) and 34 females (85%) received RAI therapy for Graves' hyperthyroidism, mean age was 49.4 years (range, 25-75years). The thyroid function status at 6 months post therapy was available for all subjects. 24 patients (60%) received 370 MBq while 16 patients (40%) received 555 MBq.
  
  
  RESULTS
  The response for fixed doses of 370 MBq and 555 MBq were similar (100%). Also, the incidence of hypothyroidism in these subjects which was 66.6% with fixed dose of 370 MBq and 62.5% with fixed dose of 555 MBq within 6 months post RAI therapy were similar.
  
  
  CONCLUSIONS
  SRAI is highly effective for the treatment of hyperthyroidism, with a cure rate of 100%. However, it has proved impossible to determine a fixed dose regimen for individual patients accurately to guarantee an euthyroid state. This is because hypothyroidism is a natural predictable sequel of RAI therapy.
  
  
  BACKGROUND
  None declared.
authors.affiliation: University of Ibadan, University College Hospital, Department of Nuclear Medicine, Ibadan Nigeria.
authors.forename: John
authors.initials: J
authors.lastname: Enyi Ejeh M
authors.forename: Karounwi
authors.initials: K
authors.lastname: Omotayo Ogunjobi
authors.forename: John
authors.initials: J
authors.lastname: Enyi Ejeh
authors.forename: Kayode
authors.initials: K
authors.lastname: Solomon Adedapo
authors.forename: Joshua
authors.initials: J
authors.lastname: F Eniojukan
keywords: Hyperthyroidism; Iodine radioisotopes; Nigeria; radioisotope therapy; treatment effectiveness