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Related Concept Videos

Biological Effects of Radiation02:59

Biological Effects of Radiation

All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they produce ions...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
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Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...
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Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...
Mutations01:35

Mutations

Mutations are changes in the sequence of DNA. These changes can occur spontaneously or they can be induced by exposure to environmental factors. Mutations can be characterized in a number of different ways: whether and how they alter the amino acid sequence of the protein, whether they occur over a small or large area of DNA, and whether they occur in somatic cells or germline cells.
Chromosomal Alterations Are Large-Scale Mutations
While point mutations are changes in a single nucleotide in...

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Thyroid cancer after external or internal ionizing irradiation.

Foteini Papadopoulou1, Elias Efthimiou

  • 1Endocrinology Clinic, Panagia General Hospital, Thessaloniki, Greece. gastaris@otenet.gr

Hellenic Journal of Nuclear Medicine
|November 26, 2009
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High-dose ionizing radiation significantly increases thyroid cancer risk, especially in children and adolescents. The Chernobyl accident demonstrated this, with the highest risks observed in young children, and papillary thyroid cancer being typical in this age group.

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Area of Science:

  • Endocrinology
  • Oncology
  • Radiation Biology

Background:

  • Thyroid cancer risk is well-established following childhood exposure to high-dose ionizing radiation.
  • Epidemiological studies confirm thyroid cancer induction in children treated with head and neck radiotherapy.
  • The World Health Organization (WHO) highlights elevated thyroid cancer risk post-Chernobyl, particularly in young children.

Purpose of the Study:

  • To summarize the impact of ionizing radiation on thyroid cancer incidence, focusing on age-dependent risks.
  • To discuss the characteristics of Chernobyl-induced thyroid cancers, including common types and genetic mutations.
  • To outline current treatment modalities and protective measures for radioactive iodine exposure.

Main Methods:

  • Review of epidemiological studies on radiation-induced thyroid cancer.
  • Analysis of Chernobyl accident data regarding thyroid cancer incidence across different age groups.
  • Summary of research on gene mutations in radiation-induced thyroid tumors.
  • Description of standard treatment protocols and preventative strategies.

Main Results:

  • Thyroid cancer risk from ionizing radiation is highest in children and adolescents.
  • The Chernobyl accident led to significant increases in thyroid cancer cases: 87.8-fold in children, 12.7-fold in adolescents, and 4.5-fold in adults within 15 years.
  • Papillary thyroid cancer, typical in childhood and adolescence, accounts for approximately 80% of cases.
  • Gene mutations in Chernobyl-induced thyroid tumors have been extensively studied.

Conclusions:

  • Ionizing radiation exposure, particularly in childhood, poses a significant thyroid cancer risk.
  • Chernobyl-related thyroid cancer incidence varied by age, with the youngest most affected.
  • Effective treatments include surgery, thyroxine suppression, and radioiodine, with potassium iodide offering protection against radioactive iodine intake.