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Iodine-131 is a radioactive isotope of iodine used as a radiopharmaceutical for the treatment of differentiated thyroid cancer and hyperthyroidism. This specific entry refers to a personalized therapeutic approach studied by Carlo Chiesa, which utilizes pre-treatment Iodine-124 PET dosimetry to optimize the administered activity of Iodine-131 in patients with metastatic differentiated thyroid cancer. The drug is selectively sequestered by thyroid cells via the sodium-iodide symporter (NIS). Once internalized, it emits beta radiation that causes localized DNA damage and cell death in thyroid tissue and metastatic lesions. The personalized dosimetry protocol aims to improve therapeutic efficacy and overcome radioresistance by tailoring the radioactive dose to individual lesion uptake and blood clearance rates.
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