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Radioactive iodine uptake - Overview

Alternative Names

Iodine uptake test; RAIU

Definition of Radioactive iodine uptake:

Radioactive iodine uptake (RAIU) is a test of thyroid function. It measures how much radioactive iodine is taken up by the thyroid gland in a given time period.

See also:Thyroid scan

How the test is performed:

You are asked to swallow a liquid or capsule containing radioactive iodine.

After a certain period of time (usually 6 and 24 hours later), you must return to the testing center so that the amount of radioactivity in the thyroid gland can be measured. This is done using a device called a gamma probe.

The probe is placed over your thyroid gland along the outside of your neck. You will be asked to lie on a table while the scanner moves over your neck.

The scan takes about 30 minutes.

How to prepare for the test:

Do not eat for 8 hours before the test.

Your health care provider will instruct you, if necessary, to stop taking drugs that may interfere with the test.

Drugs that increase results include:

  • Barbiturates
  • Estrogen
  • Lithium
  • Phenothiazines
  • Thyroid stimulating hormone

Drugs that decrease results include:

  • ACTH
  • Antihistamines
  • Antithyroid drugs
  • Corticosteroids
  • Lugol's solution
  • Nitrates
  • Saturated solution of potassium iodide
  • Thyroid drugs
  • Tolbutamide

Tell your doctor if you have any of these factors:

  • Diarrhea (may decrease absorption of the radioactive iodine)
  • Recent x-ray test using iodine-based contrast (within the past 2 weeks)
  • Too little or too much iodine in your diet

How the test will feel:

There is no discomfort. You can eat beginning about 1 - 2 hours after swallowing the radioactive iodine. You can go back to a normal diet when the test is finished.

Why the test is performed:

This test is done to evaluate thyroid function. It is often done when blood tests of thyroid function (such as T3 or T4) show abnormal results.

  • Reviewed last on: 6/17/2008
  • Elizabeth H. Holt, MD, PhD, Assistant Professor of Medicine, Section of Endocrinology and Metabolism, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

AACE Thyroid Task Force. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Evaluation and Treatment of Hyperthyroidism and Hypothyroidism. Endocr Pract. 2002;8(6):459.

Ladenson P, Kim M. Thyroid. In: Goldman L and Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders; 2007:chap 244.

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