2025 Korean Thyroid Association Management Guidelines for Radioactive Iodine Therapy in Patients with Hyperthyroidism Article Swipe
Kyeong Jin Kim
,
Eyun Song
,
Mijin Kim
,
Hyemi Kwon
,
Eu Jeong Ku
,
Hyun Woo Kwon
,
Jee Hee Yoon
,
Eun Kyung Lee
,
Won Woo Lee
,
Young Joo Park
,
Dong‐Jun Lim
,
Sun Wook Kim
,
Ho‐Cheol Kang
,
Jae Hoon Chung
,
Tae Yong Kim
,
Sin Gon Kim
,
Dong Gyu Na
,
Jee Soo Kim
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3803/enm.2025.2464
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3803/enm.2025.2464
Hyperthyroidism is a condition marked by excessive thyroid hormone production, most commonly due to Graves’ disease. Treatment options include antithyroid drugs (ATD), radioactive iodine (RAI) therapy, and thyroidectomy. To develop standardized clinical recommendations for RAI therapy with a focus on safety, efficacy, and monitoring, the Korean Thyroid Association formed a task force to create evidence-based guidelines. Six key clinical questions were identified through expert consensus, and a systematic literature review from 2013 to 2022 was conducted. Clinical indications for RAI therapy were categorized into three groups: strongly recommended, may be considered, and not recommended. A fixed dose of 10 to 15 mCi is recommended. Although a strict low-iodine diet is unnecessary, iodine-rich foods should be avoided for at least 1 week before treatment. ATD should be stopped 3 to 7 days before RAI and may be resumed in select cases. Prophylactic glucocorticoids are recommended for patients with mildly active thyroid eye disease and may be considered for others at risk. Thyroid function should be monitored at 4–6 weeks post-treatment, every 2–3 months until stabilized, and then every 6–12 months. These guidelines highlight recent advances and underscore the importance of individualized treatment based on clinical features, comorbidities, and patient preferences in Korea.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3803/enm.2025.2464
- https://www.e-enm.org/upload/pdf/enm-2025-2464.pdf
- OA Status
- diamond
- References
- 88
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4411662250
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4411662250Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3803/enm.2025.2464Digital Object Identifier
- Title
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2025 Korean Thyroid Association Management Guidelines for Radioactive Iodine Therapy in Patients with HyperthyroidismWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
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2025-06-25Full publication date if available
- Authors
-
Kyeong Jin Kim, Eyun Song, Mijin Kim, Hyemi Kwon, Eu Jeong Ku, Hyun Woo Kwon, Jee Hee Yoon, Eun Kyung Lee, Won Woo Lee, Young Joo Park, Dong‐Jun Lim, Sun Wook Kim, Ho‐Cheol Kang, Jae Hoon Chung, Tae Yong Kim, Sin Gon Kim, Dong Gyu Na, Jee Soo KimList of authors in order
- Landing page
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https://doi.org/10.3803/enm.2025.2464Publisher landing page
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https://www.e-enm.org/upload/pdf/enm-2025-2464.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.e-enm.org/upload/pdf/enm-2025-2464.pdfDirect OA link when available
- Concepts
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Medicine, Radioactive iodine, Thyroid, Thyroidectomy, Antithyroid drugs, Disease, Clinical Practice, Intensive care medicine, Pediatrics, Graves' disease, Internal medicine, Physical therapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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88Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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