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C. Daumerie Departments of Endocrinology, Université catholique de Louvain, University Hospital St-Luc, Brussels, Belgium

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A. Boschi Departments of Ophthalmology, Université catholique de Louvain, University Hospital St-Luc, Brussels, Belgium

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P. Perros Department of Endocrinology, Royal Victoria Infirmary, Newcastle upon Tyne, UK

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exacerbation of GO and use of recombinant human TSH (rhTSH) was suggested in 2005 by Berg et al. [ 1 ], who reported the development of severe GO in a patient with disseminated thyroid cancer treated with recombinant TSH, radioiodine and retinoic acid. Multiple

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Birte Nygaard Departments of Endocrinology, Herlev University Hospital, Herlev

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Lars Bastholt Department of Oncology, Odense University Hospital, Odense, Denmark

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Finn Noe Bennedbæk Departments of Endocrinology, Herlev University Hospital, Herlev

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Tobias Wirenfeldt Klausen Departments of Haematology, Herlev University Hospital, Herlev

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Jens Bentzen Departments of Oncology, Herlev University Hospital, Herlev

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avoid the THW-induced decrease in QOL, the use of recombinant human thyrotropin (rh-TSH) has been suggested, and several studies have confirmed that the use of rh-TSH is comparable to endogenous TSH stimulation induced by L-T 4 THW. rh-TSH is therefore

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Tanvir Rizvi Nuclear Medicine Division, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Va., USA

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Patrice K. Rehm Nuclear Medicine Division, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Va., USA

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either by thyroid hormone withdrawal for 4-6 weeks to achieve a TSH of ≥30, or by stimulation of remaining thyroid cells by recombinant human TSH (rhTSH) [ 4 ]. FDG PET has been shown to be useful in patients after surgery and ablation, who have recurrent

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Dong Jun Lim Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea

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Won Bae Kim Department of Internal Medicine, Asan Medical Center, Korea

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Bo Hyun Kim Department of Internal Medicine, Pusan National University Hospital, Busan, Korea

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Tae Yong Kim Department of Internal Medicine, Asan Medical Center, Korea

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Young Suk Jo Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea

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Ho-Cheol Kang Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea

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Young Joo Park Department of Internal Medicine, Seoul National University Hospital, Korea

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Ka Hee Yi Department of Internal Medicine, Korea Cancer Center Hospital, Korea

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Minho Shong Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea

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In Joo Kim Department of Internal Medicine, Pusan National University Hospital, Busan, Korea

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Do Joon Park Department of Internal Medicine, Seoul National University Hospital, Korea

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Sun Wook Kim Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

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Jae Hoon Chung Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

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Jaetae Lee Department of Nuclear Medicine, Kyungpook National University Hospital, Daegu, Korea

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Sung-Soo Koong Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea

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Young Kee Shong Department of Internal Medicine, Asan Medical Center, Korea

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patients and can result in a myriad of deleterious symptoms and impaired quality of life (QoL) [ 2 , 3 ]. According to the recent clinical practice guidelines, recombinant human TSH (rhTSH) can be used as an alternative to THW for remnant ablation or for

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Steen J. Bonnema Departments of Endocrinology, Odense University Hospital, Odense

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Elisabeth S. Stovgaard Laboratory of Clinical Pharmacology Q7642, Rigshospitalet

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Søren Fast Departments of Endocrinology, Odense University Hospital, Odense

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Kasper Broedbaek Laboratory of Clinical Pharmacology Q7642, Rigshospitalet

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Jon T. Andersen Laboratory of Clinical Pharmacology Q7642, Rigshospitalet

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Allan Weimann Laboratory of Clinical Pharmacology Q7642, Rigshospitalet

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Peter Grupe Departments of Nuclear Medicine, Odense University Hospital, Odense

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Laszlo Hegedüs Departments of Endocrinology, Odense University Hospital, Odense

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Henrik E. Poulsen Laboratory of Clinical Pharmacology Q7642, Rigshospitalet
Department of Clinical Pharmacology, Bispebjerg Hospital
Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark

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Introduction For many years radioactive iodine ( 131 I) has been used for treatment of nontoxic goiter, hyperthyroidism and thyroid cancer. During the last decade recombinant human TSH (rhTSH) - a very potent stimulator of the thyroid 131 I

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Carla Gambale Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy

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Alessandro Prete Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy

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Lea Contartese Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy

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Liborio Torregrossa Department of Surgical, Medical, Molecular Pathology and Critical Area, Anatomic Pathology Section, University Hospital of Pisa, Pisa, Italy

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Francesca Bianchi Department of Nuclear Medicine, University Hospital of Pisa, Pisa, Italy

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Eleonora Molinaro Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy

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Gabriele Materazzi Department of Surgical, Medical, Molecular Pathology and Critical Area, Unit of Endocrine Surgery, University Hospital of Pisa, Pisa, Italy

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Rossella Elisei Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy

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Antonio Matrone Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy

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pathologic factors, including the ATA class of risk. BiR/InR were defined according to ATA 2015 guidelines as follows: BiR in case of thyroglobulin value on levothyroxine therapy (LT4-Tg) ≥1 ng/mL or Tg peak after recombinant human TSH stimulation (rhTSH

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Sandrine Donadio-Andréi Siamed'Xpress, Hôtel Technologique Morandat, Gardanne

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Karim Chikh Hospices Civils de Lyon, Lyon
CARMEN-INSERM U1060, Université Claude Bernard Lyon 1, Faculté de Médecine et de Maïeutique Lyon Sud - Charles Mérieux, Oullins
Société Française de Médecine Nucléaire, Groupe de Biologie Spécialisée, Centre Antoine Béclère, Paris

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Christine Heuclin BioSIMS Technologies, Seine Biopolis II, Rouen

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Elisabetta Kuczewski Hospices Civils de Lyon, Lyon

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Anne Charrié Hospices Civils de Lyon, Lyon
CARMEN-INSERM U1060, Université Claude Bernard Lyon 1, Faculté de Médecine et de Maïeutique Lyon Sud - Charles Mérieux, Oullins
Société Française de Médecine Nucléaire, Groupe de Biologie Spécialisée, Centre Antoine Béclère, Paris

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Anne-Sophie Gauchez Société Française de Médecine Nucléaire, Groupe de Biologie Spécialisée, Centre Antoine Béclère, Paris
Laboratoire du Service de Médecine Nucléaire, Centre Hospitalier de Chambéry, Chambéry
Pôle de Biologie, Centre Hospitalier et Universitaire de Grenoble
UMR-S INSERM 1037, Grenoble, France

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Catherine Ronin Siamed'Xpress, Hôtel Technologique Morandat, Gardanne

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]. In this study, we engineered cells with such a variant of the human α2,6-sialyltransferase [ 25 ] and produced a TSH calibrator with a high content in sialic acid designed herein as recombinant glycoengineered TSH (rgTSH). To solve discordances

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Nianting Ju Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Liying Hou Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Hongjun Song Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Zhongling Qiu Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Yang Wang Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Zhenkui Sun Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Quanyong Luo Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Chentian Shen Department of Nuclear Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China

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recombinant human TSH (rh-TSH) because the use of rh-TSH has not been approved in China yet. Therefore, further research is still needed before adopting this strategy. Conclusion The results of this study found no statistical difference in RRA success

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James Magner Genzyme, a Sanofi company, Cambridge, Mass., USA

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independently, all published in 1988 [ 11 , 12 , 13 ]. The human TSH subunit gene sequences were essential for the preparation of recombinant human TSH, which is made in large bioreactors using Chinese hamster ovary cells, since the posttranslational

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Furio Pacini Department of Internal Medicine, Endocrinology and Metabolism and Biochemistry, Section of Endocrinology and Metabolism, University of Siena, Siena, Italy

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Tuttle RM, Brokhin M, Omry G, Martorella AJ, Larson SM, Grewal RK, Fleisher M, Robbins RJ: Recombinant human TSH-assisted radioactive iodine remnant ablation achieves short-term clinical recurrence rates similar to those of traditional thyroid hormone

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