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. 2022 Sep 8;66(4):522–532. doi: 10.20945/2359-3997000000512

Table 3. Risk Stratification based on response to therapy 6-24 months after initial treatment (total thyroidectomy + RAI).

Response to Therapy Definitions
Excellent Response No clinical, biochemical or structural evidence of disease Nonstimulated Tg <0.2 ng/mL
and/or
Stimulated Tg <1 ng/mL + Undetectable TgAb + Negative imaging
Indeterminate Response Non-specific biochemical or structural findings which cannot be confidently classified as either benign or malignant Nonstimulated 0.2-1 ng/mL
and/or
Stimulated Tg 1-10 ng/mL
and/or
TgAb levels stable or declining
and/or
Nonspecific findings on imaging studies
Biochemical Incomplete Response Abnormally elevated serum Tg and/or increasing Tg values over time with similar TSH levels and/or rising TgAb levels in the absence of localizable structural disease Nonstimulated >1 ng/mL
and/or
Stimulated Tg >10 ng/mL
and/or
Increasing TgAb + Negative imaging
Structural Incomplete Response Persistent or newly identified loco-regional or distant metastases with or without abnormal Tg or TgAb Structural evidence of disease in anatomic (US, CT), functional (WBS) or hybrid (18FDG-PT/CT) imaging regardless of Tg or TgAb values

Adapted from: Haugen and cols. (2) Tuttle and cols. (11) Momesso DP and cols. (67).

Tg: thyroglobulin; TgAb: thyroglobulin antibodies.