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. 2012 Nov 1;2012:707156. doi: 10.1155/2012/707156

Table 3.

Major factors impacting decision making in radioiodine remnant ablation, 2009 ATA guideline [2].

Factors Description Expected Benefit
Decreased risk of death Decreased risk of recurrence May facilitate initial staging and followup RAI ablation usually recommended Strength of evidence
T1 ≤1 cm, intrathyroidal or microscopic multifocal No No Yes No E
1-2 cm, intrathyroidal No Conflicting data Yes Selective use I
T2 >2–4 cm, intrathyroidal No Conflicting data Yes Selective use C
T3 >4 cm,
<45 years No Conflicting data Yes Yes B
≥45 years Yes Yes Yes Yes B
Any size, any age, minimal extrathyroidal extension No Inadequate data Yes Selective use I
T4 Any size with gross extrathyroidal extension Yes Yes Yes Yes B
NX, N0 No metastatic nodes documented No No Yes No I
N1 <45 years No Conflicting data Yes Selective use C
>45 years Conflicting data Conflicting data Yes Selective use C
M1 Distant metastases present Yes Yes Yes Yes A