{"id":622,"date":"2014-10-19T14:35:39","date_gmt":"2014-10-19T11:35:39","guid":{"rendered":"http:\/\/e-endocrinology.gr\/?page_id=622"},"modified":"2015-02-18T16:06:28","modified_gmt":"2015-02-18T13:06:28","slug":"10-6-%ce%bc%ce%bf%cf%81%cf%86%ce%bf%ce%bb%ce%bf%ce%b3%ce%b9%ce%ba%ce%ae-%ce%ba%ce%b1%ce%b9-%ce%bb%ce%b5%ce%b9%cf%84%ce%bf%cf%85%cf%81%ce%b3%ce%b9%ce%ba%ce%ae-%cf%80%ce%b1%cf%81%ce%b1%ce%ba%ce%bb%ce%b9","status":"publish","type":"page","link":"https:\/\/e-endocrinology.gr\/?page_id=622","title":{"rendered":"10.6 \u0399\u03c3\u03bf\u03c4\u03bf\u03c0\u03b9\u03ba\u03ad\u03c2 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u0399-131 (in vivo)"},"content":{"rendered":"<p style=\"text-align: right;\"><div class=\"printfriendly pf-button  pf-alignright\">\n                    <a href=\"https:\/\/e-endocrinology.gr\/?page_id=622&#038;pfstyle=wp\" 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\u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 \u03cc\u03c1\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c4\u03c1\u03af\u03b4\u03b1\u03c2 \u03bc\u03b1\u03c2. \u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03c9 \u03bc\u03b9\u03b1 \u03ad\u03c1\u03b5\u03c5\u03bd\u03b1 \u03c3\u03b5 350 \u03ba\u03ad\u03bd\u03c4\u03c1\u03b1 \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 11 \u03c0\u03bf\u03bb\u03b9\u03c4\u03b5\u03b9\u03ce\u03bd \u03c4\u03c9\u03bd \u0397\u03a0\u0391 \u03c4\u03bf 2009, \u03cc\u03c0\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c0\u03b9\u03c3\u03c4\u03ce\u03b8\u03b7\u03ba\u03b5 \u03cc\u03c4\u03b9 \u03c3\u03b5 25% \u03b4\u03b5\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 pinhole, \u03c3\u03b5 23% \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03bc\u03cc\u03bd\u03bf \u03bc\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03bb\u03ae\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03c7\u03c9\u03c1\u03af\u03c2 \u03b2\u03bf\u03b7\u03b8\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd\u03c2 \u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 40% \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c9\u03c2 \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 (1).<\/p>\n<p style=\"text-align: justify;\">\u0395\u03bd\u03af\u03bf\u03c4\u03b5 \u03b7 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03c5\u03bc\u03ad\u03bd\u03b7 \u03bf\u03c1\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03c3\u03cd\u03b3\u03c7\u03c5\u03c3\u03b7. \u03a9\u03c2 \u03c0\u03b1\u03c1\u03ac\u03b4\u03b5\u03b9\u03b3\u03bc\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03c9 \u03c4\u03b7 \u03c3\u03c5\u03c7\u03bd\u03ae \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03ce\u03bd\u00bb , \u00ab\u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03c9\u03bd\u00bb \u03ae \u03b1\u03ba\u03cc\u03bc\u03b1 \u03ba\u03b1\u03b9 \u00ab\u03b8\u03b5\u03c1\u03bc\u03ce\u03bd\u00bb \u03cc\u03b6\u03c9\u03bd \u03c3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 , \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH. \u0388\u03c7\u03bf\u03c5\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b5\u03af \u03c3\u03c9\u03c3\u03c4\u03ac \u03ae \u03bc\u03ae\u03c0\u03c9\u03c2 \u03b7 \u03b5\u03c0\u03b9\u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03cc\u03b6\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c5\u03b3\u03b9\u03bf\u03cd\u03c2 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b4\u03b7\u03bc\u03b9\u03bf\u03c5\u03c1\u03b3\u03b5\u03af \u03bb\u03b1\u03bd\u03b8\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b5\u03bd\u03c4\u03cd\u03c0\u03c9\u03c3\u03b7; \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03ac\u03b3\u03bc\u03b1\u03c4\u03b9 \u03b1\u03c5\u03c4\u03bf\u03af \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af; \u03b5\u03af\u03bd\u03b1\u03b9 \u00ab\u03bf\u03bb\u03af\u03b3\u03bf\u03bd\u00bb \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03ae \u03bc\u03ae\u03c0\u03c9\u03c2 \u03c4\u03b5\u03bb\u03b9\u03ba\u03ac \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af; \u03b1\u03c0\u03bf\u03b4\u03af\u03b4\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c9\u03c3\u03c4\u03ac \u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03ac \u03c4\u03bf\u03c5\u03c2 \u03bc\u03b5 \u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03b9\u03cc\u03bd \u03c0\u03bf\u03c5 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2; \u03c0\u03c9\u03c2 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03c3\u03c4\u03bf\u03cd\u03bd; \u0393\u03b9\u03b1 \u03c4\u03b9\u03c2 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c0\u03bb\u03ae\u03c1\u03b7\u03c2 \u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1, \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c7\u03b5\u03b9\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03c0\u03ac\u03b8\u03b5\u03b9\u03b1, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03bc\u03c9\u03bd \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03c9\u03bd \u03bf\u03b4\u03b7\u03b3\u03b9\u03ce\u03bd \u03b4\u03b9\u03b1\u03c6\u03cc\u03c1\u03c9\u03bd \u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd.<\/p>\n<p style=\"text-align: justify;\">\u038c\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan \u03bc\u03b5 \u0399-131, \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ba\u03bb\u03b1\u03c3\u03c3\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2, \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03ba\u03b1\u03b9 \u03b5\u03b4\u03ce \u03b1\u03bd\u03c4\u03b9\u03ba\u03c1\u03bf\u03c5\u03cc\u03bc\u03b5\u03bd\u03b5\u03c2 \u03b1\u03c0\u03cc\u03c8\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b9\u03c2 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2, \u03c4\u03b7 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b1\u03be\u03b9\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd. \u0397 \u03b1\u03be\u03b9\u03bf\u03bb\u03cc\u03b3\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c4\u03bf\u03c5 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf\u03c5 scan \u03b8\u03ad\u03bb\u03b5\u03b9 \u03c0\u03c1\u03bf\u03c3\u03bf\u03c7\u03ae, \u03b4\u03b9\u03cc\u03c4\u03b9, \u03c0\u03b1\u03c1\u03ac \u03c4\u03b7\u03bd \u03c5\u03c8\u03b7\u03bb\u03ae \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03c9\u03bd \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd (\u03bf\u03c1\u03b8\u03cc\u03c4\u03bf\u03c0\u03bf\u03c5, \u03ad\u03ba\u03c4\u03bf\u03c0\u03bf\u03c5 \u03ae \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd) \u03c4\u03b1 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b4\u03b5\u03bd \u03b5\u03bb\u03bb\u03b5\u03af\u03c0\u03bf\u03c5\u03bd. \u0397 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c4\u03b5\u03c7\u03bd\u03bf\u03bb\u03bf\u03b3\u03af\u03b1\u03c2 SPECT\/CT (single photon emission computed tomography\/computed tomography) \u03ad\u03c7\u03b5\u03b9 \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03ba\u03b1\u03b8\u03bf\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd. \u0397 \u03b1\u03be\u03af\u03b1 \u03c4\u03b7\u03c2 SPECT\/CT \u03ad\u03c7\u03b5\u03b9 \u03c4\u03bf\u03bd\u03b9\u03c3\u03c4\u03b5\u03af \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1, \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b7 \u03ad\u03bb\u03bb\u03b5\u03b9\u03c8\u03b7 \u03c4\u03ad\u03c4\u03bf\u03b9\u03c9\u03bd \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c3\u03c4\u03b7\u03bd \u03b5\u03b3\u03c7\u03ce\u03c1\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03c3\u03c4\u03b7\u03bd \u03b4\u03b9\u03b5\u03b8\u03bd\u03ae \u03b1\u03b3\u03bf\u03c1\u03ac, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03ac\u03b3\u03bd\u03bf\u03b9\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c4\u03c9\u03bd \u03c0\u03bb\u03b5\u03bf\u03bd\u03b5\u03ba\u03c4\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c4\u03b7\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ae\u03c2 \u03c4\u03b7\u03c2.<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03ad\u03bb\u03bf\u03c2, \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b2\u03b1\u03c3\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c4\u03b5\u03c7\u03bd\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 (positron emission tomography, PET) \u03bc\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03bf\u03c5\u03c2 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd\u03c2 \u03b9\u03c7\u03bd\u03b7\u03b8\u03ad\u03c4\u03b5\u03c2, \u03c0\u03b1\u03c1\u2019 \u03cc\u03bb\u03bf \u03c0\u03bf\u03c5 \u03b7 \u03b5\u03be\u03ac\u03c0\u03bb\u03c9\u03c3\u03ae \u03c4\u03b7\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03ae\u03c3\u03b5\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c4\u03b7 \u03c7\u03ce\u03c1\u03b1 \u03bc\u03b1\u03c2, \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5, \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u039f\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c4\u03ac\u03bb\u03bb\u03b7\u03bb\u03b7\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b5 \u03b3\u03bd\u03ce\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b9\u03b1\u03c4\u03c1\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c7\u03b5\u03b9\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03ad\u03c4\u03bf\u03b9\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2.<\/p>\n<p style=\"text-align: justify;\">\u039c\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03c3\u03b4\u03bf\u03ba\u03af\u03b1 \u03cc\u03c4\u03b9 \u03c4\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03bb\u03ac \u03ac\u03bb\u03bb\u03b1 \u03b8\u03ad\u03bc\u03b1\u03c4\u03b1 \u03c0\u03c1\u03bf\u03c3\u03b5\u03b3\u03b3\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03cd\u03bb\u03b7\u03c0\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b5\u03be\u03bf\u03b4\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf \u03ba\u03b5\u03af\u03bc\u03b5\u03bd\u03bf \u03c0\u03bf\u03c5 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b5\u03af, \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b1\u03bd\u03ac\u03bb\u03c5\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03bf\u03c4\u03bf\u03c0\u03b9\u03ba\u03ce\u03bd \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ce\u03bd \u03c3\u03c4\u03b9\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1. \u03a9\u03c2 \u03b2\u03bf\u03b7\u03b8\u03b7\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c4\u03bf\u03c5 \u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03af\u03b8\u03b5\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2, \u03c4\u03c5\u03c0\u03b9\u03ba\u03ad\u03c2, \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c4\u03c5\u03c0\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bb\u03bb\u03ac \u03c3\u03c5\u03bd\u03ae\u03b8\u03b5\u03b9\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b1\u03c3\u03c5\u03bd\u03ae\u03b8\u03b5\u03b9\u03c2. \u038c\u03bb\u03b5\u03c2 \u03bf\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03a0\u03b1\u03bd\u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03b9\u03b1\u03ba\u03bf\u03cd \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf\u03c5 \u03a0\u03b1\u03c4\u03c1\u03ce\u03bd, \u03b5\u03ba\u03c4\u03cc\u03c2 \u03b1\u03c0\u03cc \u03b4\u03cd\u03bf \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 PET, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c5\u03b3\u03b5\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03c6\u03bf\u03c1\u03ac \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03b1\u03b6\u03cc\u03bc\u03b5\u03bd\u03bf\u03c5 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03af\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd.<\/p>\n<h4 style=\"text-align: justify;\">1. \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1<\/h4>\n<h5 style=\"text-align: justify;\">1.1. \u03a1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1. \u039c\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03bf\u03af \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2.<\/h5>\n<h6 style=\"text-align: justify;\">1.1.1. \u03a5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03b9\u03cc\u03bd (Tc-O<sub>4<\/sub>-, pertechnetate) \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf \u03bc\u03b5 Tc-99m<\/h6>\n<div style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03bd\u03ac\u03c4\u03c1\u03b9\u03bf (NaTcO<sub>4<\/sub>), \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf \u03bc\u03b5 \u03c4\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03bf \u03c4\u03b5\u03c7\u03bd\u03ae\u03c4\u03b9\u03bf-99m (Tc-99m). \u0395\u03af\u03bd\u03b1\u03b9 \u03c6\u03c4\u03b7\u03bd\u03cc, \u03b1\u03bd\u03ac \u03c0\u03ac\u03c3\u03b1 \u03c3\u03c4\u03b9\u03b3\u03bc\u03ae \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2. \u0395\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03c0\u03c1\u03bf\u03ca\u03cc\u03bd \u03ad\u03ba\u03bb\u03bf\u03c5\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03c3\u03c4\u03ae\u03bb\u03b7\u03c2 \u03bc\u03bf\u03bb\u03c5\u03b2\u03b4\u03b5\u03bd\u03af\u03bf\u03c5-\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 (Mo<sup>99<\/sup>\u00e0Tc<sup>99<\/sup><sup>m<\/sup>), \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c4\u03c1\u03bf\u03c6\u03bf\u03b4\u03bf\u03c4\u03b5\u03af \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ac \u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03bc\u03b5 Tc-99m \u03b3\u03b9\u03b1 \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ad\u03c2. \u03a0\u03ad\u03c1\u03b1\u03bd \u03c4\u03b7\u03c2 \u03ad\u03ba\u03bb\u03bf\u03c5\u03c3\u03b7\u03c2 \u03b4\u03b5\u03bd \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03ba\u03b1\u03bc\u03af\u03b1 \u03ac\u03bb\u03bb\u03b7 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c3\u03ba\u03b5\u03c5\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5. \u03a4\u03bf Tc-99m \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03b5\u03b9, \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac, \u03c6\u03c9\u03c4\u03cc\u03bd\u03b9\u03b1 \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2, \u03bc\u03b5 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 140 KeV. \u0388\u03c7\u03b5\u03b9 \u03c6\u03c5\u03c3\u03b9\u03ba\u03cc \u03c7\u03c1\u03cc\u03bd\u03bf \u03b7\u03bc\u03af\u03c3\u03b5\u03b9\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 6,02 \u03ce\u03c1\u03b5\u03c2. \u03a4\u03bf <sup>99<\/sup><sup>m<\/sup>TcO<sub>4<\/sub> \u03c7\u03bf\u03c1\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1 \u03c3\u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 37-185 MBq (1-5 mCi) \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc 15-20 min. \u0397 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b4\u03cc\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03ad\u03c7\u03b5\u03b9 \u03c3\u03b1\u03bd \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03bd \u03c5\u03c8\u03b7\u03bb\u03ae \u03c1\u03bf\u03ae \u03c6\u03c9\u03c4\u03bf\u03bd\u03af\u03c9\u03bd \u03c3\u03c4\u03b7 \u03bc\u03bf\u03bd\u03ac\u03b4\u03b1 \u03c4\u03bf\u03c5 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9 \u03c4\u03b7\u03bd \u03bf\u03bb\u03bf\u03ba\u03bb\u03ae\u03c1\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03bb\u03af\u03b3\u03b1 \u03bc\u03cc\u03bd\u03bf \u03bb\u03b5\u03c0\u03c4\u03ac. \u0397 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03b5\u03b9 \u03c4\u03bf Tc-99m \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03b4\u03b1\u03bd\u03b9\u03ba\u03ae \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03ba\u03c1\u03cd\u03c3\u03c4\u03b1\u03bb\u03bb\u03bf \u03c4\u03b7\u03c2 \u03b3-camera, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c3\u03c5\u03bd\u03b5\u03c0\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9\u00a0 \u03c5\u03c8\u03b7\u03bb\u03ae \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2. \u039f \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2 (TcO<sub>4<\/sub><sup>&#8211;<\/sup>) \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03bf\u03b9\u03bd\u03cc\u03c2 \u03b3\u03b9\u03b1 \u03bc\u03bf\u03bd\u03bf\u03c3\u03b8\u03b5\u03bd\u03ae \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03b1 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03bf\u03c5 \u03bc\u03bf\u03c1\u03b9\u03b1\u03ba\u03bf\u03cd \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2, \u03cc\u03c0\u03c9\u03c2 \u0399<sup>&#8211;<\/sup>, Cl\u039f<sub>3<\/sub><sup>&#8211;<\/sup>, NO<sub>3<\/sub><sup>&#8211;<\/sup>, CN<sup>&#8211;<\/sup> \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ad\u03b1 \u03bd\u03b1\u03c4\u03c1\u03af\u03bf\u03c5-\u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (sodium-iodide symporter, NIS). \u039c\u03b5 \u03c4\u03bf\u03bd \u03c4\u03c1\u03cc\u03c0\u03bf \u03b1\u03c5\u03c4\u03cc, \u03c4\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03b1 \u03bc\u03b5\u03c4\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5 (2). \u03a3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 \u03cc\u03bc\u03c9\u03c2, \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf \u03b9\u03cc\u03bd \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (\u03b9\u03c9\u03b4\u03af\u03b4\u03b9\u03bf) \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c5\u03c0\u03cc\u03c3\u03c4\u03c1\u03c9\u03bc\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c5\u03c0\u03b5\u03c1\u03bf\u03be\u03b5\u03b9\u03b4\u03ac\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03bf\u03be\u03b5\u03af\u03b4\u03c9\u03c3\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03ad\u03c7\u03b5\u03b9 \u03c3\u03c4\u03bf \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd, \u03b5\u03bd\u03ce \u03c4\u03bf TcO<sub>4<\/sub><sup>&#8211;<\/sup> (\u03cc\u03c0\u03c9\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03ac\u03bb\u03bb\u03b1 \u03b9\u03cc\u03bd\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b1\u03bd) \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03ad\u03bd\u03b1 \u03c7\u03c1\u03bf\u03bd\u03b9\u03ba\u03cc \u03b4\u03b9\u03ac\u03c3\u03c4\u03b7\u03bc\u03b1 \u03b1\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf (E\u03b9\u03ba\u03cc\u03bd\u03b1 1.1). \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 TcO<sub>4<\/sub><sup>&#8211; <\/sup>\u03ba\u03b1\u03b9 \u03b7 \u03ba\u03b1\u03c4\u03b1\u03bd\u03bf\u03bc\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03b1\u03c0\u03bf\u03b4\u03af\u03b4\u03b5\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c5\u03c3\u03b7\u03c2 (trapping) \u03c4\u03c9\u03bd \u03bc\u03bf\u03bd\u03bf\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03c9\u03bd. \u0397 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03ac \u03b1\u03c5\u03c4\u03ae \u03b5\u03c5\u03b8\u03cd\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b9\u03c2 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03c9\u03bd \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03c0\u03bf\u03c5 \u03b8\u03b1 \u03b4\u03bf\u03cd\u03bc\u03b5 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ac\u03c4\u03c9. \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2\u03b1\u03c0\u03cc \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1\u03c7\u03b5\u03af\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03b3\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 15 min \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7, \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03ae \u03bc\u03b5\u03c4\u03b1\u03be\u03cd 15-30 min, \u03b5\u03bd\u03ce \u03bc\u03b5\u03c4\u03ac \u03c4\u03b1 30 min \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1\u03b4\u03b9\u03b1\u03ba\u03ac. \u03a6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03ad\u03bd\u03b1 \u03bc\u03b9\u03ba\u03c1\u03cc \u03bc\u03cc\u03bd\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c4\u03b7\u03c2 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 (0,3-3% \u03ba\u03b1\u03b9 \u03ad\u03c9\u03c2 7% \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03ad\u03bd\u03b4\u03b5\u03b9\u03b1\u03c2 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5) (3). \u0397 \u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03b2\u03ac\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ae (\u03b4\u03cc\u03c3\u03b7 \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae 2.4-12 mGy, \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03cc\u03c3\u03b7 0,48-2,4 mSv) (4). \u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03b9\u03cc\u03bd \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ac\u03bb\u03bb\u03bf\u03c5\u03c2 \u03b9\u03c3\u03c4\u03bf\u03cd\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03bf\u03c5\u03bd \u03c4\u03bf\u03bd NIS, \u03cc\u03c0\u03c9\u03c2 \u03bf\u03b9 \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03bf\u03b9 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2, \u03bf \u03c3\u03c4\u03cc\u03bc\u03b1\u03c7\u03bf\u03c2, \u03bf \u03b8\u03cd\u03bc\u03bf\u03c2, \u03bf \u03bc\u03b1\u03b6\u03b9\u03ba\u03cc\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1\u03c2 (\u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c3\u03b5 \u03b3\u03b1\u03bb\u03bf\u03c5\u03c7\u03af\u03b1) \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03c7\u03bf\u03c1\u03b9\u03bf\u03b5\u03b9\u03b4\u03ae \u03c0\u03bb\u03ad\u03b3\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 (2). \u0391\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03bd\u03b5\u03c6\u03c1\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf.<\/p>\n<h6>1.1.2. \u0399\u03c3\u03cc\u03c4\u03bf\u03c0\u03bf \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 I-123<\/h6>\n<p>\u03a4\u03bf \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03bf \u03bd\u03ac\u03c4\u03c1\u03b9\u03bf, \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf \u03bc\u03b5 \u03b9\u03ce\u03b4\u03b9\u03bf-123 (Na<sup>123<\/sup>\u0399) \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03b8\u03b5\u03c9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf \u03b9\u03b4\u03b1\u03bd\u03b9\u03ba\u03cc \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1. \u0397 \u03ba\u03cd\u03c1\u03b9\u03b1 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03b5\u03b9 \u03c4\u03bf \u0399-123 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3-\u03c6\u03c9\u03c4\u03cc\u03bd\u03b9\u03b1 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2 159 KeV. \u039f \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03bf\u03c5 I-123 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c3\u03b7\u03bc\u03bf\u03c2 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03cc\u03bd \u03c4\u03bf\u03c5 \u03c6\u03c5\u03c3\u03b9\u03ba\u03bf\u03cd &#8211; \u03bc\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd &#8211; \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03bf\u03c5 (\u0399-127) \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03c5 \u03b5\u03c5\u03bd\u03bf\u03ca\u03ba\u03ac \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 (\u03b3-camera). To I-123 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ba\u03b1\u03c4\u03ac\u03bb\u03bb\u03b7\u03bb\u03bf \u03b3\u03b9\u03b1 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (uptake) \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 4 \u03ba\u03b1\u03b9 24 h \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03ba\u03c1\u03b9\u03b2\u03cc (\u03c0\u03b1\u03c1\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03ba\u03cd\u03ba\u03bb\u03bf\u03c4\u03c1\u03bf) \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03bc\u03cc\u03bd\u03bf \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1\u03c2. \u0397 \u03b4\u03cc\u03c3\u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 1,9 mGy\/MBq, \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c4\u03bf\u03c5 Tc-99m (0,06 mGy\/ MBq) (4). \u03a0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03b7\u03b8\u03b5\u03af \u03c3\u03b5 \u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03cc\u03bb\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03b7 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b4\u03cc\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ae (7,4-14,8 MBq \u03ae 200-400 \u03bcCi), \u03bc\u03b5 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b7 \u03c1\u03bf\u03ae \u03c6\u03c9\u03c4\u03bf\u03bd\u03af\u03c9\u03bd \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03ba\u03b1\u03b9 \u03c9\u03c2 \u03b5\u03ba \u03c4\u03bf\u03cd\u03c4\u03bf\u03c5 \u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bd\u03b1 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af \u03c0\u03bf\u03bb\u03cd \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf \u03c7\u03c1\u03cc\u03bd\u03bf (20-30 min) \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03cc\u03bd \u03c4\u03bf\u03c5 Tc-99m (\u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 5 min) \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03bf\u03bb\u03bf\u03ba\u03bb\u03b7\u03c1\u03c9\u03b8\u03b5\u03af. \u039f \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bc\u03bf\u03bd\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b1\u03ba\u03c1\u03cc\u03c2 (\u03ae \u03b1\u03c0\u03b1\u03b9\u03c4\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b4\u03cd\u03bf \u03b5\u03c0\u03b9\u03c3\u03ba\u03ad\u03c8\u03b5\u03b9\u03c2), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c3\u03bf\u03bb\u03b1\u03b2\u03b5\u03af \u03c7\u03c1\u03bf\u03bd\u03b9\u03ba\u03cc \u03b4\u03b9\u03ac\u03c3\u03c4\u03b7\u03bc\u03b1 4-6 \u03c9\u03c1\u03ce\u03bd (\u03ae \u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac 24 \u03c9\u03c1\u03ce\u03bd). \u03a4\u03bf \u0399-123 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c1\u03b5\u03af \u03c4\u03bf\u03c5 Tc-99m \u03b4\u03b9\u03cc\u03c4\u03b9 \u03b1\u03c0\u03bf\u03b4\u03af\u03b4\u03b5\u03b9 \u03c4\u03bf\u03bd \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c5\u03c3\u03b7\u03c2 \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03ad\u03c7\u03b5\u03b9 \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b1\u03b4\u03ad\u03bd\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c5\u03b3\u03c7\u03ac\u03bd\u03b5\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7 (contrast) \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03b9\u03c3\u03c4\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c4\u03bf\u03bd \u03c0\u03b5\u03c1\u03b9\u03b2\u03ac\u03bb\u03bb\u03bf\u03c5\u03bd. \u038c\u03bc\u03c9\u03c2, \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03bb\u03cc\u03b3\u03bf\u03c5\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b1\u03bd, \u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u2019 \u03b7\u03bc\u03ad\u03c1\u03b1 \u03c0\u03c1\u03ac\u03be\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03bd \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 \u03ae \u03ad\u03ba\u03c4\u03bf\u03c0\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd (\u03c0.\u03c7. struma ovarii) \u03ba\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b7 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03cc\u03c4\u03b9 \u03bf \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03b5\u03bd\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c5 \u03b2\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 \u03c4\u03bf\u03c5 Tc-99m \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03bf\u03c2 (3,4).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-625 alignnone\" alt=\"10.6-fig1\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-fig1.gif\" width=\"650\" height=\"473\" \/><\/p>\n<\/div>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.1.<\/strong> <\/em>\u039c\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03c9\u03bd \u03bc\u03bf\u03bd\u03bf\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03c9\u03bd \u03b1\u03c0\u03cc \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf. TcO4-: \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03b9\u03cc\u03bd, TSHR: \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03b1\u03c2 \u03c4\u03b7\u03c2 TSH, NIS: \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ad\u03b1\u03c2 \u03bd\u03b1\u03c4\u03c1\u03af\u03bf\u03c5\/\u03b9\u03c9\u03b4\u03af\u03bf\u03c5, TPO: \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c5\u03c0\u03b5\u03c1\u03bf\u03be\u03b5\u03b9\u03b4\u03ac\u03c3\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6 style=\"text-align: justify;\">\u00a01.1.3. \u0399\u03c3\u03cc\u03c4\u03bf\u03c0\u03bf \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 I-131<\/h6>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u0399-131 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 \u03c0\u03b9\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b1\u03c1\u03ac\u03b4\u03b5\u03ba\u03c4\u03b1 \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae\u03c2 \u03b5\u03c0\u03b9\u03b2\u03ac\u03c1\u03c5\u03bd\u03c3\u03b7\u03c2 (\u03b4\u03cc\u03c3\u03b7 \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae 220 mGy\/MBq) \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b5\u03c0\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9 (\u03c0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 1.1). \u0397 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 24-48 \u03ce\u03c1\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7. \u0397 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03ad\u03c4\u03c1\u03b9\u03b1 \u03ad\u03c9\u03c2 \u03c0\u03c4\u03c9\u03c7\u03ae, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2 (364 KeV) \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae\u03c2 \u03c1\u03bf\u03ae\u03c2 \u03c4\u03c9\u03bd \u03c6\u03c9\u03c4\u03bf\u03bd\u03af\u03c9\u03bd \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03bf\u03bd\u03c4\u03b1\u03b9. \u0397 \u03c0\u03b1\u03c1\u03ac\u03bb\u03bb\u03b7\u03bb\u03b7 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae \u03b2-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 (\u03b7\u03bb\u03b5\u03ba\u03c1\u03cc\u03bd\u03b9\u03b1) \u03b5\u03af\u03bd\u03b1\u03b9 \u03ac\u03c7\u03c1\u03b7\u03c3\u03c4\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7, \u03b5\u03bd\u03ce \u03c3\u03c5\u03bc\u03b2\u03ac\u03bb\u03bb\u03b5\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03b7\u03bd \u03c5\u03c8\u03b7\u03bb\u03ae \u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03b2\u03ac\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2. \u039b\u03cc\u03b3\u03c9 \u03b5\u03c5\u03c1\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b4\u03b9\u03b1\u03b8\u03b5\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5 \u03ba\u03cc\u03c3\u03c4\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u0399-123, \u03c4\u03bf \u0399-131 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u03bf\u03bb\u03af\u03b3\u03c9\u03bd \u03bcCi (5-50) per os \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 uptake \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 50-100 \u03bcCi per os \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03af\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, \u03cc\u03c4\u03b1\u03bd \u03bf\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c4\u03bf\u03c5 Tc-99m \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2. \u03a3\u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7, \u03b7 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b4\u03b9\u03b5\u03b9\u03c3\u03b4\u03c5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03b3-\u03c6\u03c9\u03c4\u03bf\u03bd\u03af\u03c9\u03bd \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c0\u03bb\u03b5\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 Tc-99m \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u0399-123, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b7 \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b5\u03bc\u03b2\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03ad\u03c1\u03bd\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 (E\u03b9\u03ba\u03cc\u03bd\u03b1 1.2).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-698\" alt=\"10.6-figure2\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2.jpg\" width=\"645\" height=\"328\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2.jpg 645w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2-300x152.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2-624x317.jpg 624w\" sizes=\"(max-width: 645px) 100vw, 645px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.2.<\/strong><\/em> \u039a\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bf \u03af\u03b4\u03b9\u03bf\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 99mTc-pertechnetate \u03ba\u03b1\u03b9 131\u0399. \u03a4\u03bf \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03bf \u03c4\u03bc\u03ae\u03bc\u03b1 \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03bc\u03b5 \u03c4\u03bf 131\u0399, \u03b1\u03bb\u03bb\u03ac \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2, \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ae\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c4\u03bf\u03c5 99mTc<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u03a4\u03b1 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03c9\u03bd \u03c4\u03c1\u03b9\u03ce\u03bd \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b1\u03bd \u03c3\u03c5\u03bd\u03bf\u03c8\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b9\u03c0\u03b1\u03c1\u03b1\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c0\u03af\u03bd\u03b1\u03ba\u03b1 1.1.<\/p>\n<h6 style=\"text-align: justify;\">1.1.4. \u0386\u03bb\u03bb\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1<\/h6>\n<p style=\"text-align: justify;\">\u03a4\u03bf <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03b9\u03bc\u03ac\u03c4\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03bf\u03ba\u03b1\u03c1\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03b4\u03b9\u03bf\u03b3\u03ba\u03c9\u03bc\u03ad\u03bd\u03c9\u03bd \u03c0\u03b1\u03c1\u03b1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ce\u03bd \u03b1\u03b4\u03ad\u03bd\u03c9\u03bd. \u03a3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03c9\u03bd \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03b1\u03bc\u03c6\u03b9\u03bb\u03b5\u03b3\u03cc\u03bc\u03b5\u03bd\u03b7. \u03a3\u03b5 \u03b5\u03c0\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 (1.4. \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2, \u03c4\u03c5\u03c0\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2) \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 , \u03ba\u03ac\u03c0\u03bf\u03b9\u03b5\u03c2 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ad\u03c2 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2. \u03a4\u03bf <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03b5\u03af\u03bd\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03bb\u03b9\u03c0\u03cc\u03c6\u03b9\u03bb\u03bf \u03bc\u03cc\u03c1\u03b9\u03bf \u03bc\u03b5 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03c6\u03bf\u03c1\u03c4\u03af\u03bf. \u0395\u03b9\u03c3\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03b4\u03b9\u03b1\u03c6\u03cc\u03c1\u03c9\u03bd \u03b9\u03c3\u03c4\u03ce\u03bd \u03c0\u03b1\u03b8\u03b7\u03c4\u03b9\u03ba\u03ac \u03bc\u03ad\u03c3\u03c9 \u03c4\u03b7\u03c2 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b5\u03bc\u03b2\u03c1\u03ac\u03bd\u03b7\u03c2 (\u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03cb\u03c0\u03cc\u03b8\u03b5\u03c3\u03b7 \u03cc\u03c4\u03b9 \u03b1\u03c5\u03c4\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03ba\u03ad\u03c1\u03b1\u03b9\u03b1, \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03cc\u03c4\u03b9 \u03c4\u03bf \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03b6\u03c9\u03bd\u03c4\u03b1\u03bd\u03cc), \u03b5\u03bb\u03ba\u03cc\u03bc\u03b5\u03bd\u03bf \u03b1\u03c0\u03cc \u03c4\u03bf \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03bd \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b5\u03bd\u03b4\u03bf\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03b9\u03bf \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03b9\u03ba\u03cc \u03b4\u03c5\u03bd\u03b1\u03bc\u03b9\u03ba\u03cc (\u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03b9\u03ba\u03cc \u03c0\u03c1\u03b1\u03bd\u03ad\u03c2). \u0395\u03bd\u03c4\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5 \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03ba\u03bb\u03c9\u03b2\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 \u03bc\u03b9\u03c4\u03bf\u03c7\u03cc\u03bd\u03b4\u03c1\u03b9\u03b1, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03bf\u03c5 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd \u03c6\u03bf\u03c1\u03c4\u03af\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5\u03c2. \u0397 \u03b1\u03c0\u03bf\u03bc\u03ac\u03ba\u03c1\u03c5\u03bd\u03c3\u03ae \u03c4\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03bf \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c0\u03b1\u03b8\u03b7\u03c4\u03b9\u03ba\u03ac (\u03cc\u03c4\u03b1\u03bd \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03b8\u03b5\u03af \u03b7 \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b1\u03af\u03bc\u03b1), \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c0\u03c1\u03c9\u03c4\u03b5\u03ca\u03bd\u03ce\u03bd \u03c4\u03b7\u03c2 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b5\u03bc\u03b2\u03c1\u03ac\u03bd\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03bf\u03cd\u03c2 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b1 \u03c7\u03b7\u03bc\u03b5\u03b9\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac (multidrug resistance, MDR) (5). \u039f \u03b2\u03b1\u03b8\u03bc\u03cc\u03c2 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b1\u03ba\u03c1\u03ac\u03c4\u03b7\u03c3\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03cc\u03c1\u03b3\u03b1\u03bd\u03bf \u03ae \u03b9\u03c3\u03c4\u03cc \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03b9\u03bc\u03ac\u03c4\u03c9\u03c3\u03ae \u03c4\u03bf\u03c5, \u03c4\u03b7\u03bd \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03b2\u03c1\u03af\u03b8\u03b5\u03b9\u03b1, \u03c4\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 (\u03b4\u03b7\u03bb. \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c5\u03ba\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03bc\u03b9\u03c4\u03bf\u03c7\u03bf\u03bd\u03b4\u03c1\u03af\u03c9\u03bd) \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c0\u03c1\u03c9\u03c4\u03b5\u03ca\u03bd\u03ce\u03bd MDR \u03c3\u03c4\u03b7 \u03bc\u03b5\u03bc\u03b2\u03c1\u03ac\u03bd\u03b7. \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 Sestamibi \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03b4\u03b5\u03bd \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b1\u03af\u03bc\u03b1, \u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 NIS \u03ba\u03b1\u03b9\u00a0 \u03c4\u03b7\u03bd TSH \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c5\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2 \u03bc\u03b5 LT<sub>4<\/sub> \u03ae \u03b1\u03c0\u03cc \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 \u03b1\u03bd\u03c4\u03b9\u03b8\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd. \u03a4\u03bf <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 (\u03cc\u03c0\u03c9\u03c2 \u03c4\u03bf \u03b9\u03c9\u03b4\u03af\u03b4\u03b9\u03bf \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03b9\u03c3\u03c4\u03bf\u03cd\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03bf\u03c5\u03bd \u03c4\u03bf\u03bd NIS) \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03b9 \u03b1\u03be\u03b9\u03cc\u03c0\u03b9\u03c3\u03c4\u03b1 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b5\u03b9\u03c2 \u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b5\u03c2.<\/p>\n<p style=\"text-align: justify;\">\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 1. 1. \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u03a3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd.<\/p>\n<table style=\"width: 100%;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\" align=\"left\">\n<tbody>\n<tr style=\"background-color: #385a72;\">\n<td><\/td>\n<td style=\"text-align: center;\"><strong><span style=\"color: #ffffff;\"><sup>99m<\/sup>TcO4<\/span><\/strong><\/td>\n<td style=\"text-align: center;\"><strong><span style=\"color: #ffffff;\"><sup>123<\/sup>I<\/span><\/strong><\/td>\n<td style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong><sup>131<\/sup>I<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>\u03a4\u03c1\u03cc\u03c0\u03bf\u03c2 \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2<\/td>\n<td>\u03a3\u03c4\u03ae\u03bb\u03b7 \u03bc\u03bf\u03bb\u03c5\u03b2\u03b4\u03b5\u03bd\u03af\u03bf\u03c5-\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5<\/td>\n<td>\u039a\u03cd\u03ba\u03bb\u03bf\u03c4\u03c1\u03bf<\/td>\n<td>\u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03cc\u03c2 \u03b1\u03bd\u03c4\u03b9\u03b4\u03c1\u03b1\u03c3\u03c4\u03ae\u03c1\u03b1\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u0395\u03af\u03b4\u03bf\u03c2 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2<\/td>\n<td>\u03b3<\/td>\n<td>\u03b3<\/td>\n<td>\u03b2<sup>&#8211;<\/sup> \u03ba\u03b1\u03b9 \u03b3<\/td>\n<\/tr>\n<tr>\n<td>\u0395\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03b3-\u03c6\u03c9\u03c4\u03bf\u03bd\u03af\u03c9\u03bd<\/td>\n<td>140 KeV<\/td>\n<td>159 KeV<\/td>\n<td>364 KeV<\/td>\n<\/tr>\n<tr>\n<td>\u03a6\u03c5\u03c3\u03b9\u03ba\u03cc\u03c2 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b7\u03bc\u03af\u03c3\u03b5\u03b9\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2<\/td>\n<td>6,03 \u03ce\u03c1\u03b5\u03c2<\/td>\n<td>13,3 \u03ce\u03c1\u03b5\u03c2<\/td>\n<td>8.06 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u03a7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b4\u03cc\u03c3\u03b7<\/td>\n<td>1-5 mCi (37-185 MBq)<\/td>\n<td>200-400 \u03bcCi (7,4-14,8 MBq)<\/td>\n<td>50-100 \u03bcCi (1,8-3,7 MBq)<\/td>\n<\/tr>\n<tr>\n<td>\u039f\u03b4\u03cc\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2<\/td>\n<td>\u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1<\/td>\n<td>per os<\/td>\n<td>per os<\/td>\n<\/tr>\n<tr>\n<td>\u03a7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03bc\u03ad\u03c7\u03c1\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7<\/td>\n<td>15-20 \u03bb\u03b5\u03c0\u03c4\u03ac<\/td>\n<td>4-24 \u03ce\u03c1\u03b5\u03c2<\/td>\n<td>24-48 \u03ce\u03c1\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u0391\u03c0\u03bf\u03c1\u03c1\u03bf\u03c6\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b4\u03cc\u03c3\u03b7 (\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2)<\/td>\n<td>2,4-12 mGy<\/td>\n<td>14-28 mGy<\/td>\n<td>400-800 mGy<\/td>\n<\/tr>\n<tr>\n<td>\u0395\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03cc\u03c3\u03b7 (Effective dose)<\/td>\n<td>0,48-2,4 mSv<\/td>\n<td>0,8-1,6 mSv<\/td>\n<td>20-40 mSv<\/td>\n<\/tr>\n<tr>\n<td>\u038c\u03c1\u03b3\u03b1\u03bd\u03bf \u03c0\u03bf\u03c5 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1<\/td>\n<td>\u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03cc \u03ba\u03cc\u03bb\u03bf\u03bd<\/td>\n<td>\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2<\/td>\n<td>\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u039c\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2<\/td>\n<td>NIS (trapping)<\/td>\n<td>NIS+\u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7<\/td>\n<td>NIS+\u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7<\/td>\n<\/tr>\n<tr>\n<td>\u03a0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2<\/td>\n<td>\u039a\u03b1\u03bb\u03ae<\/td>\n<td>\u03a5\u03c8\u03b7\u03bb\u03ae<\/td>\n<td>\u039c\u03ad\u03c4\u03c1\u03b9\u03b1 \u03ad\u03c9\u03c2 \u03c0\u03c4\u03c9\u03c7\u03ae<\/td>\n<\/tr>\n<tr>\n<td>\u0392\u03b1\u03b8\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (uptake)<\/td>\n<td>0,3% &#8211; 3% (\u03c3\u03c4\u03b1 20 \u03bb\u03b5\u03c0\u03c4\u03ac)<\/td>\n<td>10 &#8211; 35% (\u03c3\u03c4\u03b9\u03c2 24 \u03ce\u03c1\u03b5\u03c2)<\/td>\n<td>10 &#8211; 35% (\u03c3\u03c4\u03b9\u03c2 24 \u03ce\u03c1\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u039a\u03cc\u03c3\u03c4\u03bf\u03c2<\/td>\n<td>\u03a0\u03bf\u03bb\u03cd \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc<\/td>\n<td>\u03a0\u03bf\u03bb\u03cd \u03c5\u03c8\u03b7\u03bb\u03cc<\/td>\n<td>\u03a7\u03b1\u03bc\u03b7\u03bb\u03cc<\/td>\n<\/tr>\n<tr>\n<td>\u0394\u03b9\u03b1\u03b8\u03b5\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1<\/td>\n<td>\u039a\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03ba\u03b1\u03b9 \u03ac\u03bc\u03b5\u03c3\u03b7<\/td>\n<td>\u039a\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1\u03c2<\/td>\n<td>\u039a\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1\u03c2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5 style=\"text-align: justify;\">1.2. \u03a0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2<\/h5>\n<p style=\"text-align: justify;\">\u03a0\u03c1\u03b9\u03bd \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03ae \u03b7 \u03b1\u03bd\u03b1\u03bc\u03bf\u03bd\u03ae \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03c9\u03bd \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03c9\u03bd \u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd \u03b3\u03b9\u03b1 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03bf \u03c7\u03c1\u03bf\u03bd\u03b9\u03ba\u03cc \u03b4\u03b9\u03ac\u03c3\u03c4\u03b7\u03bc\u03b1, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c0\u03af\u03bd\u03b1\u03ba\u03b1 1.2 (4). \u0391\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03ba\u03c5\u03ba\u03bb\u03bf\u03c6\u03bf\u03c1\u03af\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c8\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03b5\u03be\u03c9\u03b3\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03b7\u03b3\u03ad\u03c2, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03b5\u03cd\u03ba\u03bf\u03bb\u03bf \u03bd\u03b1 \u03b1\u03c0\u03bf\u03ba\u03b1\u03bb\u03c5\u03c6\u03b8\u03bf\u03cd\u03bd \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03bf\u03cd. \u0397 \u03c0\u03b5\u03c1\u03af\u03c3\u03c3\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03b5\u03bb\u03ac\u03c4\u03c4\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03c9\u03bd \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03c9\u03bd (\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5) \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae, \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03bb\u03cc\u03b3\u03c9 \u03c4\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b1\u03b3\u03c9\u03bd\u03b9\u03c3\u03bc\u03bf\u03cd \u00ab\u03c8\u03c5\u03c7\u03c1\u03bf\u03cd\u00bb \u03ba\u03b1\u03b9 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b9\u03c2 \u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03b7\u03c2 \u03c3\u03c4\u03bf\u03bd NIS, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03c4\u03b1\u03c7\u03ad\u03c9\u03c2 \u03b5\u03c0\u03b1\u03b3\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b5\u03bb\u03ac\u03c4\u03c4\u03c9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 NIS \u03c3\u03c4\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1. \u03a3\u03b5 \u03b1\u03c0\u03cc\u03c4\u03bf\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03ae \u03c6\u03cc\u03c1\u03c4\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03b9\u03ce\u03b4\u03b9\u03bf \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03c0\u03b1\u03c1\u03bf\u03b4\u03b9\u03ba\u03ac \u03c4\u03bf \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03bf Wolf-Chaikoff, \u03ba\u03b1\u03c4\u03ac \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b5\u03ba\u03c4\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03bb\u03ac\u03c4\u03c4\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 NIS \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd \u03c3\u03c4\u03b7\u03bd \u03ba\u03c5\u03ba\u03bb\u03bf\u03c6\u03bf\u03c1\u03af\u03b1 (6).<\/p>\n<p style=\"text-align: justify;\">\u0395\u03ac\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03c5\u03bd\u03ac\u03c4\u03b1\u03b9 \u03b7 \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2 (\u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03b7\u03c2 \u03ae \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae\u03c2) \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03c0\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ae\u03b4\u03b7 \u03c3\u03b5 \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03b5 LT4, \u03c4\u03cc\u03c4\u03b5 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c7\u03c9\u03c1\u03af\u03c2 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03c4\u03bf\u03c5 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5.<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03c3\u03c5\u03bd\u03b5\u03c7\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03b7 \u03bb\u03ae\u03c8\u03b7 \u03b1\u03bd\u03c4\u03b9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03b4\u03b5\u03bd \u03b5\u03bc\u03c0\u03bf\u03b4\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1 \u03bc\u03b5 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4<\/sub>, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03bf\u03c5\u03c2 \u03b4\u03b5\u03bd \u03b5\u03bc\u03c0\u03bb\u03ad\u03ba\u03b5\u03c4\u03b1\u03b9 \u03ac\u03bc\u03b5\u03c3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (trapping) \u03c4\u03c9\u03bd \u03bc\u03bf\u03bd\u03bf\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03c9\u03bd \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2 (\u03bc\u03bf\u03bd\u03ae\u03c1\u03b5\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1 \u03ae \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7) \u03b7 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b8\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03c0\u03bb\u03b1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03c9\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b7\u03bd \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03b8\u03b1 \u03b5\u03bb\u03bb\u03b5\u03af\u03c0\u03b5\u03b9 \u03b7 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03b7 TSH. \u0388\u03bd\u03b1 \u03c4\u03ad\u03c4\u03bf\u03b9\u03bf \u03c0\u03b1\u03c1\u03ac\u03b4\u03b5\u03b9\u03b3\u03bc\u03b1 \u03b4\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c0\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 (1.5. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1, \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2).<\/p>\n<p style=\"text-align: justify;\">\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 1.2. \u0391\u03c0\u03b1\u03b9\u03c4\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf\u03c2 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae\u03c2 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03ae \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03c9\u03bd \u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd, \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2.<\/p>\n<table style=\"width: 100%;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\" align=\"left\">\n<tbody>\n<tr style=\"background-color: #385a72;\">\n<td><strong><span style=\"color: #ffffff;\">\u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03ae \u03ac\u03bb\u03bb\u03b1 \u03c3\u03ba\u03b5\u03c5\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1<\/span><\/strong><\/td>\n<td><span style=\"color: #ffffff;\"><strong>\u03a7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae\u03c2<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>\u0391\u03bd\u03c4\u03b9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac<\/td>\n<td>3-7 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u03a4\u03c1\u03b9\u03b9\u03c9\u03b4\u03bf\u03b8\u03c5\u03c1\u03bf\u03bd\u03af\u03bd\u03b7<\/td>\n<td>2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u0398\u03c5\u03c1\u03bf\u03be\u03af\u03bd\u03b7<\/td>\n<td>4 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u03a3\u03ba\u03b5\u03c5\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03bf\u03c5\u03bd \u03b9\u03ce\u03b4\u03b9\u03bf (\u03b1\u03c0\u03bf\u03c7\u03c1\u03b5\u03bc\u03c0\u03c4\u03b9\u03ba\u03ac \u03c3\u03b9\u03c1\u03cc\u03c0\u03b9\u03b1, \u03b2\u03b9\u03c4\u03b1\u03bc\u03b9\u03bd\u03b5\u03c2, \u03c3\u03ba\u03b5\u03c5\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b4\u03b9\u03b1\u03b9\u03c4\u03b7\u03c4\u03b9\u03ba\u03ce\u03bd \u03c4\u03c1\u03bf\u03c6\u03ce\u03bd<\/td>\n<td>1-2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u03a4\u03bf\u03c0\u03b9\u03ba\u03ae \u03c7\u03c1\u03ae\u03c3\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5<\/td>\n<td>1-2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u0391\u03bc\u03b9\u03bf\u03b4\u03b1\u03c1\u03cc\u03bd\u03b7<\/td>\n<td>6 \u03bc\u03ae\u03bd\u03b5\u03c2<\/td>\n<\/tr>\n<tr>\n<td>\u0399\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03b1 \u03c3\u03ba\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>&#8211; \u03c4\u03b1 \u03c3\u03c5\u03bd\u03ae\u03b8\u03b7 \u03c5\u03b4\u03b1\u03c4\u03bf\u03b4\u03b9\u03b1\u03bb\u03c5\u03c4\u03ac \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2<br \/>\n&#8211; \u03bb\u03b9\u03c0\u03bf\u03b4\u03b9\u03b1\u03bb\u03c5\u03c4\u03ac per os (\u03c0\u03c7. \u03b3\u03b9\u03b1 \u03c7\u03bf\u03bb\u03bf\u03ba\u03c5\u03c3\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1)<br \/>\n&#8211; \u03c3\u03ba\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03b3\u03b9\u03b1 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<br \/>\n&#8211; \u03c3\u03ba\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03b3\u03b9\u03b1 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/td>\n<td>3-4 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2<br \/>\n3 \u03bc\u03ae\u03bd\u03b5\u03c2<br \/>\n6-12 \u03bc\u03ae\u03bd\u03b5\u03c2<br \/>\n2-10 \u03ad\u03c4\u03b7<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5 style=\"text-align: justify;\">1.3. \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae<\/h5>\n<p style=\"text-align: justify;\">\u0393\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 \u03bf\u03c0\u03ae\u03c2 \u03ba\u03b1\u03c1\u03c6\u03af\u03b4\u03b1\u03c2 (pinhole), \u03b4\u03b9\u03cc\u03c4\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c5\u03b3\u03c7\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 (resolution) \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd (parallel hole), \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ad\u03c2 \u03c4\u03b7\u03c2 \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03ae \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03c4\u03c1\u03b9\u03c0\u03c4\u03b9\u03ba\u03ae \u03c0\u03bb\u03b5\u03b9\u03bf\u03c8\u03b7\u03c6\u03af\u03b1 \u03c4\u03bf\u03c5\u03c2. \u03a4\u03bf \u03ac\u03bd\u03bf\u03b9\u03b3\u03bc\u03b1 (aperture) \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 5 mm \u03ae \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf. \u038c\u03c3\u03bf \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 pinhole \u03b1\u03c0\u03cc \u03c4\u03bf \u03b5\u03be\u03b5\u03c4\u03b1\u03b6\u03cc\u03bc\u03b5\u03bd\u03bf \u03cc\u03c1\u03b3\u03b1\u03bd\u03bf, \u03c4\u03cc\u03c3\u03bf \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03bf \u03c1\u03c5\u03b8\u03bc\u03cc\u03c2 \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u03c2 \u03c3\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd (\u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03c9\u03bd) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf\u03c2 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03cc\u03bd \u03c4\u03bf\u03c5 parallel hole, \u03bc\u03b5 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03b7 \u03bf\u03bb\u03bf\u03ba\u03bb\u03ae\u03c1\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03b2\u03c1\u03b1\u03b4\u03cd\u03bd\u03b5\u03c4\u03b1\u03b9. \u0395\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd, \u03bc\u03b5 \u03c4\u03bf\u03bd pinhole \u03b7 \u03b3\u03b5\u03c9\u03bc\u03b5\u03c4\u03c1\u03af\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03c0\u03b1\u03c1\u03b1\u03bc\u03bf\u03c1\u03c6\u03c9\u03bc\u03ad\u03bd\u03b7, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03c4\u03b1 \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03c0\u03bf\u03c5 \u03b2\u03c1\u03af\u03c3\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c3\u03b9\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03bf \u03ac\u03bd\u03bf\u03b9\u03b3\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c0\u03c1\u03bf\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03bc\u03b5 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ac \u03c0\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03bf \u03b1\u03c0\u03bf\u03bc\u03b1\u03ba\u03c1\u03c5\u03c3\u03bc\u03ad\u03bd\u03b1. \u039f\u03b9 \u03b2\u03b1\u03c3\u03b9\u03ba\u03ad\u03c2 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03ad\u03c2 pinhole \u03ba\u03b1\u03b9 parallel hole \u03c6\u03b1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.3.<\/p>\n<p style=\"text-align: justify;\">\u0391\u03ba\u03cc\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole \u03b7 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7. \u039c\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b1\u03c0\u03cc 10 mm \u03b4\u03b5\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9. \u0395\u03bd\u03af\u03bf\u03c4\u03b5, \u03cc\u03b6\u03bf\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b1\u03c0\u03cc 10 mm \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b4\u03b9\u03b1\u03c6\u03b5\u03cd\u03b3\u03bf\u03c5\u03bd, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03cc\u03c4\u03b1\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b5 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03b8\u03ad\u03c3\u03b7, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac \u03c0\u03bf\u03bb\u03cd \u03b1\u03c0\u03cc \u03c4\u03bf \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03cc \u03c5\u03b3\u03b9\u03ad\u03c2 \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1. \u039f\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c5\u03ba\u03bf\u03bb\u03cc\u03c4\u03b5\u03c1\u03b1, \u03b1\u03ba\u03cc\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c4\u03c9\u03bd 10 mm (\u03ad\u03c9\u03c2 \u03ba\u03b1\u03b9 5 mm).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (anterior, ANT) \u03ba\u03b1\u03b9 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b5\u03c2 \u03bb\u03bf\u03be\u03ad\u03c2 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ad\u03c2 (right anterior oblique, RAO \u03ba\u03b1\u03b9 left anterior oblique, LAO) \u03bc\u03b5 \u03c4\u03bf\u03bd \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c3\u03b5 \u03b1\u03c0\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7 5-7 cm \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b5\u03c0\u03b9\u03c6\u03ac\u03bd\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5. \u039f\u03b9 \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b5\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b4\u03b9\u03b1\u03b3\u03c1\u03b1\u03c6\u03ae \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd, \u03c4\u03b7\u03bd \u03c0\u03bb\u03b7\u03c1\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b1\u03b4\u03c1\u03ae \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf \u03c7\u03ce\u03c1\u03bf, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.4. \u039b\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bc\u03b9\u03b1 \u03bc\u03b1\u03ba\u03c1\u03b9\u03bd\u03ae \u03bb\u03ae\u03c8\u03b7, \u03c3\u03b5 \u03b1\u03c0\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7 15-20 cm \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03c3\u03c4\u03bf \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c0\u03b5\u03b4\u03af\u03bf \u03cc\u03bb\u03bf\u03c2 \u03bf \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bb\u03b7\u03c0\u03c4\u03ad\u03c2 \u03bf\u03b9 \u03b4\u03b9\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03bf \u03b2\u03b1\u03b8\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03bf\u03c5\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2 (\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.5). \u03a4\u03ad\u03bb\u03bf\u03c2, \u03c3\u03b5 \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03ba\u03b1\u03c4\u03ac\u03b4\u03c5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1\u03c2 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c2 (\u03c3\u03b7\u03bc\u03b5\u03b9\u03b1\u03ba\u03cc\u03c2) \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03b5\u03af\u03ba\u03c4\u03b7\u03c2 (\u03ba\u03bf\u03b2\u03b1\u03bb\u03c4\u03af\u03bf\u03c5-57 \u03ae \u03b1\u03c5\u03c4\u03bf\u03c3\u03c7\u03ad\u03b4\u03b9\u03bf\u03c2 Tc-99m) \u03c3\u03c4\u03b7 \u03c3\u03c6\u03b1\u03b3\u03ae (\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.6). \u03a3\u03b5 \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 (\u03cc\u03c4\u03b1\u03bd \u03c0.\u03c7. \u03b4\u03b9\u03b5\u03c1\u03b5\u03c5\u03bd\u03ac\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03c5\u03c0\u03bf\u03be\u03b5\u03af\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 \u03ae \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03c9\u03b8\u03b5\u03af \u03b7 \u03bd\u03cc\u03c3\u03bf\u03c2 Graves \u03ae \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03b5\u03af \u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03bc\u03b5\u03b3\u03ac\u03bb\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd) \u03b7 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03bf\u03b4\u03b5\u03ba\u03c4\u03ae \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae. \u0393\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03bf \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-704\" alt=\"10.6-figure3\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3.jpg\" width=\"650\" height=\"444\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3-300x204.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3-624x426.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.3<\/strong><\/em>. \u039a\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd \u03ba\u03b1\u03b9 pinhole. \u0394\u03b9\u03b1\u03c6\u03bf\u03c1\u03ad\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0391) \u0394\u03b9\u03ba\u03ad\u03c6\u03b1\u03bb\u03b7 \u03b3-\u03ba\u03ac\u03bc\u03b5\u03c1\u03b1 \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03b7 \u03bc\u03af\u03b1 \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae \u03c6\u03ad\u03c1\u03b5\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole \u03ba\u03b1\u03b9 \u03b7 \u03ac\u03bb\u03bb\u03b7 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd. \u0392) \u03a3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03b4\u03cd\u03bf \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b5\u03c2. \u03a3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 pinhole, \u03c4\u03bf \u03b5\u03af\u03b4\u03c9\u03bb\u03bf \u03c4\u03bf\u03c5 \u03bf\u03c1\u03b3\u03ac\u03bd\u03bf\u03c5 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd\u03b5\u03c3\u03c4\u03c1\u03b1\u03bc\u03bc\u03ad\u03bd\u03bf, \u03bc\u03b5 \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 (\u03ba\u03b1\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b7 \u03c7\u03c9\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1) \u03c4\u03cc\u03c3\u03bf \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf, \u03cc\u03c3\u03bf \u03c0\u03bb\u03b7\u03c3\u03b9\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03cc\u03c1\u03b3\u03b1\u03bd\u03bf \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03bf \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2. \u0393) \u0395\u03af\u03bd\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03c4\u03bf \u03c0\u03bb\u03b5\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bf \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 pinhole.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u00a0\u0397 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03c3\u03b7 (single photon emission tomography, SPECT) \u03b4\u03b5\u03bd \u03b5\u03ba\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae \u03c1\u03bf\u03c5\u03c4\u03af\u03bd\u03b1\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u03a3\u03b5 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03ad\u03c7\u03b5\u03b9 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b5\u03c2 \u03b5\u03c0\u03b9\u03c0\u03c1\u03cc\u03c3\u03b8\u03b5\u03c4\u03b5\u03c2 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b5\u03c2. \u039c\u03b5\u03c1\u03b9\u03ba\u03ac \u03c0\u03b1\u03c1\u03b1\u03b4\u03b5\u03af\u03b3\u03bc\u03b1\u03c4\u03b1 \u03b4\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c0\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 (1.5. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2). \u0397 SPECT \u03ba\u03b1\u03b9 \u03b1\u03ba\u03cc\u03bc\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03b7 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae SPECT\/CT \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b5\u03c2 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2. \u03a4\u03bf \u03b8\u03ad\u03bc\u03b1 \u03b1\u03bd\u03b1\u03c0\u03c4\u03cd\u03c3\u03c3\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1.<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9 (7). \u0395\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd, \u03b7 \u03c4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b5\u03b9\u03b1\u03ba\u03bf\u03cd \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b4\u03b5\u03af\u03ba\u03c4\u03b7 \u03c3\u03c4\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd E\u03b9\u03ba\u03cc\u03bd\u03b1 1.7. \u0397 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03c4\u03b7\u03c2 \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c0\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 (1.5. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1, \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03b9\u03cc\u03bd \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b9\u03cc\u03bd \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (\u03b9\u03c9\u03b4\u03af\u03b4\u03b9\u03bf) \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03bf\u03c5\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03b5\u03ba\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03c3\u03af\u03b5\u03bb\u03bf. \u0395\u03bd\u03af\u03bf\u03c4\u03b5, \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03c3\u03b9\u03ad\u03bb\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b7\u03bc\u03b9\u03bf\u03c5\u03c1\u03b3\u03ae\u03c3\u03b5\u03b9 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac \u03c0\u03c1\u03bf\u03b2\u03bb\u03ae\u03bc\u03b1\u03c4\u03b1 (\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.8\u0391). \u03a3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03cd\u03b4\u03b1\u03c4\u03bf\u03c2 per os \u03b5\u03af\u03c4\u03b5 \u03b5\u03ba \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c0\u03c1\u03b9\u03bd \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03ae \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1. \u03a3\u03b5 \u03b1\u03bc\u03c6\u03af\u03b2\u03bf\u03bb\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03b7 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae (SPECT\/CT) \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd E\u03b9\u03ba\u03cc\u03bd\u03b1 1.8\u0392.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-705\" alt=\"10.6-figure4\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4.jpg\" width=\"650\" height=\"165\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4-300x76.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4-624x158.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.4.<\/strong><\/em> \u03a0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole. \u039f\u03b9 \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03b2\u03bf\u03b7\u03b8\u03bf\u03cd\u03bd \u03c3\u03c4\u03b7\u03bd \u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b4\u03b9\u03b1\u03b3\u03c1\u03b1\u03c6\u03ae \u03bc\u03b5\u03c1\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b1\u03b4\u03c1\u03ae \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf \u03c7\u03ce\u03c1\u03bf, \u03cc\u03c0\u03c9\u03c2 \u03bf \u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u03c2\u00bb \u03cc\u03b6\u03bf\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03bf\u03bd \u03ac\u03bd\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd \u03c0\u03bf\u03c5 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03b7 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ae \u03bb\u03bf\u03be\u03ae \u03bb\u03ae\u03c8\u03b7 \u03ba\u03b1\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b5 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03b8\u03ad\u03c3\u03b7 (\u03b2\u03ad\u03bb\u03bf\u03c2) \u03ba\u03b1\u03b9 \u03bf \u00ab\u03b8\u03b5\u03c1\u03bc\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c3\u03c4\u03bf\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd, \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03b8\u03ad\u03c3\u03b7 (\u03b4\u03b9\u03b1\u03ba\u03b5\u03ba\u03bf\u03bc\u03bc\u03ad\u03bd\u03b1 \u03b2\u03ad\u03bb\u03b7).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-706\" alt=\"10.6-figure5\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure5.jpg\" width=\"650\" height=\"356\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure5.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure5-300x164.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure5-624x341.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.5.<\/strong><\/em> \u039c\u03b1\u03ba\u03c1\u03b9\u03bd\u03ae \u03ba\u03b1\u03b9 \u03ba\u03bf\u03bd\u03c4\u03b9\u03bd\u03ae \u03bb\u03ae\u03c8\u03b7 \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole. \u03a3\u03c4\u03b7\u03bd \u03bc\u03b1\u03ba\u03c1\u03b9\u03bd\u03ae \u03bb\u03ae\u03c8\u03b7 \u03b3\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bb\u03b7\u03c0\u03c4\u03ad\u03c2 \u03bf\u03b9 \u03b4\u03b9\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03b3\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03c9\u03bd \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03c9\u03bd. \u0397 \u03ba\u03bf\u03bd\u03c4\u03b9\u03bd\u03ae \u03bb\u03ae\u03c8\u03b7 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1. \u0395\u03b4\u03ce \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-707\" alt=\"10.6-figure6\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure6.jpg\" width=\"650\" height=\"311\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure6.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure6-300x143.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure6-624x298.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.6.<\/strong><\/em> \u039f \u03af\u03b4\u03b9\u03bf\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2, \u03c0\u03c1\u03b9\u03bd \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03c4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03b1\u03c5\u03c4\u03bf\u03c3\u03c7\u03ad\u03b4\u03b9\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b4\u03b5\u03af\u03ba\u03c4\u03b7 \u03c3\u03c4\u03b7 \u03c3\u03c6\u03b1\u03b3\u03ae (\u03b2\u03ad\u03bb\u03bf\u03c2). \u03a6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03c4\u03b1 \u03ba\u03ac\u03c4\u03c9 \u03cc\u03c1\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c4\u03b1\u03b4\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ac.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-708\" alt=\"10.6-figure7\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure7.jpg\" width=\"650\" height=\"311\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure7.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure7-300x143.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure7-624x298.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.7<\/strong><\/em>. \u0397 \u03b1\u03be\u03af\u03b1 \u03c4\u03b7\u03c2 \u03c7\u03c1\u03ae\u03c3\u03b7\u03c2 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03b4\u03b5\u03af\u03ba\u03c4\u03b7 \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7. \u03a3\u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03cd\u03c3\u03b1 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03bf\u03b9 \u03b4\u03b5\u03af\u03ba\u03c4\u03b5\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b7\u03b8\u03b5\u03af \u03c3\u03c4\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03b4\u03cd\u03bf \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd (\u03c0\u03b1\u03c7\u03ad\u03b1 \u03b2\u03ad\u03bb\u03b7). \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b4\u03cd\u03bf \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2. \u039c\u03b5\u03c4\u03b1\u03be\u03cd \u03b1\u03c5\u03c4\u03ce\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b1\u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c4\u03bf\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 (\u03bb\u03b5\u03c0\u03c4\u03cc \u03b2\u03ad\u03bb\u03bf\u03c2).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-709\" alt=\"10.6-figure8\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure8.jpg\" width=\"650\" height=\"219\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure8.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure8-300x101.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure8-624x210.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.8<\/strong><\/em>. \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c3\u03b9\u03ad\u03bb\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf. \u0391) \u03a0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03bb\u03ae\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1, \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd. \u0394\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03b3\u03c1\u03b1\u03bc\u03bc\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf (\u03bc\u03b1\u03ba\u03c1\u03cd \u03bf\u03c1\u03b9\u03b6\u03cc\u03bd\u03c4\u03b9\u03bf \u03b2\u03ad\u03bb\u03bf\u03c2). \u0392) SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c3\u03c4\u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1. \u0395\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae \u03b8\u03ad\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5 (\u03ba\u03bf\u03bd\u03c4\u03ac \u03bb\u03bf\u03be\u03ac \u03b2\u03ad\u03bb\u03b7).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h5 style=\"text-align: justify;\">\u00a01.4. \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2. \u03a4\u03c5\u03c0\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2<\/h5>\n<p style=\"text-align: justify;\">\u039f\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c5\u03bd\u03bf\u03c8\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c0\u03af\u03bd\u03b1\u03ba\u03b1 1.3.<\/p>\n<h6 style=\"text-align: justify;\">1.4.1. \u0394\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2<\/h6>\n<p style=\"text-align: justify;\">\u0395\u03b4\u03ce \u03bf \u03c1\u03cc\u03bb\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c5\u03bd\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u2019 \u03b1\u03c1\u03c7\u03ae\u03bd \u03c3\u03c4\u03b7 \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c5\u03c8\u03b7\u03bb\u03ae (\u03ae \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae) \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 (uptake) \u03ba\u03b1\u03b9 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae (\u03ae \u03bc\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae) \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 (8). \u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b5\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03b7\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03af\u03b1\u03c2 \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (American Thyroid Association, ATA) \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03af\u03b1\u03c2 \u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03c9\u03bd (American Association of Clinical Endocrinologists, AACE), \u03c4\u03bf uptake \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03bf, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ae\u03c2 (9). \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03c5 uptake \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 Tc-99m pertechnetate. \u03a3\u03c4\u03b7\u03bd E\u03b9\u03ba\u03cc\u03bd\u03b1 1.9 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03cd\u03bf \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03c4\u03af\u03b8\u03b5\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03af\u03c4\u03b9\u03b1 \u03c3\u03b5 \u03ba\u03ac\u03b8\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7.<\/p>\n<p style=\"text-align: justify;\">\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 1.3. \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2.<\/p>\n<table style=\"width: 100%;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\" align=\"left\">\n<tbody>\n<tr style=\"background-color: #385a72;\">\n<td><span style=\"color: #ffffff;\"><strong>\u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>\u2022\u00a0\u00a0 \u00a0\u0394\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2<br \/>\n\u2022\u00a0\u00a0 \u00a0\u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd<br \/>\n\u2022\u00a0\u00a0 \u00a0\u0394\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bc\u03ac\u03b6\u03b1\u03c2 &#8211; \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03af\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2<br \/>\n\u2022\u00a0\u00a0 \u00a0\u0394\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-868\" alt=\"10.6-figure9\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure9.jpg\" width=\"650\" height=\"373\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure9.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure9-300x172.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure9-624x358.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><br \/>\n<em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.9.<\/strong><\/em> \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c0\u03c1\u03cc\u03c4\u03c5\u03c0\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03af\u03c4\u03b9\u03ac \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7, \u03b5\u03c0\u03af \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03cc\u03b6\u03c9\u03bd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c6\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 (Hashitoxicosis) \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b7 \u03b1\u03c0\u03cc \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1. \u0393\u03b5\u03bd\u03b9\u03ba\u03ac, \u03c4\u03bf uptake \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (\u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c4\u03b7 \u03c0\u03c1\u03ce\u03c4\u03b7 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 (3), \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03b5\u03c0\u03b9\u03ba\u03ac\u03bb\u03c5\u03c8\u03b7 \u03c4\u03c9\u03bd \u03c4\u03b9\u03bc\u03ce\u03bd. \u0397 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b8\u03b1 \u03c3\u03c4\u03b7\u03c1\u03b9\u03c7\u03b8\u03b5\u03af \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03b5 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac, \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1.<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03c4\u03b7\u03bd \u03c5\u03c0\u03bf\u03be\u03b5\u03af\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 (de Quervain) \u03c4\u03c5\u03c0\u03b9\u03ba\u03ac \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae, \u03c0\u03c1\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac \u03bc\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c4\u03b1 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c0\u03c1\u03cc\u03c4\u03c5\u03c0\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03bf\u03c5\u03bd, \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03ad\u03ba\u03c4\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c7\u03c1\u03cc\u03bd\u03bf \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03ad\u03bd\u03b1\u03c1\u03be\u03b7 \u03c4\u03c9\u03bd \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd. \u0388\u03c4\u03c3\u03b9, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03b3\u03c1\u03ac\u03c6\u03b5\u03c4\u03b1\u03b9 \u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03bc\u03b5 \u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae (\u03cc\u03c7\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c1\u03b3\u03b7\u03bc\u03ad\u03bd\u03b7) \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7, \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bb\u03bf\u03b2\u03ce\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c3\u03cd\u03bc\u03bc\u03b5\u03c4\u03c1\u03b7 (\u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03bb\u03b5\u03c5\u03c1\u03ac \u03c0\u03bf\u03c5 \u03ac\u03c1\u03c7\u03b9\u03c3\u03b1\u03bd \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1) \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c0\u03b1\u03bd\u03b9\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 \u03b7 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c5\u03c0\u03bf\u03b4\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5 (E\u03b9\u03ba\u03cc\u03bd\u03b1 1.10).<\/p>\n<hr style=\"width: 100%%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-869\" alt=\"10.6-figure10\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure10.jpg\" width=\"650\" height=\"256\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure10.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure10-300x118.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure10-624x245.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.10<\/strong><\/em>. \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c0\u03c1\u03cc\u03c4\u03c5\u03c0\u03b1 \u03c3\u03b5 \u03c5\u03c0\u03bf\u03be\u03b5\u03af\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1. \u03a3\u03c4\u03bf \u03ba\u03ad\u03bd\u03c4\u03c1\u03bf \u03ba\u03b1\u03b9 \u03b4\u03b5\u03be\u03b9\u03ac \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03c5\u03bf \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b5 \u03b5\u03c4\u03b5\u03c1\u03cc\u03c0\u03bb\u03b5\u03c5\u03c1\u03b7 \u03ba\u03b1\u03b9 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1. \u0397 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03ac\u03bd\u03c4\u03c9\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 (\u03bc\u03b5\u03c1\u03b9\u03ba\u03ae\u03c2) \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03c5\u03b3\u03b9\u03bf\u03cd\u03c2 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 (\u03b5\u03af\u03c3\u03bf\u03b4\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd \u03c3\u03c4\u03b7\u03bd \u03ba\u03c5\u03ba\u03bb\u03bf\u03c6\u03bf\u03c1\u03af\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03ac\u03c3\u03c7\u03bf\u03c5\u03c3\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae -&gt; \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 TSH).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03ae \u03bc\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03bb\u03bf\u03c7\u03b5\u03af\u03b1\u03c2, \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03ce\u03b4\u03c5\u03bd\u03b7 \u03c3\u03c0\u03bf\u03c1\u03b1\u03b4\u03b9\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03ae (facticious) \u03ae \u03c4\u03b7\u03bd \u03b9\u03b1\u03c4\u03c1\u03bf\u03b3\u03b5\u03bd\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7. \u03a3\u03c4\u03bf\u03bd \u03b9\u03c9\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (Iod-Basedow) \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03b5\u03b9. \u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03ae, \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ae \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 (7).<\/p>\n<div>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf \u03b1\u03af\u03c4\u03b9\u03bf \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03bc\u03b9\u03bf\u03b4\u03b1\u03c1\u03cc\u03bd\u03b7, \u03b5\u03bd\u03ce \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac \u03b7 \u03b9\u03bd\u03c4\u03b5\u03c1\u03c6\u03b5\u03c1\u03cc\u03bd\u03b7-\u03b1, \u03c4\u03bf \u03bb\u03af\u03b8\u03b9\u03bf \u03ba\u03b1\u03b9 \u03b7 \u03b9\u03bd\u03c4\u03b5\u03c1\u03ba\u03b5\u03c5\u03ba\u03af\u03bd\u03b7-2. \u03a4\u03b1 \u03af\u03b4\u03b9\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1, \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03ae \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac, \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ad\u03c3\u03bf\u03c5\u03bd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc \u03ae \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (10). \u0397 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\u03a3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7 \u03b5\u03be \u03b1\u03bc\u03b9\u03bf\u03b4\u03b1\u03c1\u03cc\u03bd\u03b7\u03c2 \u03c4\u03bf \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03ae \u03c4\u03bf \u03c5\u03c8\u03b7\u03bb\u03cc uptake \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03b5\u03b9 \u03b9\u03c9\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (\u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7 \u03b5\u03be \u03b1\u03bc\u03b9\u03bf\u03b4\u03b1\u03c1\u03cc\u03bd\u03b7\u03c2 \u03c4\u03cd\u03c0\u03bf\u03c5 \u0399), \u03cc\u03bc\u03c9\u03c2 \u03c4\u03bf \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc uptake \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af 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\u03bc\u03b9\u03c4\u03bf\u03c7\u03bf\u03bd\u03b4\u03c1\u03b9\u03b1\u03ba\u03ae \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b1\u03bd\u03c4\u03b1\u03bd\u03b1\u03ba\u03bb\u03ac \u03c4\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5. \u03a3\u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 Sestamibi \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03b7 \u03b7 \u03bc\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae, \u03bb\u03cc\u03b3\u03c9 \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5, \u03b5\u03bd\u03ce \u03c3\u03c4\u03bf\u03bd \u03b9\u03c9\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ae \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 (12). \u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b7 \u03b4\u03b9\u03ba\u03ae \u03bc\u03b1\u03c2 \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03af\u03b1, \u03bf \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 1.11, \u03cc\u03bc\u03c9\u03c2 \u03c3\u03c5\u03c7\u03bd\u03ac \u03c4\u03bf \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9. \u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03ba\u03bf\u03bb\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b1\u03be\u03b9\u03bf\u03bb\u03cc\u03b3\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ad\u03bb\u03bb\u03b5\u03b9\u03c8\u03b7 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03bf\u03c1\u03ac\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03bd\u03ad\u03bd\u03b1 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc, \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc, \u03b2\u03b9\u03bf\u03c7\u03b7\u03bc\u03b9\u03ba\u03cc \u03ae \u03c0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03bf\u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03ba\u03c1\u03b9\u03c4\u03ae\u03c1\u03b9\u03bf \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c3\u03c6\u03b1\u03bb\u03ad\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c4\u03b5\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7. \u03a4\u03bf \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03ba\u03c1\u03b9\u03c4\u03ae\u03c1\u03b9\u03bf (\u03b4\u03b7\u03bb. \u03b7 \u03ad\u03ba\u03b2\u03b1\u03c3\u03b7, \u03b5\u03ac\u03bd \u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bb\u03ac\u03b2\u03b5\u03b9 \u03bc\u03cc\u03bd\u03bf \u03b1\u03bd\u03c4\u03b9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03ae \u03bc\u03cc\u03bd\u03bf \u03ba\u03bf\u03c1\u03c4\u03b9\u03ba\u03bf\u03b5\u03b9\u03b4\u03ae) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03c3\u03c7\u03c5\u03c1\u03ac \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03cc, \u03cc\u03bc\u03c9\u03c2 \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03be\u03b9\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b9\u03bc\u03bf \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03ac\u03be\u03b7, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac \u03bf\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03b1\u03bd\u03c4\u03b9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u03ba\u03bf\u03c1\u03c4\u03b9\u03ba\u03bf\u03b5\u03b9\u03b4\u03ce\u03bd. \u03a0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2, \u03b7 \u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03ce\u03bd, \u03bc\u03b5 \u03ac\u03b3\u03bd\u03c9\u03c3\u03c4\u03b7 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03ac\u03b3\u03bd\u03c9\u03c3\u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03bf\u03c7\u03ae\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03ba\u03ac\u03b8\u03b5 \u03c6\u03bf\u03c1\u03ac, \u03b4\u03c5\u03c3\u03ba\u03bf\u03bb\u03b5\u03cd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03be\u03b1\u03b3\u03c9\u03b3\u03ae \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-870\" alt=\"10.6-figure11\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure11.jpg\" width=\"474\" height=\"834\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure11.jpg 474w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure11-170x300.jpg 170w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.11.<\/b><\/em> \u03a3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bc\u03b5 <sup>99<\/sup><sup>m<\/sup>Tc-pertecnetate (\u03c0\u03ac\u03bd\u03c9 \u03c3\u03b5\u03b9\u03c1\u03ac) \u03ba\u03b1\u03b9 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi (\u03ba\u03ac\u03c4\u03c9 \u03c3\u03b5\u03b9\u03c1\u03ac) \u03c3\u03b5 4 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7 \u03b5\u03be \u03b1\u03bc\u03b9\u03bf\u03b4\u03b1\u03c1\u03cc\u03bd\u03b7\u03c2. \u0391) \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd, \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03cc \u03b1\u03bc\u03b9\u03b3\u03ce\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ae\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 (\u03c4\u03cd\u03c0\u03bf\u03c2 II). \u0392) \u039c\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2, \u03bc\u03b5 \u03b1\u03c3\u03cd\u03bc\u03bc\u03b5\u03c4\u03c1\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 Sestamibi \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b4\u03b5\u03be\u03b9\u03cc \u03bb\u03bf\u03b2\u03cc. \u03a0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc \u03b5\u03be \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03c9\u03bd, \u03c3\u03b5 \u03ad\u03b4\u03b1\u03c6\u03bf\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 (\u03c4\u03cd\u03c0\u03bf\u03c2 I). \u0393) \u039c\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4<\/sub><sup>&#8211; <\/sup>\u03ba\u03b1\u03b9 \u03ae\u03c0\u03b9\u03b1\/\u03bc\u03ad\u03c4\u03c1\u03b9\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 Sestamibi. \u039c\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7, \u03af\u03c3\u03c9\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03ce\u03bd \u03c0\u03c1\u03cc\u03ba\u03bb\u03b7\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03b9\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2. \u0394) \u03a6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4<\/sub><sup>&#8211;<\/sup>, \u03ba\u03b1\u03b8\u2019 \u03c5\u03c0\u03b5\u03c1\u03bf\u03c7\u03ae\u03bd \u03c3\u03c4\u03bf\u03bd \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03cc \u03bb\u03bf\u03b2\u03cc. \u0391\u03bd\u03b5\u03be\u03b1\u03c1\u03c4\u03ae\u03c4\u03c9\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 Sestamibi (\u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03ac\u03bd\u03c4\u03c9\u03c2 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae) \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03b5\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc \u03b5\u03be \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03c9\u03bd (\u03c4\u03cd\u03c0\u03bf\u03c2 I).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u0395\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd, \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03b9 \u03b5\u03ac\u03bd \u03bf \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc\u03c2 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae (\u03c4\u03bf\u03be\u03b9\u03ba\u03cc \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1\/\u03c4\u03bf\u03be\u03b9\u03ba\u03ae \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7, \u03b4\u03b7\u03bb. \u03c3\u03b5 \u03bd\u03cc\u03c3\u03bf Plummer) \u03ae \u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03b7 \u03c5\u03c0\u03b5\u03c1\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1 (\u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03bc\u03b5 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2), \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>E<\/b><b>\u03b9\u03ba\u03cc\u03bd\u03b1 1.12<\/b>.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-871\" alt=\"10.6-figure12\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure12.jpg\" width=\"650\" height=\"414\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure12.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure12-300x191.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure12-624x397.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.12.<\/b><\/em> \u03a4\u03c5\u03c0\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd \u03b5\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd. \u03a4\u03b1 \u03b2\u03ad\u03bb\u03b7 \u03c3\u03c4\u03b7\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c3\u03b5\u03b9\u03c1\u03ac \u03b4\u03b5\u03af\u03c7\u03bd\u03bf\u03c5\u03bd \u03c4\u03b9\u03c2 \u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u0395\u03c0\u03af \u03bc\u03bf\u03bd\u03ae\u03c1\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5, \u03b7 \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03bf\u03be\u03b9\u03ba\u03bf\u03cd \u03b1\u03b4\u03b5\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5 \u03c3\u03b5 \u03ad\u03b4\u03b1\u03c6\u03bf\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b7. \u03a3\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03cc\u03bc\u03c9\u03c2, \u03b7 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03bf\u03be\u03b9\u03ba\u03ae\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03bc\u03b5 \u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b7. \u0397 \u03b4\u03c5\u03c3\u03ba\u03bf\u03bb\u03af\u03b1 \u03ad\u03b3\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03ac\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ce\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c3\u03c4\u03b1\u03bb\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7. \u0397 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03af\u03c7\u03b9\u03c3\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2. \u0391\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03c3\u03c5\u03bd\u03b1\u03be\u03b9\u03bf\u03bb\u03cc\u03b3\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 (\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03bc\u03b9\u03b1\u03c2 \u03ae \u03c4\u03b7\u03c2 \u03ac\u03bb\u03bb\u03b7\u03c2 \u03bf\u03bd\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2) \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 (\u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd AbTPO, TRAB). \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.13<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03cd\u03bf \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, \u03bc\u03b9\u03b1 \u03c3\u03b5 \u03c5\u03c0\u03cc\u03b2\u03b1\u03b8\u03c1\u03bf \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03ba\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03ba\u03bb\u03b1\u03c3\u03c3\u03b9\u03ba\u03ae \u03c4\u03bf\u03be\u03b9\u03ba\u03ae \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2.<\/p>\n<p style=\"text-align: justify;\">\u03a9\u03c2 \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf Marine-Lenhart \u03bf\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03b1\u03c5\u03c4\u03bf\u03bd\u03cc\u03bc\u03bf\u03c5 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5 (\u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03bf\u03bd\u03ae\u03c1\u03bf\u03c5\u03c2 \u03ae \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd, \u03b4\u03b7\u03bb. \u03bd\u03cc\u03c3\u03bf\u03c5 Plummer) \u03ba\u03b1\u03b9 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves. \u0397 \u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03b7, \u03cc\u03bc\u03c9\u03c2 \u03c3\u03b5 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac\u03c7\u03c1\u03bf\u03bd\u03b7 \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves, \u03bc\u03ae\u03bd\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Plummer \u03bc\u03b5 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03cc \u03b9\u03ce\u03b4\u03b9\u03bf (13). \u03a4\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03c3\u03c0\u03ac\u03bd\u03b9\u03bf (1-2,5% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03bc\u03b5 \u03c3\u03c5\u03bd\u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bc\u03bf\u03bd\u03ae\u03c1\u03bf\u03c5\u03c2 \u03ae \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd). \u039c\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2, \u03c9\u03c2 \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf Marine-Lenhart \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03ba\u03b1\u03c4\u03b1\u03c7\u03c1\u03b7\u03c3\u03c4\u03b9\u03ba\u03ac, \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03c3\u03b5 \u03ad\u03b4\u03b1\u03c6\u03bf\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves. \u03a0\u03b1\u03bb\u03b1\u03b9\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b5\u03af\u03c7\u03b1\u03bd \u03b1\u03bd\u03b1\u03c6\u03b5\u03c1\u03b8\u03b5\u03af \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u00bb \u03cc\u03b6\u03bf \u03c3\u03b5 \u03ad\u03b4\u03b1\u03c6\u03bf\u03c2 Graves, \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1, \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c4\u03b7\u03c2 Graves \u03bc\u03b5 \u0399-131 \u03b1\u03bd\u03b1\u03b4\u03b5\u03af\u03c7\u03b8\u03b7\u03ba\u03b5 \u03c9\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 (\u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2 \u03ae\u03c4\u03b1\u03bd \u03b5\u03be \u03b1\u03c1\u03c7\u03ae\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2, \u03b1\u03bb\u03bb\u03ac TSH-\u03b5\u03be\u03b1\u03c1\u03c4\u03ce\u03bc\u03b5\u03bd\u03bf\u03c2, \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03c2, \u03b2\u03bb. \u03b5\u03c0\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1) (14).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-872\" alt=\"10.6-figure13\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure13.jpg\" width=\"650\" height=\"416\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure13.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure13-300x192.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure13-624x399.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><em><b> \u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.13.<\/b><\/em> \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (\u03c3\u03c4\u03bf \u03ba\u03ad\u03bd\u03c4\u03c1\u03bf) \u03ba\u03b1\u03b9 \u03bb\u03bf\u03be\u03ad\u03c2 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ad\u03c2 \u03c3\u03b5 \u03b4\u03cd\u03bf \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03b4\u03cd\u03bf \u03bb\u03bf\u03b2\u03bf\u03cd\u03c2. \u0391) \u0394\u03b9\u03ac\u03c7\u03c5\u03c4\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5. \u0394\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bf\u03b9 \u03c0\u03c1\u03bf\u03ad\u03c7\u03bf\u03bd\u03c4\u03b5\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 (\u03b2\u03ad\u03bb\u03b7). \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03c5\u03c0\u03b9\u03ba\u03ae \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03b5\u03c0\u03af \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2. \u0392) \u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03b5 \u03c0\u03c1\u03bf\u03ad\u03c7\u03bf\u03bd\u03c4\u03b5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 (\u03b2\u03ad\u03bb\u03b7), \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a4\u03c5\u03c0\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03c4\u03bf\u03be\u03b9\u03ba\u03ae\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6 style=\"text-align: justify;\"><i>\u00a0<\/i><b>1.4.2. \u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd<\/b><\/h6>\n<p style=\"text-align: justify;\"><b>\u00a01.4.2.1. \u0399\u03c9\u03b4\u03af\u03b4\u03b9\u03bf (<sup>123\/131<\/sup>\u0399<sup>&#8211;<\/sup>) \u03ba\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03b9\u03cc\u03bd (<sup>99<\/sup><\/b><b><sup>m<\/sup><\/b><b>Tc<\/b><b>&#8211;<\/b><b>O<\/b><b><sub>4<\/sub><\/b><b><sup>&#8211;<\/sup><\/b><b>)<\/b><\/p>\n<p style=\"text-align: justify;\">\u039f\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af (\u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03af\u00bb), \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03b9 (\u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03af\u00bb) \u03ae \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af (\u00ab\u03c8\u03c5\u03c7\u03c1\u03bf\u03af\u00bb), \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (<sup>123<\/sup>\u0399 \u03ae <sup>131<\/sup>\u0399), \u03b5\u03ac\u03bd \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7, \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03af\u03c3\u03b7 \u03ae \u03b1\u03c3\u03b8\u03b5\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1, \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03c0\u03b1\u03c1\u03b1\u03ba\u03b5\u03af\u03bc\u03b5\u03bd\u03bf \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.14<\/b>). \u039f\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c3\u03c5\u03bd\u03b4\u03c5\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae TSH \u03ba\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 (\u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03b9) \u03ae \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae (\u03ae \u03ba\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03ae \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 TSH) \u03ba\u03b1\u03b9 \u03c7\u03c9\u03c1\u03af\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c5\u03b3\u03b9\u03bf\u03cd\u03c2 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.14 \u0393<\/b> \u03ba\u03b1\u03b9 <b>\u0394<\/b>). \u03a3\u03c4\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 TSH, \u03bf\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03b9 \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b2\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03ae \u03cc\u03c7\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c4\u03c1\u03b9\u03b9\u03c9\u03b4\u03bf\u03b8\u03c5\u03c1\u03bf\u03bd\u03af\u03bd\u03b7\u03c2 (scan \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2) \u03c3\u03b5 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03c5\u03c2 (TSH-\u03b5\u03be\u03b1\u03c1\u03c4\u03ce\u03bc\u03b5\u03bd\u03bf\u03c5\u03c2) \u03ba\u03b1\u03b9 \u03bc\u03b7 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03c5\u03c2 (\u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c5\u03c2), \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1<\/b> 1.15. \u0397 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1, \u03b3\u03b9\u2019 \u03b1\u03c5\u03c4\u03cc \u03b4\u03b5\u03bd \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bc\u03b5 \u03b1\u03bd\u03b1\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7 \u03b4\u03b9\u03b1 \u03bb\u03b5\u03c0\u03c4\u03ae\u03c2 \u03b2\u03b5\u03bb\u03cc\u03bd\u03b7\u03c2 (fine needle aspiration, FNA). \u03a0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03ae (&lt;5%) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c3\u03b5 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03c5\u03c2 \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03cd\u03c2\u00bb \u03ae \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u03c2\u00bb \u03cc\u03b6\u03bf\u03c5\u03c2. \u00ab\u03a7\u03bb\u03b9\u03b1\u03c1\u03bf\u03af\u00bb \u03ae \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03af\u00bb \u03cc\u03b6\u03bf\u03b9 \u03bc\u03b5 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae TSH \u03b1\u03c0\u03b1\u03bd\u03c4\u03ce\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac \u03c3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 Hashimoto \u03ba\u03b1\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b1\u03c4\u03b1 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03b9. \u0397 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c3\u03b5 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac 5-20%, \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c0\u03bf\u03c5 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b7\u03bb\u03b9\u03ba\u03af\u03b1, \u03c4\u03bf \u03c6\u03cd\u03bb\u03bf, \u03c4\u03b7\u03bd \u03b3\u03b5\u03c9\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae, \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03cc\u03bb\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03ba\u03bb\u03c0. \u0397 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03b7 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03c4\u03bf\u03c5 \u00ab\u03c8\u03c5\u03c7\u03c1\u03bf\u03cd\u00bb \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03cc\u03b6\u03bf\u03c5 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03c0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03ae. \u039f\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd (\u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1, \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bc\u03b9\u03ba\u03c1\u03bf-\u03b1\u03c0\u03bf\u03c4\u03b9\u03c4\u03b1\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd, \u03b1\u03bd\u03ce\u03bc\u03b1\u03bb\u03b1 \u03cc\u03c1\u03b9\u03b1, \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03ae\/\u03ba\u03b1\u03b9 \u03c7\u03b1\u03bf\u03c4\u03b9\u03ba\u03ae \u03b1\u03b9\u03bc\u03ac\u03c4\u03c9\u03c3\u03b7 \u03ba\u03bb\u03c0) \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c3\u03b1\u03c6\u03ce\u03c2 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 (40-95%), \u03b1\u03bb\u03bb\u03ac \u03b1\u03c0\u03cc \u03bc\u03b9\u03ba\u03c1\u03ae \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03c5\u03c0\u03bf\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ae\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd FNA (15). \u038c\u03c4\u03b1\u03bd \u03c3\u03c5\u03bd\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03bd\u03cc\u03c2 \u03cd\u03c0\u03bf\u03c0\u03c4\u03b1 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac. \u0397 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03c3\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03b4\u03b5\u03bd \u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03b5\u03b9 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae \u03c4\u03bf\u03c5 \u03bc\u03bf\u03bd\u03ae\u03c1\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5 (\u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03bd\u03ac \u03cc\u03b6\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7, \u03b1\u03bb\u03bb\u03ac \u03b1\u03b8\u03c1\u03bf\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03af\u03b4\u03b9\u03b1) (15). \u039f \u03c0\u03c1\u03bf\u03ad\u03c7\u03c9\u03bd \u03c3\u03b5 \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03b1\u03b3\u03ba\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03bf \u03c0\u03bb\u03ad\u03bf\u03bd \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf\u03c2. \u0388\u03c4\u03c3\u03b9, \u03c3\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03b7 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5(\u03c9\u03bd) \u03c0\u03bf\u03c5 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03b5\u03bd\u03c4\u03b7\u03b8\u03b5\u03af(\u03bf\u03cd\u03bd) \u03b2\u03b1\u03c3\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 \u03cd\u03c0\u03bf\u03c0\u03c4\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03bf \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2. \u039f \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c0\u03bf\u03c5 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03b5\u03b9 \u03b9\u03c3\u03c7\u03cd\u03b5\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5. \u03a3\u03c4\u03b7\u03bd \u03c0\u03c1\u03ac\u03be\u03b7 \u03cc\u03bc\u03c9\u03c2 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c4\u03bf <sup>99<\/sup><sup>m<\/sup>Tc\u039f<sub>4<\/sub>, \u03c4\u03bf\u03c5 \u03bf\u03c0\u03bf\u03af\u03bf\u03c5 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c3\u03b7\u03bc\u03b7 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd, \u03c4\u03bf scan \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c3\u03ae\u03bc\u03b5\u03c1\u03b1 \u03b4\u03b5\u03bd \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03bf\u03c5 \u03c6\u03cc\u03b2\u03bf\u03c5 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ce\u03bd \u03c3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2. \u03a0\u03ac\u03bd\u03c4\u03c9\u03c2, \u03b5\u03ac\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ae\u03b4\u03b7 \u03c3\u03b5 \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03b5 LT4, \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03cc\u03c4\u03b5\u03c1\u03bf \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bd\u03b1 \u03b3\u03af\u03bd\u03b5\u03b9 \u03c5\u03c0\u03cc \u03b1\u03b3\u03c9\u03b3\u03ae. \u03a4\u03c5\u03c7\u03cc\u03bd \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03b1 \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03c7\u03b8\u03bf\u03cd\u03bd \u03b5\u03cd\u03ba\u03bf\u03bb\u03b1, \u03b5\u03bd\u03ce \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03b8\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03b8\u03bf\u03cd\u03bd \u03c3\u03c4\u03bf scan \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af (\u03ae \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03b9). \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.16<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03c1\u03af\u03b1 \u03c4\u03ad\u03c4\u03bf\u03b9\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-873\" alt=\"10.6-figure14\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure14.jpg\" width=\"650\" height=\"163\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure14.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure14-300x75.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure14-624x156.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.14<\/b>.<\/em> \u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd (\u03b2\u03ad\u03bb\u03b7) \u03c3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1. \u0391) \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 (\u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u03c2\u00bb) \u03cc\u03b6\u03bf\u03c2. \u0392) \u0391\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03c2 (\u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03cc\u03c2\u00bb) \u03cc\u03b6\u03bf\u03c2. \u0393) \u039b\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 (\u00ab\u03b8\u03b5\u03c1\u03bc\u03cc\u03c2\u00bb) \u03cc\u03b6\u03bf\u03c2, \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 (\u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c2). \u0394) \u039b\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 (\u00ab\u03b8\u03b5\u03c1\u03bc\u03cc\u03c2\u00bb) \u03cc\u03b6\u03bf\u03c2, \u03c7\u03c9\u03c1\u03af\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u03a0\u03b1\u03bb\u03b1\u03b9\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b5\u03af\u03c7\u03b5 \u03b4\u03bf\u03b8\u03b5\u03af \u03b1\u03c1\u03ba\u03b5\u03c4\u03ae \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03c3\u03c4\u03b9\u03c2 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b5\u03c2 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5-\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b5\u03c2 \u03c3\u03b5\u03b9\u03c1\u03ad\u03c2 \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c0\u03cc 2,5% \u03ad\u03c9\u03c2 31% (16). \u03a3\u03c4\u03b7 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c3\u03b5\u03b9\u03c1\u03ac 316 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd (17) \u03b7 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ae\u03c4\u03b1\u03bd 10% \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b5\u03c2 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03c3\u03b1\u03bd \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03bf\u03c0\u03bf\u03af\u03bf\u03c5\u03c2 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 Tc-99m \u03ae\u03c4\u03b1\u03bd \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae \u03c4\u03bf\u03c5 \u0399-123. \u03a4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03ae\u03c4\u03b1\u03bd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b5\u03b9\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b5\u03c2. \u0388\u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03b1\u03c5\u03c4\u03ce\u03bd \u03c4\u03c9\u03bd \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03b9\u03ce\u03bd \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03c3\u03b5 \u03c3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 Hashimoto, \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b2\u03bb\u03ac\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b7 \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03b7 \u03b5\u03af\u03c3\u03bf\u03b4\u03bf\u03c2 \u03c4\u03c9\u03bd \u03bc\u03bf\u03bd\u03bf\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03c9\u03bd \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf (trapping). \u03a0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03cc\u03b6\u03c9\u03bd \u00ab\u03c8\u03c5\u03c7\u03c1\u03ce\u03bd\u00bb \u03c3\u03c4\u03bf Tc-99m \u03b1\u03bb\u03bb\u03ac \u00ab\u03b8\u03b5\u03c1\u03bc\u03ce\u03bd\u00bb \u03c3\u03c4\u03bf \u0399-123 \u03ae\u03c4\u03b1\u03bd \u03c3\u03c0\u03ac\u03bd\u03b9\u03b5\u03c2 (0,9%). \u0397 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c3\u03b5 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03bc\u03b5 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03b5\u03b9 \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1, \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03cc\u03bc\u03c9\u03c2 \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03b4\u03b5\u03bd \u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae \u03c4\u03c9\u03bd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd. \u03a4\u03bf \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u03c0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1 \u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03cc\u03b6\u03bf\u03b9 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03af\u00bb \u03ae \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03af\u00bb \u03c3\u03c4\u03bf Tc-99m \u03ba\u03b1\u03b9 \u03b7 TSH \u03b5\u03af\u03bd\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae (\u03ae \u03b1\u03bb\u03bb\u03b9\u03ce\u03c2 \u03cc\u03c4\u03b1\u03bd \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c3\u03b1\u03c6\u03ae\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1), \u03b4\u03b9\u03cc\u03c4\u03b9 \u03c3\u03b5 \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c4\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c5\u03c4\u03bf\u03bd\u03cc\u03bc\u03bf\u03c5 \u03b1\u03b4\u03b5\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ae\u03c2. \u03a3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03c3\u03b5\u03b9\u03c1\u03ac 140 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH \u03ba\u03b1\u03b9 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u03c2\u00bb \u03ae \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03cd\u03c2\u00bb \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf Tc-99m, \u03bc\u03b5\u03af\u03b6\u03c9\u03bd \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1 (\u03cc\u03b6\u03bf\u03b9 \u00ab\u03c8\u03c5\u03c7\u03c1\u03bf\u03af\u00bb \u03c3\u03c4\u03bf I-123) \u03c3\u03b7\u03bc\u03b5\u03b9\u03ce\u03b8\u03b7\u03ba\u03b5 \u03c3\u03c4\u03bf 5% (7\/140) \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd. \u0397 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c3\u03c4\u03bf \u03c3\u03cd\u03bd\u03bf\u03bb\u03bf \u03b1\u03c5\u03c4\u03bf\u03cd \u03c4\u03bf\u03c5 \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03bf\u03cd \u03ae\u03c4\u03b1\u03bd 1,4% (2\/140), \u03c3\u03b5 \u03cc\u03b6\u03bf\u03c5\u03c2 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u03c2\u00bb \u03ae \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03cd\u03c2\u00bb \u03c3\u03c4\u03bf \u0399-123 (\u03bc\u03b5 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c3\u03b7\u03bc\u03b7 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c3\u03c4\u03bf Tc-99m \u03ae \u03bc\u03b5 \u03ae\u03c3\u03c3\u03bf\u03bd\u03b1 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1, \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03bc\u03cc\u03bd\u03bf \u03c9\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2) \u03ae\u03c4\u03b1\u03bd 0%, \u03b5\u03bd\u03ce \u03c3\u03c4\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b1\u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd 28% (2\/7) (16).<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03c4\u03bf \u03b4\u03b9\u03ac\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1 \u03c4\u03b7\u03c2 <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 1.17<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03bf\u03c5\u03c2 \u03c4\u03cd\u03c0\u03bf\u03c5\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5. \u03a0\u03bf\u03bb\u03bb\u03bf\u03af \u03c3\u03c5\u03b3\u03b3\u03c1\u03b1\u03c6\u03b5\u03af\u03c2 \u03c3\u03ae\u03bc\u03b5\u03c1\u03b1 \u03b8\u03b5\u03c9\u03c1\u03bf\u03cd\u03bd \u03cc\u03c4\u03b9 \u03cc\u03bb\u03bf\u03b9 \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03bf\u03b9 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03b9 (\u03bc\u03b5 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae TSH) \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af. \u039c\u03b5 \u03c4\u03b7\u03bd \u03c4\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03b1\u03c5\u03c4\u03ae \u03cc\u03bc\u03c9\u03c2, \u03ad\u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b8\u03b1 \u03bf\u03b4\u03b7\u03b3\u03b7\u03b8\u03b5\u03af \u03c3\u03b5 \u03b1\u03bd\u03b1\u03af\u03c4\u03b9\u03b1 FNA, \u03ba\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ce\u03c2 \u03c3\u03b5 \u03b1\u03bd\u03b1\u03af\u03c4\u03b9\u03bf \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf \u03b5\u03ac\u03bd \u03b7 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b1\u03c0\u03bf\u03c6\u03b1\u03bd\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1. \u0398\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03b7\u03bc\u03b5\u03b9\u03c9\u03b8\u03b5\u03af \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd, \u03cc\u03c4\u03b9 \u03ad\u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c4\u03c9\u03bd \u00ab\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd\u00bb \u03cc\u03b6\u03c9\u03bd \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b5\u03af \u03c3\u03c9\u03c3\u03c4\u03ac \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03b7 \u03b5\u03c0\u03b9\u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03c5\u03b3\u03b9\u03ad\u03c2 \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03b5\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03c4\u03af\u03bb\u03b7\u03c8\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5. \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac, \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2 \u00ab\u03b8\u03b5\u03c1\u03bc\u03ce\u03bd\u00bb \u03cc\u03b6\u03c9\u03bd \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b5\u03c1\u03b5\u03c5\u03bd\u03b7\u03b8\u03b5\u03af \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03bc\u03b5 scan \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.15<\/b>), \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03b2\u03ad\u03b2\u03b1\u03b9\u03b1 \u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03a43 (75 \u03bcg \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2) \u03b5\u03c0\u03af \u03bc\u03b9\u03b1 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b1 \u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c3\u03c6\u03b1\u03bb\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae. \u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03b7\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ae\u03c2 \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03af\u03b1\u03c2 \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (ATA) \u03c4\u03bf 2009, \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd (\u03b5\u03af\u03c4\u03b5 \u03bc\u03b5 Tc-99m \u03ae \u03bc\u03b5 I-123) \u03ad\u03c7\u03b5\u03b9 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae TSH (18). \u0388\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 \u0399-123, \u03cc\u03c4\u03b1\u03bd \u03c4\u03bf \u03c0\u03cc\u03c1\u03b9\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc FNA \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03b9 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 \u03bd\u03b5\u03cc\u03c0\u03bb\u03b1\u03c3\u03bc\u03b1. \u03a3\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b5\u03ac\u03bd \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c4\u03cc\u03c4\u03b5 \u03b4\u03b5\u03bd \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 (\u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1), \u03b5\u03bd\u03ce \u03b5\u03ac\u03bd \u03bf \u03cc\u03b6\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2, \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 (18). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c3\u03b5 \u03b3\u03b5\u03c9\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03bc\u03b5 \u03ad\u03bd\u03b4\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03bd \u03bd\u03b1 \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH (\u03ae \u03bc\u03b5 \u03c4\u03b9\u03bc\u03ad\u03c2 TSH \u03c0\u03bb\u03b7\u03c3\u03af\u03bf\u03bd \u03c4\u03c9\u03bd \u03ba\u03b1\u03c4\u03c9\u03c4\u03ad\u03c1\u03c9\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03af\u03c9\u03bd). \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.18<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03c4\u03ad\u03c4\u03bf\u03b9\u03b1 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7. \u0395\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ac, \u03c3\u03b5 \u03bc\u03af\u03b1 \u03c0\u03bf\u03bb\u03c5\u03ba\u03b5\u03bd\u03c4\u03c1\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7 \u0393\u03b5\u03c1\u03bc\u03b1\u03bd\u03af\u03b1 \u03b5\u03c0\u03af 514 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u03c2\u00bb \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf Tc-99m scan, \u03b7 TSH \u03ae\u03c4\u03b1\u03bd \u03ba\u03b1\u03c4\u03b5\u03c3\u03c4\u03b1\u03bb\u03bc\u03ad\u03bd\u03b7 (&lt; 0,33 mU\/ml) \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03bf 20% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd, \u03c4\u03bf 50% \u03b5\u03af\u03c7\u03b5 \u03c4\u03b9\u03bc\u03ad\u03c2 TSH 0,33-1,00 mIU\/ml, \u03b5\u03bd\u03ce 30% \u03b5\u03af\u03c7\u03b1\u03bd &gt; 1 m\u0399U\/ml (19). \u03a3\u03c4\u03b9\u03c2 \u03bd\u03b5\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03ba\u03bf\u03b9\u03bd\u03ad\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u0395\u03c5\u03c1\u03c9\u03c0\u03b1\u03ca\u03ba\u03ce\u03bd \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03b9\u03ce\u03bd \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03c9\u03bd \u03c4\u03bf 2010, \u03c3\u03b7\u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03bf \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03b5\u03c0\u03b5\u03ba\u03c4\u03b5\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH (15).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-874\" alt=\"10.6-figure15\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure15.jpg\" width=\"650\" height=\"169\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure15.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure15-300x78.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure15-624x162.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.15<\/b>.<\/em> Scan \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c3\u03b5 \u03b4\u03cd\u03bf \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u03c2\u00bb \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf \u03b1\u03c1\u03c7\u03b9\u03ba\u03cc \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH. \u0391) \u0391\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2 (\u03b2\u03ad\u03bb\u03b7). \u0392) \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03bb\u03c3\u03b9\u03bc\u03bf\u03b9 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03af\u2019 \u03cc\u03b6\u03bf\u03b9. \u03a4\u03bf scan \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b1 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03a43 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 75 \u03bcg \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2. \u03a6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03cc uptake I-131\/\u0399-123 \u03b5\u03bb\u03b1\u03c4\u03c4\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc 50% \u03c4\u03b7\u03c2 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae\u03c2. \u038c\u03c4\u03b1\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4,<\/sub> \u03b5\u03af\u03c4\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c4\u03b9\u03ba\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7, \u03ae\/\u03ba\u03b1\u03b9 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c3\u03c7\u03ad\u03c3\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03cc\u03b6\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-875\" alt=\"10.6-figure16\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure16.jpg\" width=\"650\" height=\"185\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure16.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure16-300x85.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure16-624x177.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\">\u00a0<b><em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.16<\/em>.<\/b> \u0395\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03c1\u03b5\u03b9\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03bf\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c0\u03cc \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03b5 LT4. \u0391) \u03a3\u03c7\u03b5\u03b4\u03cc\u03bd \u03c0\u03bb\u03ae\u03c1\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO4. \u0388\u03c3\u03c4\u03c9 \u03ba\u03b1\u03b9 \u03b5\u03ac\u03bd \u03b4\u03b5\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9, \u03bf\u03b9 \u03c5\u03c6\u03b9\u03c3\u03c4\u03ac\u03bc\u03b5\u03bd\u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af. \u0392) \u039c\u03bf\u03bd\u03ae\u03c1\u03b7\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd. \u0393) \u039f\u03b9 \u03b4\u03cd\u03bf \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO4 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03bf\u03cd\u03bd \u03c3\u03b5 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2, \u03b5\u03bd\u03ce \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c3\u03c4\u03b1\u03bb\u03bc\u03ad\u03bd\u03bf \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9. \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03ad\u03b4\u03b1\u03c6\u03bf\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><b>1.4.2.2. <sup>99<\/sup><\/b><b><sup>m<\/sup><\/b><b>Tc<\/b><b>&#8211;<\/b><b>Sestamibi<\/b><b> \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd<\/b><\/p>\n<p style=\"text-align: justify;\">\u0391\u03c1\u03ba\u03b5\u03c4\u03ad\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03c3\u03c4\u03bf \u03c0\u03b1\u03c1\u03b5\u03bb\u03b8\u03cc\u03bd \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b1\u03bd \u03c4\u03b7 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03c3\u03c4\u03bf\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd. \u03a4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ad\u03b4\u03b5\u03b9\u03be\u03b1\u03bd \u03c0\u03c4\u03c9\u03c7\u03ae \u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1, \u03c0\u03bf\u03c5 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd 20-40% (\u03b4\u03b7\u03bb. \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 Sestamibi \u03b1\u03c0\u03cc \u03ad\u03bd\u03b1\u03bd \u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u00bb \u03cc\u03b6\u03bf \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03b4\u03b9\u03ba\u03ac\u03b6\u03b5\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1) (20,21), \u03b1\u03bb\u03bb\u03ac \u03c0\u03bf\u03bb\u03cd \u03ba\u03b1\u03bb\u03ae \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 (\u03b4\u03b7\u03bb. \u03b7 \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03bf\u03bc\u03b1\u03ba\u03c1\u03cd\u03bd\u03b5\u03b9 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2). \u03a3\u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c3\u03b5\u03b9\u03c1\u03ad\u03c2 \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b7 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03ae\u03c4\u03b1\u03bd 100% (20), \u03b1\u03bd \u03ba\u03b1\u03b9 \u03c3\u03c0\u03bf\u03c1\u03b1\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03ac (22). \u03a4\u03b1 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1 \u03b1\u03c5\u03c4\u03ac \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b4\u03b5\u03bd \u03b8\u03b5\u03c9\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b1\u03c1\u03ba\u03ae \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03bc\u03b5\u03c4\u03b1\u03b2\u03ac\u03bb\u03bb\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 FNA. \u039d\u03b5\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b5\u03c3\u03c4\u03b9\u03ac\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03bc\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae FNA \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ae \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03bf\u03c5\u03c2 \u03bd\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bd\u03b8\u03b1\u03c1\u03c1\u03c5\u03bd\u03c4\u03b9\u03ba\u03ac \u03cc\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b7\u03bd \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi (23,24) \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03af\u03b6\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b3\u03ba\u03b7 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.19<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03c5\u03bf \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03ae\u03c0\u03b9\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1, \u03c3\u03b5 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b5\u03b9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-876\" alt=\"10.6-figure17\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure17.jpg\" width=\"650\" height=\"412\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure17.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure17-300x190.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure17-624x395.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.17.<\/b><\/em> \u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03c9\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 TSH. \u0393\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u00ab\u03c8\u03c5\u03c7\u03c1\u03bf\u03cd\u03c2\u00bb \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b1\u03c6\u03ce\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c5\u03c2 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u03c2\u00bb \u03cc\u03b6\u03bf\u03c5\u03c2 (\u03b4\u03b7\u03bb. \u03b1\u03c5\u03c4\u03bf\u03cd\u03c2 \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae TSH \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2) \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b1\u03bc\u03c6\u03b9\u03b2\u03bf\u03bb\u03af\u03b5\u03c2. \u0395\u03c0\u03af \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 TSH, \u03bf\u03b9 \u03b8\u03b5\u03c1\u03bc\u03bf\u03af \u03ae \u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03c3\u03c4\u03bf scan \u03bc\u03b5 \u03b9\u03ce\u03b4\u03b9\u03bf \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03ae \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 (&lt;5%), \u03ad\u03c3\u03c4\u03c9 \u03ba\u03b1\u03b9 \u03b1\u03bd \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03b9 (\u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03be\u03c9\u03b3\u03b5\u03bd\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03a43). \u03a0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd \u03bf\u03b9 \u03b8\u03b5\u03c1\u03bc\u03bf\u03af \u03ae \u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03af \u03cc\u03b6\u03bf\u03b9 \u03c3\u03c4\u03bf scan \u03bc\u03b5 \u03c4\u03b5\u03c7\u03bd\u03ae\u03c4\u03b9\u03bf \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03ad\u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03ad\u03c9\u03c2 30% \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af (\u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03c8\u03c5\u03c7\u03c1\u03bf\u03af \u03c3\u03c4\u03bf scan \u03bc\u03b5 \u03b9\u03ce\u03b4\u03b9\u03bf), \u03b5\u03bd\u03ce \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ac\u03bb\u03bb\u03b7 \u03c0\u03bb\u03b5\u03c5\u03c1\u03ac \u03bc\u03b5\u03c1\u03b9\u03ba\u03bf\u03af \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9, \u03b5\u03af\u03c4\u03b5 \u03b5\u03c0\u03b5\u03b9\u03b4\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03ae \u03b5\u03c0\u03b5\u03b9\u03b4\u03ae \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03b4\u03b9\u03b1\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ae \u03ad\u03bd\u03b4\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03b4\u03b5\u03bd \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 TSH.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-877\" alt=\"10.6-figure18\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure18.jpg\" width=\"650\" height=\"213\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure18.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure18-300x98.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure18-624x204.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.18.<\/b><\/em> \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c3\u03b5 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae (TSH = 0.9 IU\/L) \u03bc\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u0391\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03ac\u03bd\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03cc\u03b6\u03bf\u03c5 \u03c3\u03c4\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae, \u03b5\u03bd\u03ce \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03af\u03c3\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03c9\u03bd \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03c9\u03bd \u03b1\u03b4\u03ad\u03bd\u03c9\u03bd. \u03a0\u03b1\u03c1\u03ac \u03c4\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae TSH, \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b1\u03c4\u03b1 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf \u03cc\u03b6\u03bf.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-878\" alt=\"10.6-figure19\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure19.jpg\" width=\"650\" height=\"172\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure19.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure19-300x79.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure19-624x165.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.19.<\/b><\/em> \u03a0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03c3\u03b5 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2. \u0391) \u0395\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b7\u03c2 \u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u03c2\u00bb \u03cc\u03b6\u03bf\u03c2 \u03c3\u03c4\u03bf <sup>99<\/sup><sup>m<\/sup>Tc-O<sub>4<\/sub> scan (\u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac), \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi (\u03bb\u03b5\u03c5\u03ba\u03ac \u03b2\u03ad\u03bb\u03b7). \u0397 \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1. \u0392) \u0389\u03c0\u03b9\u03b1 \u03bc\u03cc\u03bd\u03bf \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-Sestamibi \u03c3\u03b5 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b7 \u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u00bb \u03cc\u03b6\u03bf (\u03b3\u03b1\u03bb\u03ac\u03b6\u03b9\u03b1 \u03b2\u03ad\u03bb\u03b7), \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b1\u03c0\u03b5\u03b4\u03b5\u03af\u03c7\u03b8\u03b7 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b7\u03c2<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6 style=\"text-align: justify;\"><b>\u00a01.4.3. \u0394\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bc\u03ac\u03b6\u03b1\u03c2 &#8211; \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03af\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2<\/b><\/h6>\n<p style=\"text-align: justify;\">\u038c\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5, \u03c4\u03bf Tc-99m \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae \u03b3\u03b9\u2019 \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7\u03bd \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03cc\u03c7\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03cc \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03b7 \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ad\u03bb\u03b5\u03c5\u03c3\u03ae \u03c4\u03b7\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03ad\u03c1\u03bd\u03bf\u03c5. \u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03bf\u03ba\u03b9\u03bc\u03b1\u03c3\u03c4\u03b5\u03af \u03c9\u03c2 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03ad\u03b3\u03b3\u03b9\u03c3\u03b7 \u03c3\u03c4\u03bf \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1, \u03cc\u03bc\u03c9\u03c2 \u03c3\u03b5 \u03b1\u03bc\u03c6\u03af\u03b2\u03bf\u03bb\u03bf \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c7\u03b5\u03b9\u03c1\u03b7\u03b8\u03b5\u03af \u03b7 \u03b9\u03c7\u03bd\u03b7\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b5 \u0399-123 \u03ae \u0399-131. \u03a4\u03bf \u0399-131 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03b2\u03ac\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2, \u03cc\u03bc\u03c9\u03c2 \u03b7 \u03b4\u03b9\u03b5\u03b9\u03c3\u03b4\u03c5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2 \u03c6\u03c9\u03c4\u03bf\u03bd\u03af\u03c9\u03bd \u03c4\u03bf\u03c5 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd \u03c0\u03bb\u03b5\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 \u0399-123. \u0397 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae (SPECT) \u03ba\u03b1\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03b7 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae SPECT\/CT \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03cd\u03c4\u03b9\u03bc\u03b5\u03c2 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b5\u03c2 \u03cc\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b7\u03bd \u03b1\u03ba\u03c1\u03b9\u03b2\u03ae \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.20<\/b>.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-879\" alt=\"10.6-figure20\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure20.jpg\" width=\"650\" height=\"418\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure20.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure20-300x192.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure20-624x401.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em>\u00a0<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.20.<\/b> <\/em>\u039c\u03b5\u03bb\u03ad\u03c4\u03b7 SPECT\/CT \u03bc\u03b5 \u0399-131 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bc\u03ac\u03b6\u03b1\u03c2, \u03cd\u03c0\u03bf\u03c0\u03c4\u03b7\u03c2 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf, \u03c3\u03b5 \u03c4\u03c1\u03af\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1. \u03a3\u03c4\u03b7\u03bd \u03c0\u03ac\u03bd\u03c9 \u03c3\u03b5\u03b9\u03c1\u03ac \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c4\u03b7\u03c2 CT \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ba\u03ac\u03c4\u03c9 \u03bf\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03b5\u03c0\u03b9\u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2-\u03bc\u03b5\u03af\u03be\u03b7\u03c2 (fusion) \u03c4\u03c9\u03bd \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03c9\u03bd \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ce\u03bd \u03c4\u03bf\u03bc\u03ce\u03bd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6 style=\"text-align: justify;\">\u00a0<b>1.4.4. \u0394\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2, \u03bc\u03cc\u03bd\u03b9\u03bc\u03bf\u03c5, \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd<\/b><\/h6>\n<p style=\"text-align: justify;\">\u03a4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 <sup>99<\/sup><sup>m<\/sup>Tc-pertechnetate \u03ae <sup>123<\/sup>\u0399 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b1\u03b9\u03c4\u03af\u03c9\u03bd \u03c4\u03bf\u03c5 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2, \u03bc\u03cc\u03bd\u03b9\u03bc\u03bf\u03c5, \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd. \u03a4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7\u03c2 (Tg).<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03c5\u03c3\u03b3\u03b5\u03bd\u03b5\u03c3\u03af\u03b1 (\u03b1\u03c0\u03bb\u03b1\u03c3\u03af\u03b1, \u03c5\u03c0\u03bf\u03c0\u03bb\u03b1\u03c3\u03af\u03b1, \u03b5\u03ba\u03c4\u03bf\u03c0\u03af\u03b1) \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03bf \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf \u03b1\u03af\u03c4\u03b9\u03bf (~75%), \u03ad\u03c0\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b4\u03c5\u03c3\u03bf\u03c1\u03bc\u03bf\u03bd\u03bf\u03b3\u03ad\u03bd\u03b5\u03c3\u03b7 (~20%), \u03b5\u03bd\u03ce \u03ac\u03bb\u03bb\u03b1 \u03b1\u03af\u03c4\u03b9\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 (~5%) (25).\u00a0 \u0397 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c3\u03c5\u03bc\u03b2\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b4\u03b5\u03b9\u03be\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03ba\u03c4\u03bf\u03c0\u03af\u03b1\u03c2, \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c3\u03b5 \u03c5\u03c0\u03bf\u03b3\u03bb\u03ce\u03c3\u03c3\u03b9\u03b1 \u03ae \u03c5\u03c0\u03bf\u03b3\u03bd\u03ac\u03b8\u03b9\u03b1 \u03b8\u03ad\u03c3\u03b7, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03c5\u03b8\u03cd\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf ~35% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd \u03b4\u03c5\u03c3\u03b3\u03b5\u03bd\u03b5\u03c3\u03af\u03b1\u03c2. \u03a3\u03b5 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ac \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b9\u03ba\u03c1\u03cc\u03c2 \u03c5\u03c0\u03bf\u03b3\u03bb\u03ce\u03c3\u03c3\u03b9\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c6\u03cd\u03b3\u03b5\u03b9, \u03bb\u03cc\u03b3\u03c9 \u03b5\u03c0\u03b9\u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf \u03c3\u03af\u03b5\u03bb\u03bf \u03c3\u03c4\u03b7 \u03c3\u03c4\u03bf\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1. \u03a4\u03bf \u0399-123, \u03b5\u03ac\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf, \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03cc\u03c4\u03b5\u03c1\u03bf \u03b1\u03c0\u03cc \u03c4\u03bf \u03a4c-99m, \u03bb\u03cc\u03b3\u03c9 \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae (26). \u0397 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b4\u03b5\u03b9\u03be\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03ba\u03c4\u03bf\u03c0\u03af\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7.<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03b4\u03c5\u03c3\u03bf\u03c1\u03bc\u03bf\u03bd\u03bf\u03b3\u03ad\u03bd\u03b5\u03c3\u03b7 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c4\u03ad\u03bb\u03b5\u03b9\u03b5\u03c2 \u03c4\u03c9\u03bd \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03ce\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (\u03c4\u03cd\u03c0\u03bf\u03c5 1) \u03ae \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 (\u03c4\u03cd\u03c0\u03bf\u03c5 2) \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03ae \u03c3\u03b5 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ad\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c6\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 (\u03c4\u03cd\u03c0\u03bf\u03c5 3), \u03c0\u03bf\u03c5 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03bd \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7, \u03c3\u03c4\u03b7 \u03b4\u03b5\u03b1\u03bb\u03bf\u03b3\u03bf\u03bd\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b9\u03c9\u03b4\u03bf\u03c4\u03c5\u03c1\u03bf\u03c3\u03af\u03bd\u03b7\u03c2 (DEHL1) \u03ae \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c3\u03c4\u03b9\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ad\u03c2 \u03bf\u03c1\u03bc\u03cc\u03bd\u03b5\u03c2. \u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b3\u03b5\u03bd\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b5\u03c2 \u03c4\u03b7\u03c2 \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2, \u03c0\u03bf\u03c5 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c5\u03c0\u03b5\u03c1\u03bf\u03be\u03b5\u03b9\u03b4\u03ac\u03c3\u03b7 \u03ae \u03c4\u03b7\u03bd \u03c0\u03b5\u03bd\u03c4\u03c1\u03af\u03bd\u03b7 (\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf Pendred). \u03a3\u03b5 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03ae \u03ba\u03b1\u03b9 \u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03bf\u03b3\u03ba\u03c9\u03bc\u03ad\u03bd\u03bf\u03c2. \u0397 \u03b4\u03bf\u03ba\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03b5\u03ba\u03c6\u03cc\u03c1\u03c4\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c5\u03c0\u03b5\u03c1\u03c7\u03bb\u03c9\u03c1\u03b9\u03ba\u03cc \u03ba\u03ac\u03bb\u03b9\u03bf (perchlorate discharge test), \u03b1\u03bd \u03ba\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03ac\u03be\u03b7, \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03b9 \u03c0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c0\u03bf\u03bc\u03ac\u03ba\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae (\u03c0\u03c4\u03ce\u03c3\u03b7 \u03c4\u03bf\u03c5 uptake I-123 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c5\u03c0\u03b5\u03c1\u03c7\u03bb\u03c9\u03c1\u03b9\u03ba\u03bf\u03cd \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc 50% \u03c4\u03b7\u03c2 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae\u03c2 \u03c4\u03b9\u03bc\u03ae\u03c2). \u0397 \u03b4\u03bf\u03ba\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03b9 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ad\u03c2 \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03ba\u03b1\u03b9 \u03c4\u03cd\u03c0\u03bf\u03c5 3, \u03b1\u03c6\u03bf\u03cd \u03c3\u03c4\u03b7 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03bf test \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc. \u03a3\u03b5 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae \u03c4\u03cd\u03c0\u03bf\u03c5 1, \u03c0\u03bf\u03c5 \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03b5 \u03b3\u03b5\u03bd\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b5\u03c2 \u03b5\u03af\u03c4\u03b5 \u03c3\u03c4\u03bf\u03bd \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03b1 \u03c4\u03b7\u03c2 TSH (TSH-R) \u03ae \u03c3\u03c4\u03bf\u03bd \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ad\u03b1 \u03bd\u03b1\u03c4\u03c1\u03af\u03bf\u03c5-\u03b9\u03c9\u03b4\u03af\u03bf\u03c5 (NIS), \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b4\u03b5\u03af\u03c7\u03bd\u03b5\u03b9 \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03ae \u03c0\u03bf\u03bb\u03cd \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7. \u03a3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b1\u03bd\u03c9\u03bc\u03b1\u03bb\u03b9\u03ce\u03bd \u03c4\u03bf\u03c5 NIS, \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b4\u03b5\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bf\u03cd\u03c4\u03b5 \u03bf\u03b9 \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03bf\u03b9 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2 \u03bf\u03cd\u03c4\u03b5 \u03bf \u03c3\u03c4\u03cc\u03bc\u03b1\u03c7\u03bf\u03c2. \u0397 \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03c4\u03bf scan \u03b4\u03b5\u03bd \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03b5\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03b1\u03b3\u03b5\u03bd\u03b5\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03b1\u03bb\u03bb\u03ac \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03c5\u03c0\u03bf\u03c0\u03bb\u03b1\u03c3\u03af\u03b1, \u03c3\u03b5 \u03b4\u03c5\u03c3\u03bf\u03c1\u03bc\u03bf\u03bd\u03bf\u03b3\u03ad\u03bd\u03b5\u03c3\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 1, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03ae \u03c3\u03b5 \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bc\u03b7\u03c4\u03c1\u03b9\u03ba\u03ce\u03bd \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03b1 TSH-R (TRB-Ab) (27).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\u03a3\u03c4\u03b7\u03bd <b>E<\/b><b>\u03b9\u03ba\u03cc\u03bd\u03b1 1.21<\/b> \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03cd\u03bf \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03bf\u03c0\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b4\u03c5\u03c3\u03bf\u03c1\u03bc\u03bf\u03bd\u03bf\u03b3\u03ad\u03bd\u03b5\u03c3\u03b7 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1, \u03b5\u03bd\u03ce \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.22<\/b> \u03c3\u03c5\u03bd\u03bf\u03c8\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03c4\u03bf\u03bd \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03ae \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03cc \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><b><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-882\" alt=\"10.6-figure21\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure21.jpg\" width=\"650\" height=\"229\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure21.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure21-300x105.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure21-624x219.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><br \/>\n<em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.21.<\/em><\/b> \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03c5\u03bf \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03bc\u03cc\u03bd\u03b9\u03bc\u03bf\u03c5, \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2, \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd. \u0391) \u0388\u03ba\u03c4\u03bf\u03c0\u03bf\u03c2 \u03c5\u03c0\u03bf\u03b3\u03bb\u03ce\u03c3\u03c3\u03b9\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2. \u0392) \u0394\u03c5\u03c3\u03bf\u03c1\u03bc\u03bf\u03bd\u03bf\u03b3\u03ad\u03bd\u03b5\u03c3\u03b7, \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03ae 3. \u03a3\u03b7\u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-O<sub>4<\/sub> \u03c3\u03b5 \u03bf\u03c1\u03b8\u03cc\u03c4\u03bf\u03c0\u03b7 \u03b8\u03ad\u03c3\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><b><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-883\" alt=\"10.6-figure22\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure22.jpg\" width=\"600\" height=\"470\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure22.jpg 600w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure22-300x235.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><br \/>\n<em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.22.<\/em><\/b> \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c5\u03bd\u03bf\u03c0\u03c4\u03b9\u03ba\u03ac \u03c4\u03b1 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03c4\u03b1 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b1 \u03b1\u03af\u03c4\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2 \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd. TPO: \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c5\u03c0\u03b5\u03c1\u03bf\u03be\u03b5\u03b9\u03b4\u03ac\u03c3\u03b7, DEHAL: \u03b4\u03b5\u03b1\u03bb\u03bf\u03b3\u03bf\u03bd\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b9\u03c9\u03b4\u03bf\u03c4\u03c5\u03c1\u03bf\u03c3\u03af\u03bd\u03b7\u03c2, TSH-R: \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03b1\u03c2 \u03c4\u03b7\u03c2 TSH, TRB-Ab: \u03b1\u03bd\u03c4\u03b9\u03c3\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c3\u03c5\u03bd\u03b4\u03b5\u03cc\u03bc\u03b5\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03b1 \u03c4\u03b7\u03c2 TSH.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h5 style=\"text-align: justify;\"><b>1.5. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1, \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2<\/b><\/h5>\n<p style=\"text-align: justify;\">\u03a3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03b1\u03b4\u03c1\u03ac \u03c4\u03bf \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1, \u03b7 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ce\u03bd \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ce\u03bd \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (\u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03ae \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1). \u0397 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO4 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c4\u03b9\u03ba\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af (\u03cc\u03c0\u03c9\u03c2 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>131<\/sup>I\/<sup>123<\/sup>I), \u03b1\u03bb\u03bb\u03ac \u03c4\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd \u03bc\u03cc\u03bd\u03bf \u03c4\u03b7\u03bd \u03c0\u03bf\u03b9\u03bf\u03c4\u03b9\u03ba\u03ae (\u03bf\u03c0\u03c4\u03b9\u03ba\u03ae) \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7, \u03c3\u03c5\u03b3\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03c9\u03bd \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03c9\u03bd \u03b1\u03b4\u03ad\u03bd\u03c9\u03bd \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf background \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5. \u03a4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03c3\u03c5\u03bd\u03b5\u03ba\u03c4\u03b9\u03bc\u03ce\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1, \u03c4\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1, \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5. \u0397 \u03b1\u03bd\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 \u03bc\u03cc\u03bd\u03b7\u03c2 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c5\u03c7\u03bd\u03ac \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03c3\u03b5 \u03b5\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7. \u03a7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 Hashimoto, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c5\u03c0\u03bf\u03b4\u03cd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03bb\u03b5\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ad\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 (28): \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc scan, \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2, scan \u03bc\u03b5 \u03c5\u03c8\u03b7\u03bb\u03ae, \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ae \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7, \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03bc\u03bf\u03bd\u03ae\u03c1\u03bf\u03c5\u03c2 \u03ae \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ce\u03bd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd , \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u00ab\u03b8\u03b5\u03c1\u03bc\u03bf\u03cd\u00bb \u03cc\u03b6\u03bf\u03c5.<\/p>\n<p style=\"text-align: justify;\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03ac\u03c4\u03c9 \u03b4\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b4\u03b5\u03af\u03b3\u03bc\u03b1\u03c4\u03b1 \u03bc\u03b5 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c3\u03b5 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ad\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b1\u03c3\u03c4\u03bf\u03c7\u03af\u03b5\u03c2, \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03af\u03c4\u03b5 \u03c3\u03c4\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1 \u03ae \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03bf\u03bd \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03cc\u03b6\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1.<\/p>\n<h6 style=\"text-align: justify;\"><b>1.5.1. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 <sup>99<\/sup><\/b><b><sup>m<\/sup><\/b><b>TcO<\/b><b>4 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae<\/b><\/h6>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><i><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-884\" alt=\"10.6-figure23\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure23.jpg\" width=\"650\" height=\"139\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure23.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure23-300x64.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure23-624x133.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/> <\/i><br \/>\n<em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.23<\/b>.<\/em> \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c3\u03b5 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2. \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO4 \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03b5\u03b9: \u0391) \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae, \u0392) \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7, \u0393) \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7. \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03b7 \u03b1\u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03c1\u03af\u03b1 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03bb\u03bf\u03b2\u03ce\u03bd (\u0393 \u03ba\u03b1\u03b9 \u0394) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03b7\u03c2, \u0394\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c7\u03b5\u03b9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03bf\u03c5, \u03c7\u03c9\u03c1\u03af\u03c2 \u03c4\u03b7 \u03b3\u03bd\u03ce\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c4\u03bf\u03c5 \u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5. \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03b7 \u03b1\u03c3\u03cd\u03bc\u03bc\u03b5\u03c4\u03c1\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bb\u03bf\u03b2\u03ce\u03bd \u03b5\u03c0\u03af \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u03b4\u03b5\u03bd \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03c0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-885\" alt=\"10.6-figure24\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure24.jpg\" width=\"464\" height=\"476\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure24.jpg 464w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure24-292x300.jpg 292w\" sizes=\"(max-width: 464px) 100vw, 464px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u00a0\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.24.<\/b><\/em> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03c5\u03c0\u03bf\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (TSH = 0.08 IU\/L). \u03a3\u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bf \u03b1\u03b4\u03ad\u03bd\u03b1\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03bc\u03b9\u03ba\u03c1\u03bf\u03bf\u03b6\u03ce\u03b4\u03b7 \u03c5\u03c6\u03ae, \u03bc\u03b5 \u03b4\u03b9\u03ac\u03c3\u03c0\u03b1\u03c1\u03c4\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03c5\u03c0\u03b5\u03c1\u03b2\u03b1\u03af\u03bd\u03bf\u03c5\u03bd \u03c4\u03b1 7 mm. \u03a3\u03c4\u03bf scan \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2. \u0397 \u03ae\u03c0\u03b9\u03b1 \u03b5\u03c0\u03af\u03c4\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03c4\u03bf \u03ba\u03ad\u03bd\u03c4\u03c1\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd \u03b4\u03b5\u03bd \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af \u03c3\u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03cc\u03b6\u03bf\u03c5 \u03c3\u03c4\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae \u03ba\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03ac\u03c7\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bb\u03bf\u03b2\u03bf\u03cd. \u03a0\u03b1\u03c1\u03ac \u03c4\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ae \u03ba\u03b1\u03b9 \u03ae\u03c0\u03b9\u03b1 \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2 (\u03c0\u03b9\u03b8\u03b1\u03bd\u03ac \u03bb\u03cc\u03b3\u03c9 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03b1) \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03b8\u03b5\u03af \u03c9\u03c2 \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03b7\u03c2 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><i>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-886\" alt=\"10.6-figure25\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure25.jpg\" width=\"650\" height=\"302\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure25.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure25-300x139.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure25-624x289.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/i><b><br \/>\n<\/b><\/p>\n<\/div>\n<div style=\"text-align: justify;\">\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.25.<\/b><\/em> \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03c0\u03b1\u03c1\u03ac\u03b4\u03b5\u03b9\u03b3\u03bc\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (TSH = 0.003 IU\/L) \u03ba\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO4<sup>&#8211;<\/sup> \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae, \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03c5\u03c0\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03af\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b3\u03ba\u03b7 \u03c3\u03c5\u03bd\u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 \u03bc\u03b5 \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5. \u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03bc\u03b1\u03ba\u03c1\u03b9\u03bd\u03ae \u03bb\u03ae\u03c8\u03b7 \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole, \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2\/\u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03c9\u03bd, \u03b5\u03bd\u03ce \u03b4\u03b5\u03be\u03b9\u03ac \u03b7 \u03ba\u03bf\u03bd\u03c4\u03b9\u03bd\u03ae \u03bb\u03ae\u03c8\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6><i>\u00a0<\/i><b>1.5.2. \u03a3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03bc\u03b5 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03bf\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1<\/b><\/h6>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-887\" alt=\"10.6-figure26\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure26.jpg\" width=\"650\" height=\"211\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure26.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure26-300x97.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure26-624x202.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.26.<\/b> <\/em>\u03a3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03c4\u03bf\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd. \u03a4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03ba\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03c9\u03c2 \u03b4\u03b7\u03bb\u03c9\u03c4\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c3\u03c4\u03b7\u03bd \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7 \u03b4\u03b5\u03bd \u03c5\u03c0\u03ae\u03c1\u03c7\u03b1\u03bd \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1, \u03b5\u03bd\u03ce \u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b1\u03bd\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03bf\u03bb\u03b9\u03b3\u03ac\u03c1\u03b9\u03b8\u03bc\u03bf\u03c5\u03c2 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd\u03c2 \u03b4\u03b9\u03ac\u03c3\u03c0\u03b1\u03c1\u03c4\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03cc\u03c7\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf\u03c5\u03c2 \u03b1\u03c0\u03cc 6 mm. \u03a0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2 \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03bb\u03ad\u03c0\u03c4\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf\u03c5 \u03c4\u03bf\u03c5 \u0394\u0395 \u03bb\u03bf\u03b2\u03bf\u03cd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-888\" alt=\"10.6-figure27\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure27.jpg\" width=\"650\" height=\"218\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure27.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure27-300x100.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure27-624x209.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.27.<\/b><\/em> \u03a3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 (\u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd \u03bc\u03b5 zoom 1 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03ba\u03b1\u03b9 zoom 3 \u03b4\u03b5\u03be\u03b9\u03ac) \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03bf\u03bd \u03ac\u03bd\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd (\u03b2\u03ad\u03bb\u03bf\u03c2). \u039f \u03b1\u03b4\u03ad\u03bd\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c4\u03bf\u03c2. \u0397 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c9\u03c2 \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ae \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd \u03cc\u03b6\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b5\u03bb\u03b5\u03af\u03c9\u03c2 \u03b5\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03b7, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03bc\u03b5 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 Hashimoto. \u03a0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2 \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03b9 \u00ab\u03b8\u03b5\u03c1\u03bc\u03ae\u00bb \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c0\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c0\u03c1\u03bf\u03c3\u03b2\u03b5\u03b2\u03bb\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03bd\u03cc\u03c3\u03bf. \u039f \u03c8\u03b5\u03c5\u03b4\u03ae\u03c2 \u00ab\u03b8\u03b5\u03c1\u03bc\u03cc\u03c2\u00bb \u03cc\u03b6\u03bf\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf 15% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 Hashimoto (3).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-889\" alt=\"10.6-figure28\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure28.jpg\" width=\"600\" height=\"305\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure28.jpg 600w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure28-300x152.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.28.<\/b><\/em> \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7. \u03a3\u03c4\u03bf\u03bd \u03ac\u03bd\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 \u03c0\u03c1\u03bf\u03c2 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03cc \u03cc\u03b6\u03bf, \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03bc\u03cc\u03bb\u03b9\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9. \u0395\u03b4\u03ce \u03cc\u03bc\u03c9\u03c2 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03bc\u03b5 \u03c5\u03c0\u03bf\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03b8\u03b5\u03af \u03c9\u03c2 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2. \u0397 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2, \u03c0\u03b9\u03b8\u03b1\u03bd\u03ac \u03bb\u03cc\u03b3\u03c9 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-890\" alt=\"10.6-figure29\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure29.jpg\" width=\"650\" height=\"369\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure29.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure29-300x170.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure29-624x354.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.29.<\/b><\/em> \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03cc\u03b6\u03bf 1.2 cm \u03c3\u03c4\u03bf\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf\u03bd \u03b9\u03c3\u03b8\u03bc\u03cc (\u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1). \u03a3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 (\u0391) \u03b4\u03b5\u03bd \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c5\u03c4\u03cc\u03c2 \u03bf \u03cc\u03b6\u03bf\u03c2 (\u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b8\u03b5\u03c9\u03c1\u03b7\u03b8\u03b5\u03af \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2). \u0391\u03bd\u03c4\u03af\u03b8\u03b5\u03c4\u03b1, \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03b7 \u03bc\u03b5\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd (\u03b2\u03ad\u03bb\u03bf\u03c2), \u03c7\u03c9\u03c1\u03af\u03c2 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03bf \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03b9\u03ba\u03cc \u03ae \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c3\u03c4\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae. \u03a3\u03b5 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c4\u03b7\u03c2 SPECT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2 (\u0392) \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03ac\u03c7\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b1\u03c4\u03b1 \u03b5\u03c5\u03b8\u03cd\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03bc\u03bf\u03bd\u03bf\u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><i>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-891\" alt=\"10.6-figure30\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure30.jpg\" width=\"462\" height=\"430\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure30.jpg 462w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure30-300x279.jpg 300w\" sizes=\"(max-width: 462px) 100vw, 462px\" \/><\/i><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.30.<\/b> <\/em>\u03a3\u03b5 \u03c0\u03c1\u03ce\u03c4\u03b7 \u03b1\u03bd\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b7 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b4\u03b5\u03af\u03c7\u03bd\u03b5\u03b9 \u03b1\u03c3\u03c5\u03bd\u03ae\u03b8\u03b7\u03c2. \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03bc\u03b5 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u03a0\u03c1\u03bf\u03ad\u03c7\u03bf\u03c5\u03bd \u03c3\u03b5 \u03bc\u03ad\u03b3\u03b5\u03b8\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2 5 cm \u03c3\u03c4\u03bf \u03b4\u03b5\u03be\u03b9\u03cc \u03ba\u03b1\u03b9 3 cm \u03c3\u03c4\u03bf\u03bd \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03cc \u03bb\u03bf\u03b2\u03cc. \u039f\u03b9 \u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03bf\u03cd\u03bd \u03c4\u03bf\u03c0\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf\u03c5\u03c2 \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2, \u03b5\u03bd\u03ce \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c3\u03c4\u03b1\u03bb\u03bc\u03ad\u03bd\u03bf \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9. \u0395\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c4\u03bf\u03be\u03b9\u03ba\u03ae\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2<i>.<\/i><\/p>\n<\/div>\n<div style=\"text-align: justify;\">\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6><b>1.5.3. \u0395\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03bf\u03c2 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd<\/b><\/h6>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-892\" alt=\"10.6-figure31\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure31.jpg\" width=\"650\" height=\"158\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure31.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure31-300x72.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure31-624x151.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.31.<\/b><\/em> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b5 \u03bc\u03bf\u03bd\u03ae\u03c1\u03b7 \u03cc\u03b6\u03bf 1.7 cm \u0394\u0395 \u03bb\u03bf\u03b2\u03bf\u03cd \u03c3\u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1. \u0395\u03ac\u03bd \u03b2\u03b1\u03c3\u03b9\u03c3\u03c4\u03b5\u03af \u03ba\u03b1\u03bd\u03b5\u03af\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03bb\u03ae\u03c8\u03b7 \u03bc\u03cc\u03bd\u03bf, \u03bf \u03cc\u03b6\u03bf\u03c2 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03c2 (\u03af\u03c3\u03c9\u03c2 \u03ba\u03b1\u03b9 \u03c9\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2, \u03b1\u03bd \u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03c5\u03c0\u2019 \u03cc\u03c8\u03b7 \u03b7 \u03b5\u03bb\u03b1\u03c6\u03c1\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03b7 \u03bc\u03b5\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u0394\u0395 \u03bb\u03bf\u03b2\u03bf\u03cd). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c3\u03c4\u03b7 \u03b4\u03b5\u03be\u03b9\u03ac \u03bb\u03bf\u03be\u03ae \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03ba\u03b1\u03b8\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc (\u00ab\u03c8\u03c5\u03c7\u03c1\u03cc\u00bb) \u03cc\u03b6\u03bf (\u03b2\u03ad\u03bb\u03bf\u03c2).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><a href=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure32.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-893\" alt=\"10.6-figure32\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure32.jpg\" width=\"385\" height=\"131\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure32.jpg 385w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure32-300x102.jpg 300w\" sizes=\"(max-width: 385px) 100vw, 385px\" \/><\/a><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.32.<\/b><\/em> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 (TSH = 1.7 IU\/L) \u03bc\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u03a0\u03c1\u03bf\u03ad\u03c7\u03b5\u03b9 \u03cc\u03b6\u03bf\u03c2 2.5 cm \u03c3\u03c4\u03bf\u03bd \u03ac\u03bd\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd. \u0395\u03ac\u03bd \u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b2\u03b1\u03c3\u03b9\u03c3\u03c4\u03b5\u03af \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03bc\u03cc\u03bd\u03bf \u03bb\u03ae\u03c8\u03b7 (\u03ba\u03b5\u03bd\u03c4\u03c1\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1), \u03c4\u03cc\u03c4\u03b5 \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 (\u03b2\u03ad\u03bb\u03bf\u03c2) \u03b8\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03b8\u03b5\u03af \u03c9\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 . \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c3\u03c4\u03b7 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ae \u03bb\u03bf\u03be\u03ae \u03bb\u03ae\u03c8\u03b7 (\u03b4\u03b5\u03be\u03b9\u03ac \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1) \u03ba\u03b1\u03b8\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03cc\u03b6\u03bf \u03c3\u03b5 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03b8\u03ad\u03c3\u03b7 (\u03b2\u03ad\u03bb\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03cd\u03ba\u03bb\u03bf\u03c2 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03ba\u03b5\u03ba\u03bf\u03bc\u03bc\u03ad\u03bd\u03b7 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae), \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2. \u0397 \u03b5\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03b5\u03bd\u03c4\u03cd\u03c0\u03c9\u03c3\u03b7 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c0\u03b9\u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03cc\u03b6\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03ba\u03b5\u03af\u03bc\u03b5\u03bd\u03bf \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-894\" alt=\"10.6-figure33\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure33.jpg\" width=\"650\" height=\"214\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure33.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure33-300x98.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure33-624x205.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.33.<\/b> <\/em>\u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03c5\u03c0\u03bf\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03cc (TSH 0,05 IU\/l) \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u039f \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf\u03c2 \u03cc\u03b6\u03bf\u03c2, 1,8 cm, \u03b2\u03c1\u03af\u03c3\u03ba\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03cc \u03bb\u03bf\u03b2\u03cc. \u03a3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03bf \u03c0\u03c1\u03bf\u03ad\u03c7\u03c9\u03bd \u03cc\u03b6\u03bf\u03c2 \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03ac\u03bb\u03bb\u03bf\u03bd \u03c9\u03c2 \u00ab\u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03c2\u00bb. \u0395\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1\u03c2 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b9\u03c3\u03b8\u03bc\u03cc (\u03ba\u03bf\u03bd\u03c4\u03cc \u03ba\u03ac\u03b8\u03b5\u03c4\u03bf \u03b2\u03ad\u03bb\u03bf\u03c2), \u03b5\u03bd\u03ce \u03bf\u03b9 \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b4\u03b5\u03bd \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9. \u0397 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03b5\u03c3\u03c6\u03b1\u03bb\u03bc\u03ad\u03bd\u03b1 \u03bd\u03b1 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b5\u03af \u03c9\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c2 Graves \u03bc\u03b5 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2. \u03a3\u03c4\u03b9\u03c2 \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ae \u03bb\u03bf\u03be\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03cc \u03cc\u03b6\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd \u03b5\u03af\u03bd\u03b1\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 (\u03bc\u03b1\u03ba\u03c1\u03cd \u03bb\u03bf\u03be\u03cc \u03b2\u03ad\u03bb\u03bf\u03c2).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><b><i><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-895\" alt=\"10.6-figure34\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure34.jpg\" width=\"650\" height=\"214\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure34.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure34-300x98.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure34-624x205.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><br \/>\n<\/i><em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.34.<\/em><\/b> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b5 \u03cc\u03b6\u03bf 15 mm \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd. \u03a3\u03c4\u03b7 \u03bc\u03bf\u03bd\u03bf\u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 (\u0391) \u03bf \u03cc\u03b6\u03bf\u03c2 (\u03b2\u03ad\u03bb\u03bf\u03c2) \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03c2 (\u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03b5\u03b9 \u03b5\u03bb\u03b1\u03c6\u03c1\u03ac \u03af\u03c3\u03c9\u03c2 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae, \u03b1\u03c5\u03c4\u03cc \u03cc\u03bc\u03c9\u03c2 \u03b4\u03b5\u03bd \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2). \u03a3\u03c4\u03b7 SPECT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03b1\u03af\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03b4\u03ce (\u0392) \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b1\u03c6\u03ce\u03c2 \u03c9\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2, \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><i><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-896\" alt=\"10.6-figure35\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure35.jpg\" width=\"650\" height=\"321\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure35.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure35-300x148.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure35-624x308.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/> <\/i><br \/>\n<em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.35.<\/b> <\/em>\u03a5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03b7 \u03cc\u03b6\u03bf \u03c4\u03bf\u03c5 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd. \u0391) \u03a4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03ad\u03bb\u03b1\u03b2\u03b5 \u03c7\u03ce\u03c1\u03b1 \u03c5\u03c0\u03cc \u03b1\u03bd\u03c4\u03b9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac (unimazole), \u03bc\u03b5 \u03c4\u03b7\u03bd TSH \u03c3\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1, \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03cd\u03b8\u03b7\u03ba\u03b5 \u03bb\u03b1\u03bd\u03b8\u03b1\u03c3\u03bc\u03ad\u03bd\u03b1 \u03c9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03cc\u03b6\u03bf\u03c2 \u03c3\u03b5 \u03ad\u03b4\u03b1\u03c6\u03bf\u03c2 Graves. \u0392) \u03a3\u03b5 \u03b5\u03c0\u03b1\u03bd\u03ac\u03bb\u03b7\u03c8\u03b7 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03c4\u03bf\u03c5 unimazole (\u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c0\u03c4\u03ce\u03c3\u03b7 \u03c4\u03b7\u03c2 TSH) \u03ba\u03b1\u03c4\u03ad\u03c3\u03c4\u03b7 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03be\u03b9\u03ba\u03cc \u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1, \u03bc\u03b5\u03c1\u03b9\u03ba\u03ac \u03b5\u03ba\u03c6\u03c5\u03bb\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-897\" alt=\"10.6-figure36\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure36.jpg\" width=\"650\" height=\"365\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure36.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure36-300x168.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure36-624x350.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1.36.<\/b> <\/em>\u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03b5\u03c5\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 (TSH 2,3 IU\/L) \u03bc\u03b5 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u03a3\u03b5 U\/S \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03b1\u03bd\u03b5\u03b4\u03b5\u03af\u03c7\u03b8\u03b7\u03c3\u03b1\u03bd \u03b4\u03cd\u03bf \u03c3\u03c5\u03c1\u03c1\u03ad\u03bf\u03bd\u03c4\u03b5\u03c2 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b3\u03b5\u03af\u03c2 \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03b7\u03c7\u03bf\u03b3\u03b5\u03bd\u03b5\u03af\u03c2 \u03cc\u03b6\u03bf\u03b9 \u03bc\u03ad\u03b3\u03b9\u03c3\u03c4\u03b7\u03c2 \u03b4\u03b9\u03b1\u03bc\u03ad\u03c4\u03c1\u03bf\u03c5 1,20 \u03ba\u03b1\u03b9 1,35 cm \u03c3\u03c4\u03bf\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd, \u03b5\u03bd\u03ce \u03c3\u03c4\u03bf\u03bd \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03cc \u03bb\u03bf\u03b2\u03cc, \u03c3\u03c4\u03b1 \u03cc\u03c1\u03b9\u03b1 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b9\u03c3\u03b8\u03bc\u03cc, \u03ba\u03c5\u03c3\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ba\u03b1\u03b8\u2019 \u03c5\u03c0\u03b5\u03c1\u03bf\u03c7\u03ae\u03bd \u03cc\u03b6\u03bf\u03c2 1,5 cm. \u03a3\u03c4\u03bf scan \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03bb\u03bf\u03be\u03ad\u03c2 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ad\u03c2 (\u0391), \u03c4\u03bf \u03c8\u03b7\u03bb\u03b1\u03c6\u03b7\u03c4\u03cc \u03bc\u03cc\u03c1\u03c6\u03c9\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03ba\u03ac\u03c4\u03c9 \u03c0\u03cc\u03bb\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd (\u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2 \u03c4\u03bf \u03c3\u03cd\u03bc\u03c0\u03bb\u03b5\u03b3\u03bc\u03b1 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03cc\u03b6\u03c9\u03bd), \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03b5\u03b9 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-O<sub>4<\/sub> \u03af\u03c3\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c0\u03b1\u03c1\u03ad\u03b3\u03c7\u03c5\u03bc\u03b1 (\u03b2\u03ad\u03bb\u03b7), \u03cc\u03c0\u03c9\u03c2 \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03b1\u03af\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 (\u0392) \u03c4\u03b7\u03c2 SPECT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2 (\u03b2\u03ad\u03bb\u03b7). \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03cc\u00bb \u03cc\u03b6\u03bf (\u03bf \u03ad\u03bd\u03b1\u03c2 \u03b5\u03be \u03b1\u03c5\u03c4\u03ce\u03bd \u03ae \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b4\u03cd\u03bf). \u039f \u03cc\u03b6\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03bf\u03cd \u03bb\u03bf\u03b2\u03bf\u03cd \u03b4\u03b5\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 (\u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2). \u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 TSH, \u03cc\u03bb\u03bf\u03b9 \u03bf\u03b9 \u03cc\u03b6\u03bf\u03b9 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03c3\u03b8\u03bf\u03cd\u03bd \u03c9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af.<\/p>\n<h5><b>1.6. \u0395\u03c0\u03b9\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac &#8211; \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 1<\/b><\/h5>\n<ul>\n<li>\u039f\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 scan \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9: \u03b1) \u03b7 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2, \u03cc\u03c4\u03b1\u03bd \u03c4\u03bf \u03b1\u03af\u03c4\u03b9\u03bf \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ad\u03c2, \u03b2) \u03bf \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd \u22651 cm, \u03b3) \u03b7 \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b4) \u03b7 \u03c0\u03bb\u03b7\u03c1\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2, \u03bc\u03cc\u03bd\u03b9\u03bc\u03bf\u03c5 \u03bd\u03b5\u03bf\u03b3\u03bd\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03c3\u03bc\u03bf\u03cd.<\/li>\n<li>\u0397 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae (\u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 pinhole, \u03bb\u03bf\u03be\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2, \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03c1\u03b5\u03c1\u03b3\u03bf\u03cd \u03b5\u03bd\u03c4\u03bf\u03c0\u03b9\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd \u03b4\u03b5\u03af\u03ba\u03c4\u03b7) \u03ad\u03c7\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bf\u03c1\u03b8\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7.<\/li>\n<li>\u03a4\u03b1 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b1\u03c0\u03cc \u03bc\u03cc\u03bd\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03b5\u03c0\u03b1\u03c1\u03ba\u03ae \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7. \u0391\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc, \u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03bb\u03bf\u03b9\u03c0\u03bf\u03cd \u03c0\u03b1\u03c1\u03b1\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5. \u0397 \u03c8\u03b7\u03bb\u03ac\u03c6\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9.<\/li>\n<li>\u03a3\u03b5 \u03b3\u03b5\u03c9\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03bc\u03b5 \u03ad\u03bd\u03b4\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03c4\u03bf scan \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c0\u03bf\u03ba\u03b1\u03bb\u03cd\u03c8\u03b5\u03b9 \u03b1\u03c5\u03c4\u03cc\u03bd\u03bf\u03bc\u03bf\u03c5\u03c2 \u03cc\u03b6\u03bf\u03c5\u03c2 \u03c0\u03b1\u03c1\u03ac \u03c4\u03b9\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c4\u03b9\u03bc\u03ad\u03c2 TSH.<\/li>\n<li>\u0397 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 Hashimoto \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c5\u03c0\u03bf\u03b4\u03c5\u03b8\u03b5\u03af \u03cc\u03bb\u03b5\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03b1\u03b3\u03ad\u03c2.<\/li>\n<li>\u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4 <\/sub>\u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c3\u03b7\u03bc\u03b7 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03bf\u03c5 \u03b9\u03cc\u03bd\u03c4\u03bf\u03c2 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03b5\u03af \u03c0\u03ac\u03bd\u03c4\u03b1 \u03bc\u03b5 \u03c4\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b5\u03b3\u03c7\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2. \u0397 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7\u03c2 \u03c4\u03bf\u03be\u03b9\u03ba\u03ae \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7, \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b4\u03b5 \u03ba\u03b1\u03b9 \u03b7 \u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03b7 \u03b1\u03c5\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03b1, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ae \u03ba\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4<\/sub>. \u0395\u03c0\u03af \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 TSH, \u03ad\u03bd\u03b1 \u03bc\u03b9\u03ba\u03c1\u03cc \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u00ab\u03b8\u03b5\u03c1\u03bc\u03ce\u03bd\u00bb \u03cc\u03b6\u03c9\u03bd \u03c3\u03c4\u03bf scan \u03bc\u03b5 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4 <\/sub>\u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af. \u039f\u03b9 \u00ab\u03c7\u03bb\u03b9\u03b1\u03c1\u03bf\u03af\u00bb \u03ae \u00ab\u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf\u03b9\u00bb \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac \u03cc\u03b6\u03bf\u03b9 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03bf\u03af.<\/li>\n<\/ul>\n<h4><i><br clear=\"all\" \/> <\/i><b>2. \u03a0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7<\/b><b> (uptake) I-131\/I-123 (RAIU)<\/b><\/h4>\n<h5><b>2.1.<\/b> <b>\u03a4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae<\/b><\/h5>\n<p>\u03a7\u03bf\u03c1\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c4\u03cc\u03bc\u03b1 \u03bc\u03b9\u03b1 \u03ba\u03ac\u03c8\u03bf\u03c5\u03bb\u03b1 \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03b5\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ae \u03c0\u03bf\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1 (10-50 \u03bcCi \u03ae 0.37-1.85 MBq) I-131. \u0395\u03ac\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03c4\u03bf \u0399-123 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 100-200 \u03bcCi (3.7-7.4 MBq) per os. \u039c\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc 24 \u03ce\u03c1\u03b5\u03c2 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2, \u03bc\u03b5\u03c4\u03c1\u03ac\u03c4\u03b1\u03b9 \u03c4\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03c4\u03b7\u03c2 \u03c7\u03bf\u03c1\u03b7\u03b3\u03b7\u03b8\u03b5\u03af\u03c3\u03b1\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 (RAI) \u03c0\u03bf\u03c5 \u03ad\u03c7\u03b5\u03b9 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b1\u03b4\u03ad\u03bd\u03b1 (24\u03c9\u03c1\u03bf uptake, RAIU). \u039c\u03c0\u03bf\u03c1\u03b5\u03af \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bd\u03b1 \u03bc\u03b5\u03c4\u03c1\u03b7\u03b8\u03b5\u03af \u03c4\u03bf 4\u03c9\u03c1\u03bf \u03ae 6\u03c9\u03c1\u03bf RAIU. \u039f\u03b9 \u03bc\u03b5\u03c4\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03b3\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03bc\u03b9\u03b1 \u03b1\u03c0\u03bb\u03ae \u03ba\u03b1\u03b9 \u03b5\u03c5\u03b1\u03af\u03c3\u03b8\u03b7\u03c4\u03b7 \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03ae, \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03cc\u03bc\u03b5\u03c4\u03c1\u03bf (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2.1<\/b>). \u0394\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 50 \u03bcCi \u0399-131 \u03ba\u03b1\u03b9 \u03c5\u03c0\u03bf\u03b8\u03ad\u03c4\u03bf\u03bd\u03c4\u03b1\u03c2 \u03ad\u03bd\u03b1 RAIU 25%, \u03b7 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b4\u03cc\u03c3\u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 670 mGy \u03ba\u03b1\u03b9 \u03b7 \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03cc\u03c3\u03b7 (effective dose) 11 mSv. \u03a3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac, 200 \u03bcCi I-123 \u03b4\u03af\u03bd\u03bf\u03c5\u03bd 24 mGy \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc \u03b4\u03cc\u03c3\u03b7 0,8 mSv (29). \u039c\u03b5 \u03c4\u03b9\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 I-131 \u03c0\u03bf\u03c5 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 uptake \u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c7\u03c1\u03bf\u03bd\u03bf\u03b2\u03cc\u03c1\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b1\u03c4\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9. \u03a4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03cc\u03bc\u03b5\u03c4\u03c1\u03bf \u03b4\u03b5\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03b5\u03ac\u03bd \u03c7\u03bf\u03c1\u03b7\u03b3\u03b7\u03b8\u03bf\u03cd\u03bd \u03bc\u03b5\u03b3\u03ac\u03bb\u03b5\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 (\u03c0.\u03c7. 5 mCi \u03b3\u03b9\u03b1 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan) \u03b4\u03b9\u03cc\u03c4\u03b9 \u03bf \u03bc\u03b5\u03b3\u03ac\u03bb\u03bf\u03c2 \u03c1\u03c5\u03b8\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03c0\u03b1\u03bb\u03bc\u03ce\u03bd (\u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03c9\u03bd) \u03c5\u03c0\u03b5\u03c1\u03b2\u03b1\u03af\u03bd\u03b5\u03b9 \u03c4\u03b9\u03c2 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03ad\u03c2 \u03c4\u03bf\u03c5. \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac \u03c4\u03cc\u03c4\u03b5, \u03bf\u03b9 \u03bc\u03b5\u03c4\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03b3\u03af\u03bd\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7 \u03b3-camera, \u03bc\u03b5 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03cc\u03bc\u03c9\u03c2 \u03b1\u03ba\u03c1\u03af\u03b2\u03b5\u03b9\u03b1.<\/p>\n<p>\u039f\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c4\u03b9\u03bc\u03ad\u03c2 RAIU \u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03bf\u03c5\u03bd \u03b1\u03bd\u03ac \u03b3\u03b5\u03c9\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae. \u03a3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ae \u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd\u03c4\u03b1\u03b9 RAIU 6\u03c9\u03c1\u03ce\u03bd = 5-15% \u03ba\u03b1\u03b9 RAIU 24 \u03c9\u03c1\u03ce\u03bd = 8-35% (8, 30). \u03a3\u03c4\u03b7\u03bd \u0395\u03bb\u03bb\u03ac\u03b4\u03b1 \u03c4\u03b1 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03b1 \u03c0\u03b1\u03bb\u03b1\u03b9\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b1\u03bd\u03ad\u03c6\u03b5\u03c1\u03b1\u03bd \u03c9\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03cc\u03c1\u03b9\u03b1 24\u03c9\u03c1\u03bf\u03c5 RAIU \u03c4\u03b9\u03bc\u03ad\u03c2 25-55%, \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c4\u03b1 \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c4\u03cc\u03c4\u03b5. \u039f\u03cd\u03c4\u03c9\u03c2 \u03ae \u03ac\u03bb\u03bb\u03c9\u03c2 \u03b7 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03b4\u03b5\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ce\u03bd \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03b7 \u03b3\u03bd\u03ce\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ce\u03bd \u03c4\u03b9\u03bc\u03ce\u03bd \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b7 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1.<\/p>\n<p>\u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>99<\/sup><sup>m<\/sup>Tc-pertechnetate (TCTU) \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c4\u03b9\u03ba\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03bc\u03b5 \u03bc\u03b5\u03c4\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b7 \u03b3-camera, \u03b1\u03bb\u03bb\u03ac \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03b1\u03bd\u03c4\u03b1\u03bd\u03b1\u03ba\u03bb\u03bf\u03cd\u03bd \u03bc\u03cc\u03bd\u03bf \u03c4\u03b7 \u03b4\u03ad\u03c3\u03bc\u03b5\u03c5\u03c3\u03b7 (trapping) \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03c4\u03b7\u03bd \u03bf\u03c1\u03b3\u03b1\u03bd\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5. \u0397 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 15-30 min \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5. \u03a6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c4\u03b9\u03bc\u03ad\u03c2 TCTU \u03b5\u03af\u03bd\u03b1\u03b9 0,3-3% (1,2-7% \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ad\u03c2 \u03ad\u03bd\u03b4\u03b5\u03b9\u03b1\u03c2 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5) (3). \u0397 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 TCTU \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bc\u03c6\u03af\u03b2\u03bf\u03bb\u03b7.<\/p>\n<h5><b>2.2. \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 <\/b><b>RAIU<\/b><b><\/b><\/h5>\n<h6><b>2.2.1. \u03a0\u03c1\u03b9\u03bd \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 <\/b><b>RAI<\/b><b> \u03b3\u03b9\u03b1 \u03bd\u03cc\u03c3\u03bf <\/b><b>Graves<\/b><b> \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03c4\u03bf\u03be\u03b9\u03ba\u03ae \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7<\/b><\/h6>\n<p>\u039f\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03b9 \u03b2\u03b1\u03c3\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03bf\u03c3\u03b9\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c5\u03c0\u03bf\u03bb\u03bf\u03b3\u03b9\u03c3\u03bc\u03bf\u03cd\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03ba\u03b1\u03b8\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 RAI, \u03c3\u03c4\u03bf\u03c5\u03c2 \u03bf\u03c0\u03bf\u03af\u03bf\u03c5\u03c2 \u03b7 \u03c4\u03b9\u03bc\u03ae RAIU \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03b7. \u039f\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2. \u0391\u03ba\u03cc\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03ae\u03bd \u03c4\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7, \u03b7 \u03b3\u03bd\u03ce\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c4\u03b9\u03bc\u03ae\u03c2 \u03c4\u03bf\u03c5 RAIU \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03b9\u03ba\u03ae \u03b1\u03c5\u03be\u03bf\u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2. \u0391\u03c1\u03ba\u03b5\u03c4\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03be\u03b9\u03ba\u03ae\u03c2 \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c4\u03b9\u03bc\u03ad\u03c2 RAIU, \u03b5\u03bd\u03ce \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b1\u03ba\u03cc\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc. \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2.2<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03c0\u03bf\u03bb\u03cd \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc uptake, \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03c0\u03b9\u03c7\u03b5\u03b9\u03c1\u03ae\u03b8\u03b7\u03ba\u03b5 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03bc\u03b5 RAI \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b5\u03bd\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03b7\u03c2 TSH \u03bc\u03b5 \u03b1\u03bd\u03b1\u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03b9\u03bd\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03c1\u03bf\u03c0\u03af\u03bd\u03b7 (rhTSH).<\/p>\n<h6>\u00a0<b>2.2.2. \u0395\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03af\u03c9\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 <\/b><b>De<\/b><b> <\/b><b>Quervain<\/b><b> \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2.<\/b><\/h6>\n<p>\u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (ATA\/AACE 2011), \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 RAIU (\u03bc\u03b5 \u0399-123 \u03ae \u0399-131) \u03b5\u03c0\u03b9\u03b2\u03ac\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03cc\u03bb\u03b5\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 Graves \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ae\u03c2. \u0395\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03cc\u03b6\u03c9\u03bd \u03c4\u03cc\u03c4\u03b5 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u03a3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03bb\u03bf\u03c7\u03b5\u03af\u03b1\u03c2 \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0399-123 \u03ae \u03c4\u03bf\u03c5 Tc-99m (9).<\/p>\n<p>\u038c\u03c4\u03b1\u03bd \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03ac\u03bc\u03b5\u03c3\u03b1 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b5\u03c2 \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03ba\u03ac\u03c8\u03bf\u03c5\u03bb\u03b5\u03c2 \u0399-131, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ac \u03b7 \u03c0\u03bf\u03b9\u03bf\u03c4\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4<\/sub>. \u0392\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03af\u03b1\u03c2 \u03bc\u03b1\u03c2, \u03cc\u03bb\u03b5\u03c2 \u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2 De Quervain \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c1\u03b3\u03b7\u03bc\u03ad\u03bd\u03b7 (\u03ae \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ad\u03c3\u03c4\u03b1\u03c4\u03b7) \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2. \u0397 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03cd\u03bd\u03c4\u03bf\u03bc\u03b7 (15 min), \u03b4\u03b5\u03bd \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03ac\u03bd\u03c4\u03b7\u03c3\u03b7 \u03c3\u03c4\u03bf \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03cc \u03b5\u03c1\u03ce\u03c4\u03b7\u03bc\u03b1 \u03ac\u03bc\u03b5\u03c3\u03b7. \u0395\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03b8\u03bf\u03cd\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b5\u03c4\u03b5\u03c1\u03cc\u03c0\u03bb\u03b5\u03c5\u03c1\u03b7\u03c2 \u03ae \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1\u03c2. \u0391\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03bb\u03ae\u03c8\u03b7 \u03b1\u03ba\u03c1\u03b9\u03b2\u03bf\u03cd\u03c2 \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03bf\u03cd \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03b8\u03b5\u03af \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03b1 (\u03c0.\u03c7. \u03c3\u03ba\u03b9\u03b1\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ac). \u03a4\u03bf <sup>99<\/sup><sup>m<\/sup>Tc-O<sub>4<\/sub> \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03b5\u03cd\u03c3\u03b5\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae\u03c2 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2 (\u03b2\u03bb. \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1), \u03ad\u03c4\u03c3\u03b9 \u03ce\u03c3\u03c4\u03b5 \u03b7 \u03b1\u03bd\u03ac\u03b3\u03ba\u03b7 \u03c5\u03c0\u03bf\u03bb\u03bf\u03b3\u03b9\u03c3\u03bc\u03bf\u03cd RAIU \u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03c4\u03b5\u03af \u03bc\u03cc\u03bd\u03bf \u03c3\u03b5 \u03b1\u03bc\u03c6\u03af\u03b2\u03bf\u03bb\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-898\" alt=\"10.6-figure2..1\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..1.jpg\" width=\"650\" height=\"294\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..1.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..1-300x135.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..1-624x282.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2.1.<\/b><\/em> \u03a0\u03ac\u03bd\u03c9 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03cc\u03bc\u03b5\u03c4\u03c1\u03bf). \u0391\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ad\u03bd\u03b1 \u03ba\u03c1\u03cd\u03c3\u03c4\u03b1\u03bb\u03bb\u03bf \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03bf\u03c5 \u03bd\u03b1\u03c4\u03c1\u03af\u03bf\u03c5 (\u03ba\u03c1\u03cd\u03c3\u03c4\u03b1\u03bb\u03bb\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03b9\u03c3\u03bc\u03ce\u03bd) \u03ba\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03c6\u03c9\u03c4\u03bf\u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03b1\u03c3\u03b9\u03b1\u03c3\u03c4\u03ae \u03c3\u03b5 \u03b5\u03c0\u03b1\u03c6\u03ae, \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03bd\u03af\u03c3\u03c7\u03c5\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c6\u03c9\u03c4\u03b5\u03b9\u03bd\u03ce\u03bd \u03c3\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03ba\u03c1\u03cd\u03c3\u03c4\u03b1\u03bb\u03bb\u03bf, \u03cc\u03c4\u03b1\u03bd \u03c0\u03c1\u03bf\u03c3\u03c0\u03af\u03c0\u03c4\u03bf\u03c5\u03bd \u03c6\u03c9\u03c4\u03cc\u03bd\u03b9\u03b1 \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2. \u03a4\u03bf \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03bc\u03b5 \u03bc\u03bf\u03bb\u03cd\u03b2\u03b4\u03b9\u03bd\u03bf \u03c0\u03b5\u03c1\u03af\u03b2\u03bb\u03b7\u03bc\u03b1, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b5\u03af \u03ba\u03b1\u03b9 \u03c9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 (collimator) \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b4\u03ad\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03ad\u03bd\u03b1 \u03ba\u03b1\u03c4\u03b1\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03ae \u03bc\u03b5 \u03bf\u03b8\u03cc\u03bd\u03b7 \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bf\u03b9 \u03ba\u03b1\u03c4\u03b1\u03b3\u03c1\u03b1\u03c6\u03cc\u03bc\u03b5\u03bd\u03bf\u03b9 \u03c0\u03b1\u03bb\u03bc\u03bf\u03af (\u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03b9\u03c2) \u03ba\u03b1\u03b9 \u03b3\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac\u03bb\u03bb\u03b7\u03bb\u03b5\u03c2 \u03c1\u03c5\u03b8\u03bc\u03af\u03c3\u03b5\u03b9\u03c2 (\u03ba\u03ac\u03c4\u03c9 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac). \u03a4\u03bf \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2, \u03c3\u03b5 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03ae \u03b1\u03c0\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 (\u03b4\u03b5\u03be\u03b9\u03ac). \u0391\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03c4\u03b1\u03b3\u03c1\u03b1\u03c6\u03cc\u03bc\u03b5\u03bd\u03bf\u03c5\u03c2 \u03c0\u03b1\u03bb\u03bc\u03bf\u03cd\u03c2 \u03b1\u03c6\u03b1\u03b9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c4\u03bf background \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2, \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bc\u03b9\u03b1 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c3\u03c4\u03bf \u03bc\u03b7\u03c1\u03cc \u03c4\u03bf\u03c5. \u03a4\u03ad\u03bb\u03bf\u03c2 \u03bc\u03b5\u03c4\u03c1\u03ac\u03c4\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b4\u03cc\u03c3\u03b7 (\u03ba\u03ac\u03c8\u03bf\u03c5\u03bb\u03b1), \u0399-131 \u03af\u03b4\u03b9\u03b1 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c0\u03bf\u03c5 \u03c0\u03ae\u03c1\u03b5 \u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2, \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b7\u03bc\u03ad\u03bd\u03b7 \u03bc\u03ad\u03c3\u03b1 \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03bf\u03bc\u03bf\u03af\u03c9\u03bc\u03b1 (phantom) \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5. \u0391\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae\u03bd \u03b1\u03c6\u03b1\u03b9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c4\u03bf background \u03c4\u03bf\u03c5 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03af\u03bf\u03c5 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bc\u03b9\u03b1 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c3\u03c4\u03bf\u03bd \u03b1\u03ad\u03c1\u03b1. \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c5\u03c0\u03bf\u03bb\u03bf\u03b3\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b5\u03be\u03ae\u03c2: Uptake % = (\u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03b9\u03c2 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u2013 \u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b7\u03c1\u03bf\u03cd)\/(\u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03b9\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u2013 \u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03b9\u03c2 background \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03af\u03bf\u03c5) x 100.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-899\" alt=\"10.6-figure2..2\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..2.jpg\" width=\"650\" height=\"346\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..2.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..2-300x159.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure2..2-624x332.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2.2.<\/b><\/em> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7, \u03c4\u03bf\u03be\u03b9\u03ba\u03ae \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7. \u0391) \u03a3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 <sup>99<\/sup><sup>m<\/sup>TcO<sub>4, <\/sub>\u03c3\u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b7 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b1\u03b4\u03ad\u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae. \u0391\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03bc\u03b9\u03ba\u03c1\u03ae \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b9\u03c3\u03b8\u03bc\u03cc. \u039b\u03cc\u03b3\u03c9 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5, \u03b5\u03c0\u03b9\u03c7\u03b5\u03b9\u03c1\u03ae\u03b8\u03b7\u03ba\u03b5 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 RAI, \u03b1\u03bb\u03bb\u03ac \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c4o \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c4\u03bf\u03c5 scan \u03b4\u03bf\u03ba\u03b9\u03bc\u03ac\u03c3\u03c4\u03b7\u03ba\u03b5 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2, \u03bc\u03ad\u03c3\u03c9 \u03b5\u03be\u03c9\u03b3\u03b5\u03bd\u03bf\u03cd\u03c2 \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7\u03c2 \u03bc\u03b5 rhTSH . \u0392) \u0395\u03b4\u03ce \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 5 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc RAI. \u0395\u03af\u03bd\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ae\u03c2 \u03b7 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03ac \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03c1\u03c7\u03b9\u03ba\u03cc scan, \u03c4\u03cc\u03c3\u03bf \u03c3\u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03bd\u03bf\u03bc\u03ae \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03bf\u03c4\u03cc\u03c0\u03c9\u03bd<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<h5>\u00a0<b>2.3. <\/b><b>\u0395\u03c0\u03b9\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac<\/b><b> &#8211; \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 2<\/b><\/h5>\n<ul>\n<li>\u0397 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 (RAIU) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 RAI \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bd\u03cc\u03c3\u03bf Graves \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c0\u03bf\u03bb\u03c5\u03bf\u03b6\u03ce\u03b4\u03b7 \u03c4\u03bf\u03be\u03b9\u03ba\u03ae \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03ae\u03bb\u03b7, \u03b1\u03ba\u03cc\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03bf\u03b9 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03b9\u03ba\u03ad\u03c2.<\/li>\n<li>\u0393\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf RAIU \u03bc\u03c0\u03bf\u03c1\u03b5\u03af, \u03c3\u03c4\u03b7\u03bd \u03c0\u03bb\u03b5\u03b9\u03bf\u03c8\u03b7\u03c6\u03af\u03b1 \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd, \u03bd\u03b1 \u03c5\u03c0\u03bf\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03b1\u03b8\u03b5\u03af \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03bf\u03c0\u03c4\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03b9\u03cc\u03bd\u03c4\u03bf\u03c2 (<sup>99<\/sup><sup>m<\/sup>TcO4<sup>&#8211;<\/sup>).<\/li>\n<\/ul>\n<h4><br clear=\"all\" \/><b>3. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 \u0399-131\/\u0399-123 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5<\/b><\/h4>\n<h5><b>3.1. \u03a0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 <\/b><\/h5>\n<p>\u0397 \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0399-131 (\u03ae \u0399-123) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b5 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ad\u03c2 \u03b7 \u03af\u03b4\u03b9\u03b1, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0397 \u03c4\u03ae\u03c1\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03ba\u03b1\u03bd\u03cc\u03bd\u03c9\u03bd \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03b1\u03bd\u03ce\u03c2 \u03b1\u03c5\u03c3\u03c4\u03b7\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7. \u03a3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03b4\u03af\u03b1\u03b9\u03c4\u03b1 \u03c0\u03c4\u03c9\u03c7\u03ae \u03c3\u03b5 \u03b9\u03ce\u03b4\u03b9\u03bf \u03ba\u03b1\u03b9 \u03b1\u03c5\u03c3\u03c4\u03b7\u03c1\u03ae \u03b1\u03c0\u03bf\u03c6\u03c5\u03b3\u03ae \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03c9\u03bd \u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd, \u03b3\u03b9\u03b1 2-3 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03c0\u03c1\u03b9\u03bd \u03c4\u03bf scan (31). \u0393\u03b9\u03b1 \u03b5\u03bd\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03b7 \u03b8\u03c5\u03c1\u03bf\u03be\u03af\u03bd\u03b7 \u03b4\u03b9\u03b1\u03ba\u03cc\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 4 \u03ba\u03b1\u03b9 \u03b7 \u03c4\u03c1\u03b9\u03b9\u03c9\u03b4\u03bf\u03b8\u03c5\u03c1\u03bf\u03bd\u03af\u03bd\u03b7 \u03b3\u03b9\u03b1 2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2. \u03a3\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03be\u03c9\u03b3\u03b5\u03bd\u03ae\u03c2 \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03bc\u03b5 \u03b1\u03bd\u03b1\u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03b9\u03bd\u03b7 TSH (rhTSH), \u03c4\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03ce\u03b4\u03b9\u03bf \u03b4\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c4\u03c1\u03af\u03c4\u03b7 \u03b7\u03bc\u03ad\u03c1\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ad\u03bd\u03b1\u03c1\u03be\u03b7 \u03c4\u03b7\u03c2 \u03b4\u03bf\u03ba\u03b9\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7\u03c2 (\u03b5\u03bd\u03b4\u03bf\u03bc\u03c5\u03ca\u03ba\u03ad\u03c2 \u03b5\u03bd\u03ad\u03c3\u03b5\u03b9\u03c2 0.9 mg rhTSH \u03c4\u03b7\u03bd \u03c0\u03c1\u03ce\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b7\u03bc\u03ad\u03c1\u03b1). \u0393\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03b7 \u03b7 \u03b3\u03bd\u03ce\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c0\u03b9\u03c0\u03ad\u03b4\u03c9\u03bd \u03c4\u03b7\u03c2 TSH, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7\u03c2 (Tg). \u0397 TSH \u03bc\u03b5\u03c4\u03c1\u03ac\u03c4\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b7\u03bc\u03ad\u03c1\u03b1 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c4\u03c9\u03bd 30 mIU\/L. \u03a4\u03bf \u03b4\u03b5\u03af\u03b3\u03bc\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 Tg \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd anti-Tg \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c4\u03b7\u03bd 5<sup>\u03b7<\/sup> \u03b7\u03bc\u03ad\u03c1\u03b1. \u0397 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7\u03c2 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03b8\u03b5\u03af \u03b1\u03c0\u03cc \u03c4\u03bf \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03bc\u03b5 test \u03ba\u03c5\u03ae\u03c3\u03b5\u03c9\u03c2, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03cc\u03c4\u03b1\u03bd \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03c7\u03bf\u03c1\u03b7\u03b3\u03b7\u03b8\u03bf\u03cd\u03bd \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 (32).<\/p>\n<h5><b>3.2. \u03a4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ad\u03c2<\/b><\/h5>\n<h6><b>3.2.1. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 \u03bc\u03b9\u03ba\u03c1\u03ae (\u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae) \u03b4\u03cc\u03c3\u03b7 \u0399-131 (<\/b><b>I<\/b><b>-131 <\/b><b>Dx<\/b><b>&#8211;<\/b><b>WBS<\/b><b>)<\/b><\/h6>\n<p>\u03a4\u03bf \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 \u0399-131 (<i>Dx<\/i><i>&#8211;<\/i><i>WBS<\/i>) \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 48 (\u03ae \u03ba\u03b1\u03b9 72) \u03ce\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 2-5 mCi (185 MBq) \u0399-131. \u0397 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 (\u03c0.\u03c7. 10 mCi) \u03b8\u03b5\u03c9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ac \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03c4\u03bf \u03c0\u03bb\u03b5\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5 \u03c3\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c4\u03bf\u03bd \u03af\u03b4\u03b9\u03bf \u03c7\u03c1\u03cc\u03bd\u03bf \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 (\u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b7\u03c2 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b1\u03c2), \u03b1\u03bb\u03bb\u03ac 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\u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b7 \u03c0\u03b7\u03b3\u03ae \u03ba\u03bf\u03b2\u03b1\u03bb\u03c4\u03af\u03bf\u03c5-57, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03b8\u03b5\u03af \u03c4\u03bf \u03c0\u03b5\u03c1\u03af\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c3\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.1<\/b>. \u0395\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b7\u03b8\u03bf\u03cd\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b5\u03c4\u03b5\u03c2 \u03bb\u03bf\u03be\u03ad\u03c2 \u03ae \u03c0\u03bb\u03ac\u03b3\u03b9\u03b5\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c5\u03ba\u03c1\u03af\u03bd\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03ae \u03ba\u03b1\u03b9 \u03c0\u03bb\u03ad\u03bf\u03bd \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03b7\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 72 \u03ae \u03ba\u03b1\u03b9 96 \u03c9\u03c1\u03ce\u03bd \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ba\u03bf\u03b9\u03bb\u03b9\u03b1\u03ba\u03ae \u03c7\u03ce\u03c1\u03b1, \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03ba\u03bf\u03c0\u03c1\u03ac\u03bd\u03c9\u03bd. \u0393\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5, \u03bc\u03b5\u03c1\u03b9\u03ba\u03bf\u03af \u03c3\u03c5\u03b3\u03b3\u03c1\u03b1\u03c6\u03b5\u03af\u03c2 \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 (34). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03b7 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b5\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-901\" alt=\"10.6-figure3..1\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..1.jpg\" width=\"650\" height=\"274\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..1.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..1-300x126.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..1-624x263.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.1.<\/b><\/em> \u03a3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ae \u03bb\u03ae\u03c8\u03b7 (\u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1\u03b1 \u0399-131 WBS) \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c4\u03b7\u03c2 \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae\u03c2, \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03ac\u03bd\u03c9 \u03c4\u03bc\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2. \u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0399-131, \u03b5\u03bb\u03bb\u03b5\u03af\u03c0\u03bf\u03c5\u03bd \u03cc\u03bc\u03c9\u03c2 \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03c4\u03b1 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ac \u03bf\u03b4\u03b7\u03b3\u03ac \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03c4\u03b5\u03af \u03b7 \u03b8\u03ad\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c3\u03c4\u03b9\u03ce\u03bd. \u0394\u03b5\u03be\u03b9\u03ac \u03ad\u03c7\u03b5\u03b9 \u03b5\u03c0\u03b1\u03bd\u03b1\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03b7 \u03bb\u03ae\u03c8\u03b7, \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b7\u03c2 \u03c0\u03b7\u03b3\u03ae\u03c2 Co-57 \u03c0\u03af\u03c3\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae. \u039a\u03b1\u03b8\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03c4\u03b1 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03bf\u03af\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b4\u03b5\u03be\u03b9\u03ac \u03c5\u03c0\u03bf\u03b3\u03bd\u03ac\u03b8\u03b9\u03bf \u03c7\u03ce\u03c1\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<h6><b>3.2.2. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 \u0399-123 (<\/b><b>I<\/b><b>-123 <\/b><b>Dx<\/b><b>&#8211;<\/b><b>WBS<\/b><b>)<\/b><\/h6>\n<p>\u03a4\u03bf \u0399-123 \u03ad\u03c7\u03b5\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03cc \u03c4\u03bf \u0399-131 (\u03c0\u03b1\u03c1\u03ac\u03b3\u03b5\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2), \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5, \u03b1\u03bb\u03bb\u03ac \u03c3\u03c5\u03bd\u03b5\u03c0\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03b2\u03ac\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (5 mCi I-123 \u03c3\u03c5\u03bd\u03b5\u03c0\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc \u03b4\u03cc\u03c3\u03b7 2,4 mSv, \u03b5\u03bd\u03ce 5 mCi \u0399-131 13.3 mSv) (31). \u0395\u03c0\u03b5\u03b9\u03b4\u03ae \u03b4\u03b5\u03bd \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03b5\u03b9 \u03b2-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1, \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03b1\u03c0\u03bf\u03c0\u03bb\u03b7\u03be\u03af\u03b1 (stunning) \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd \u03ba\u03b1\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9 \u03c4\u03b7 \u03c3\u03cd\u03bd\u03c4\u03bf\u03bc\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u0399-131, \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan. \u03a7\u03bf\u03c1\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 2-5 mCi (74-185 MBq) \u03ba\u03b1\u03b9 \u03b7 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 6 \u03ba\u03b1\u03b9 24 \u03ce\u03c1\u03b5\u03c2 \u03b1\u03c1\u03b3\u03cc\u03c4\u03b5\u03c1\u03b1. \u03a7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03bd \u03bf\u03c0\u03ce\u03bd \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2, \u03b5\u03bd\u03ce \u03bf \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03b5\u03af \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b1 pinhole. \u03a4\u03bf \u03ba\u03cd\u03c1\u03b9\u03bf \u03bc\u03b5\u03b9\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03c5\u03c8\u03b7\u03bb\u03cc \u03ba\u03cc\u03c3\u03c4\u03bf\u03c2. \u0395\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd, \u03bb\u03cc\u03b3\u03c9 \u03c4\u03bf\u03c5 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5 \u03b7\u03bc\u03b9\u03c3\u03b5\u03af\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03bf\u03c5 (13,3 \u03ce\u03c1\u03b5\u03c2), \u03b7 \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c0\u03ad\u03c1\u03b1\u03bd \u03c4\u03c9\u03bd 24 \u03c9\u03c1\u03ce\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03b1\u03c0\u03b1\u03b3\u03bf\u03c1\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae. \u0395\u03c0\u03b5\u03b9\u03b4\u03ae \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b2\u03c1\u03b1\u03b4\u03cd \u03c1\u03c5\u03b8\u03bc\u03cc, \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b1\u03c0\u03b1\u03b9\u03c4\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bb\u03af\u03b1\u03bd \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03b7\u03bc\u03ad\u03bd\u03b5\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 (48 \u03c9\u03c1\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c0\u03bb\u03ad\u03bf\u03bd) \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03b2\u03b5\u03bb\u03c4\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03b7 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03c4\u03cc\u03c7\u03bf\u03c5-\u03c0\u03b5\u03c1\u03b9\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b3\u03af\u03bd\u03bf\u03c5\u03bd \u03bf\u03c1\u03b1\u03c4\u03ad\u03c2 \u03bf\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2. \u03a4\u03bf \u0399-131 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03b7\u03bc\u03ad\u03bd\u03b5\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 (\u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b7\u03bc\u03b9\u03b6\u03c9\u03ae\u03c2 8,02 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2) \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03cc \u03c0\u03bb\u03b5\u03bf\u03bd\u03b5\u03ba\u03c4\u03b5\u03af \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 \u0399-123. \u0391\u03c1\u03ba\u03b5\u03c4\u03bf\u03af \u03c3\u03c5\u03b3\u03b3\u03c1\u03b1\u03c6\u03b5\u03af\u03c2 \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0399-131 \u03b1\u03c0\u03cc \u03c4\u03bf \u0399-123 (35,36), \u03ac\u03bb\u03bb\u03bf\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03bf\u03cd\u03bd \u03b5\u03c0\u03b9\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5 \u03b1\u03be\u03af\u03b1 (37). \u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b7 \u03b4\u03b9\u03ba\u03ae \u03bc\u03b1\u03c2 \u03bc\u03b9\u03ba\u03c1\u03ae \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03af\u03b1, \u03c4\u03bf \u0399-123 WBS (\u03bc\u03b5 \u03b4\u03cc\u03c3\u03b7 5 mCi) \u03b4\u03af\u03bd\u03b5\u03b9 \u03c3\u03c5\u03b3\u03ba\u03c1\u03af\u03c3\u03b9\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03bc\u03b5 \u03c4\u03bf \u0399-131 Dx-WBS (\u03bc\u03b5 \u03b4\u03cc\u03c3\u03b7 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 5 mCi), \u03b1\u03bb\u03bb\u03ac \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u0399-131 WBS (Rx-WBS) \u03c0\u03bf\u03c5 \u03b8\u03b1 \u03b4\u03bf\u03cd\u03bc\u03b5 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1. \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.2<\/b> \u03c3\u03b5 \u03b4\u03cd\u03bf \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c6\u03b1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bf\u03b9 \u03bf\u03bc\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03b9\u03bf\u03ba\u03b1\u03c4\u03b1\u03bd\u03bf\u03bc\u03ae\u03c2 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03c9\u03bd, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03ad\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-902\" alt=\"10.6-figure3..2\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..2.jpg\" width=\"650\" height=\"310\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..2.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..2-300x143.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..2-624x297.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.2.<\/b><\/em> \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan \u03bc\u03b5 5 mCi I-131 48 \u03ce\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 (\u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac) \u03ba\u03b1\u03b9 5 mCi \u0399-123 24 \u03ce\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 (\u03b4\u03b5\u03be\u03b9\u03ac), \u03c3\u03b5 \u03b4\u03cd\u03bf \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c0\u03bb\u03ae\u03c1\u03b7 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 (ablation) \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03c1\u03b9\u03bd\u03b9\u03ba\u03cc \u03b2\u03bb\u03b5\u03bd\u03bd\u03bf\u03b3\u03cc\u03bd\u03bf, \u03c4\u03b7 \u03c3\u03c4\u03bf\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03ba\u03bf\u03b9\u03bb\u03cc\u03c4\u03b7\u03c4\u03b1, \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03bf\u03c5\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2, \u03c4\u03bf \u03c3\u03c4\u03cc\u03bc\u03b1\u03c7\u03bf, \u03c4\u03bf \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03bf\u03c5\u03c1\u03bf\u03b4\u03cc\u03c7\u03bf \u03ba\u03cd\u03c3\u03c4\u03b7, \u03bf\u03bc\u03bf\u03af\u03c9\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b1 \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03b7 \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03bf\u03c2 (backgrund), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03bf \u03c3\u03c4\u03cc\u03bc\u03b1\u03c7\u03bf \u03ba\u03b1\u03b9 \u03c4\u03b9\u03c2 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03ad\u03bb\u03b9\u03ba\u03b5\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c3\u03c4\u03b9\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c4\u03bf\u03c5 \u0399-123.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<h6><b>3.2.3 \u039c\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03bc\u03b5 \u0399-131 (<\/b><b>Rx<\/b><b>&#8211;<\/b><b>WBS<\/b><b>)<\/b><\/h6>\n<p>\u03a4\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan (I-131 Rx-WBS) \u03b5\u03ba\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 3-8 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u0399-131, \u03b5\u03af\u03c4\u03b5 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ae \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd. \u039b\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u0399-131, \u03b7 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae\u03bd \u03c4\u03bf\u03c5 Dx-WBS (\u03c3\u03c5\u03bb\u03bb\u03ad\u03b3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03ba\u03c1\u03bf\u03cd\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b7 \u03bc\u03bf\u03bd\u03ac\u03b4\u03b1 \u03c4\u03bf\u03c5 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5) \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7, \u03bc\u03b5 \u03c4\u03b1 \u03c0\u03bb\u03b5\u03bf\u03bd\u03b5\u03ba\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03c5\u03c4\u03ae \u03ad\u03c7\u03b5\u03b9 \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03c0\u03b1\u03c1\u03ac\u03b3\u03c1\u03b1\u03c6\u03bf. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03bc\u03b5\u03c1\u03b9\u03ba\u03bf\u03af \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03af\u03b6\u03bf\u03c5\u03bd \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03c0\u03c1\u03ce\u03b9\u03bc\u03b5\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 3-4 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c4\u03b1\u03c7\u03b5\u03af\u03b1 \u03b1\u03c0\u03bf\u03bc\u03ac\u03ba\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0399-131(38). \u0393\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03bb\u03cc\u03b3\u03bf\u03c5\u03c2 \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 Rx-WBS \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c4\u03bf\u03c5 Dx-WBS, \u03b1\u03c6\u03bf\u03cd \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03b9 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 20% \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03bf (39). \u03a4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bb\u03bb\u03ac\u03be\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c3\u03c4\u03c1\u03b1\u03c4\u03b7\u03b3\u03b9\u03ba\u03ae (40), \u03b3\u03b9\u03b1 \u03b1\u03c5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03b7 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 Rx-WBS \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03ba \u03c4\u03c9\u03bd \u03c9\u03bd \u03bf\u03c5\u03ba \u03ac\u03bd\u03b5\u03c5, \u03cc\u03c0\u03c9\u03c2 \u03c4\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u0395\u03c5\u03c1\u03c9\u03c0\u03b1\u03ca\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (18,41). \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.3<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u0399-131 Rx-WBS \u03bc\u03b9\u03b1\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ad\u03c2 \u03bb\u03b5\u03bc\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 (\u0394\u0398\u039a). \u03a3\u03c4\u03b9\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 3.4 \u03ba\u03b1\u03b9 3.5 \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 Rx-WBS \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 Dx-WBS.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-903\" alt=\"10.6-figure3..3\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..3.jpg\" width=\"592\" height=\"570\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..3.jpg 592w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..3-300x288.jpg 300w\" sizes=\"(max-width: 592px) 100vw, 592px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.3.<\/b><\/em> \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc scan \u03bc\u03b5 \u0399-131 (Rx-WBS) \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (ANT) \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 (POST) \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae, \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03bc\u03b5 \u0394\u0398\u039a, 2 \u03ad\u03c4\u03b7 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 (ablation) \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u0391\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ad\u03c2 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ad\u03c2 \u03c3\u03c5\u03b3\u03ba\u03b5\u03bd\u03c4\u03c1\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03c3\u03b5 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf\u03c5\u03c2 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03b5\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><i>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-904\" alt=\"10.6-figure3..4\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..4.jpg\" width=\"650\" height=\"325\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..4.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..4-300x150.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..4-624x312.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/i><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.4.<\/b><\/em> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u0394\u0398\u039a \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 (ablation) \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc scan \u03bc\u03b5 \u0399-123 (Dx-WBS) \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (ANT) \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 (POST) \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc scan \u03bc\u03b5 \u0399-131 (Rx-WBS) 8 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 100 mCi I-131 \u03b4\u03b5\u03be\u03b9\u03ac. \u0397 \u03b5\u03c3\u03c4\u03af\u03b1 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c0\u03bb\u03b7\u03c3\u03af\u03bf\u03bd \u03c4\u03b7\u03c2 \u03c3\u03c6\u03b1\u03b3\u03ae\u03c2 (\u03b2\u03ad\u03bb\u03b7) \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc scan<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><i>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-905\" alt=\"10.6-figure3..5\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..5.jpg\" width=\"650\" height=\"323\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..5.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..5-300x149.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..5-624x310.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/i><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.5.<\/b><\/em> \u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u0394\u0398\u039a \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 (ablation) \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc scan \u03bc\u03b5 \u0399-123 (Dx-WBS) \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (ANT) \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 (POST) \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03ba\u03b1\u03b9 \u03b4\u03b5\u03be\u03b9\u03ac, \u03c3\u03c4\u03bf\u03bd \u03af\u03b4\u03b9\u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae, \u03c4\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc scan \u03bc\u03b5 \u0399-131 (Rx-WBS) 8 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 100 mCi I-131. \u03a4\u03bf \u0399-123 Dx-WBS \u03b5\u03af\u03bd\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc. \u0397 \u03b3\u03c1\u03b1\u03bc\u03bc\u03bf\u03b9\u03b5\u03b9\u03b4\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1 (\u03b2\u03ad\u03bb\u03bf\u03c2) \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b1\u03c1\u03b1\u03bc\u03bf\u03bd\u03ae \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03cd \u03c3\u03b9\u03ad\u03bb\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf. \u03a3\u03c4\u03bf \u0399-131 Rx-WBS \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ae\u03c0\u03b9\u03b1, \u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03b5 \u03b1\u03bc\u03c6\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b5\u03c2 (\u03b2\u03ad\u03bb\u03b7), \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b4\u03b9\u03ac\u03c7\u03c5\u03c4\u03c9\u03bd \u03bc\u03b9\u03ba\u03c1\u03bf-\u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<h6><b>3.2.4. \u03a5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 <\/b><b>SPECT<\/b><b>\/<\/b><b>CT<\/b><\/h6>\n<p>\u0388\u03bd\u03b1 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ce\u03bd \u03b5\u03b9\u03ba\u03cc\u03bd\u03c9\u03bd \u03c4\u03bf\u03c5 WBS \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1 \u03b1\u03ba\u03c1\u03b9\u03b2\u03bf\u03cd\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03b5\u03bb\u03bb\u03b5\u03af\u03c0\u03bf\u03c5\u03bd \u03c4\u03b1 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1. \u0388\u03c4\u03c3\u03b9, \u03b7 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03b4\u03c1\u03ac \u03bc\u03b5 \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03ce\u03bd \u03b4\u03b5\u03b9\u03ba\u03c4\u03ce\u03bd \u03ae \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03c9\u03bd \u03c0\u03b7\u03b3\u03ce\u03bd Co-57, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5.<\/p>\n<p>\u0397 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 SPECT (single photon emission computed tomography) \u03b4\u03b5\u03bd \u03b2\u03bf\u03b7\u03b8\u03ac \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b5\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03bf\u03b4\u03b7\u03b3\u03bf\u03cd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae\u03c2 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b1\u03c2. \u0397 \u03b1\u03bd\u03ac\u03c0\u03c4\u03c5\u03be\u03b7 \u03c4\u03c9\u03bd \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03b1\u03c0\u03cc \u03ad\u03c4\u03bf\u03c2 2000 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac, \u03b5\u03c0\u03ad\u03c6\u03b5\u03c1\u03b5 \u03b5\u03c0\u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bb\u03bb\u03b1\u03b3\u03ad\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7. \u039a\u03c5\u03c1\u03af\u03c9\u03c2 \u03c0\u03c1\u03bf\u03c9\u03b8\u03ae\u03b8\u03b7\u03ba\u03b1\u03bd \u03c4\u03b1 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ac PET\/CT \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1, \u03b5\u03bd\u03ce \u03b7 \u03b5\u03be\u03ac\u03c0\u03bb\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 SPECT\/CT \u03ad\u03bc\u03b5\u03b9\u03bd\u03b5 \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03c0\u03af\u03c3\u03c9.<\/p>\n<p>\u03a3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03cc \u03bc\u03b1\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bc\u03b5 \u03c4\u03b7\u03bd \u03c4\u03cd\u03c7\u03b7 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c4\u03bf\u03c5\u03bc\u03b5 \u03ad\u03bd\u03b1 \u03c0\u03c1\u03ce\u03c4\u03b7\u03c2 \u03b3\u03b5\u03bd\u03b9\u03ac\u03c2 SPECT\/CT \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf 2004, \u03b5\u03bd\u03ce \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b1 \u03b1\u03c0\u03bf\u03ba\u03c4\u03ae\u03c3\u03b1\u03bc\u03b5 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf, \u03c0\u03b9\u03bf \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03bf. \u03a3\u03c4\u03b7\u03bd <b>E<\/b><b>\u03b9\u03ba\u03cc\u03bd\u03b1 3.6<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b7 \u03b4\u03b9\u03ac\u03c4\u03b1\u03be\u03b7 \u03c4\u03c9\u03bd \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b4\u03cd\u03bf SPECT\/CT \u03c4\u03bf\u03c5 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03b7\u03c1\u03af\u03bf\u03c5 \u03bc\u03b1\u03c2. \u0397 \u03bb\u03c5\u03c7\u03bd\u03af\u03b1 \u03b1\u03ba\u03c4\u03af\u03bd\u03c9\u03bd-\u03a7 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03ad\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b7\u03bc\u03ad\u03bd\u03b1 \u03c0\u03ac\u03bd\u03c9 \u03c3\u03c4\u03bf \u03af\u03b4\u03b9\u03bf \u03b9\u03ba\u03c1\u03af\u03c9\u03bc\u03b1 \u03c3\u03c4\u03ae\u03c1\u03b9\u03be\u03b7\u03c2 (gantry) \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b5\u03c6\u03b1\u03bb\u03ad\u03c2 \u03c4\u03b7\u03c2 \u03b3-camera. \u039c\u03b5 \u03c4\u03bf\u03bd \u03c4\u03c1\u03cc\u03c0\u03bf \u03b1\u03c5\u03c4\u03cc \u03b7 CT \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03b3\u03ae, \u03ad\u03c3\u03c4\u03c9 \u03ba\u03b1\u03b9 \u03b1\u03bd \u03b1\u03bd\u03c4\u03af \u03b3\u03b9\u03b1 \u03bc\u03af\u03b1 \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ad\u03c2 \u03c3\u03b5\u03b9\u03c1\u03ad\u03c2 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03ce\u03bd (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.6<\/b>, \u03b4\u03b5\u03be\u03b9\u03ac \u03ba\u03ac\u03c4\u03c9). \u0397 \u03bb\u03ae\u03c8\u03b7 \u03c4\u03b7\u03c2 SPECT \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c7\u03c1\u03bf\u03bd\u03b7. \u0397 CT \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7\u03b8\u03b5\u03bb\u03b7\u03bc\u03ad\u03bd\u03b1 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03ac\u03c1\u03b1 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae\u03c2 \u03b5\u03c5\u03ba\u03c1\u03af\u03bd\u03b5\u03b9\u03b1\u03c2, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03c3\u03c4\u03bf\u03c7\u03b5\u03cd\u03b5\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd (\u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03b9\u03bf\u03c1\u03b8\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03be\u03b1\u03c3\u03b8\u03ad\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ad\u03bb\u03b5\u03c5\u03c3\u03ae \u03c4\u03b7\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03c9\u03bd \u03b9\u03c3\u03c4\u03ce\u03bd) \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b1\u03c0\u03cc\u03ba\u03c4\u03b7\u03c3\u03b7 \u03bc\u03b9\u03b1\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03ae\u03c2 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1\u03c2. \u0397 \u03b4\u03cc\u03c3\u03b7 \u03c3\u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7 CT \u03b5\u03af\u03bd\u03b1\u03b9 0.5-1 mSv. \u03a4\u03b1 \u03bd\u03b5\u03cc\u03c4\u03b5\u03c1\u03b1 SPECT\/CT \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c6\u03ad\u03c1\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03c5\u03c4\u03bf\u03bc\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03ac\u03c6\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03be\u03b5\u03c7\u03c9\u03c1\u03b9\u03c3\u03c4\u03cc gantry \u03ba\u03b1\u03b9 \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03c5\u03bd \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 CT, \u03cc\u03bc\u03c9\u03c2 \u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03cc\u03bb\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7.<\/p>\n<p>\u0397 \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03af\u03b1 \u03bc\u03b1\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 SPECT\/CT \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b5\u03c2 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ad\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc\u03bb\u03c5\u03c4\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03b8\u03bd\u03ae \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 (42). \u0395\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 \u0399-123 \u03ae \u0399-131, \u03b7 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03ba\u03c1\u03b9\u03b2\u03bf\u03cd\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03b5\u03c0\u03b9\u03bb\u03cd\u03b5\u03b9 \u03c0\u03bf\u03bb\u03bb\u03ac \u03c0\u03c1\u03bf\u03b2\u03bb\u03ae\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b1\u03bb\u03bb\u03ac\u03b6\u03b5\u03b9 \u03b4\u03c1\u03b1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03c4\u03b7\u03bd \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03b5\u03bd\u03c4\u03cd\u03c0\u03c9\u03c3\u03b7. \u039c\u03b5\u03b9\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03b7 \u03c0\u03b1\u03c1\u03ac\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03bc\u03b9\u03ba\u03c1\u03ce\u03bd \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03b4\u03cc\u03c3\u03b5\u03c9\u03bd \u0399-131 (\u03c0\u03c7. 5 mCi) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae (40-45 \u03bb\u03b5\u03c0\u03c4\u03ac \u03b1\u03bd\u03ac \u03c0\u03b5\u03b4\u03af\u03bf, \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03c4\u03bf\u03c5 WBS). \u039f \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03c0\u03b5\u03b4\u03af\u03bf \u03c4\u03b7\u03c2 \u03b3-camera, \u03b5\u03bd\u03ce \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf \u03c0\u03b5\u03b4\u03af\u03bf \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03bf\u03b9\u03bb\u03b9\u03b1\u03ba\u03ae\u03c2 \u03c7\u03ce\u03c1\u03b1\u03c2. \u03a3\u03b5 \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03b1 (\u03bc\u03b5 \u03c7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b5\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 50-150 mCi) \u03bf \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03b1\u03bd\u03ce\u03c4\u03b5\u03c1\u03b7. \u03a3\u03b5 \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03b1\u03c6\u03bf\u03c1\u03ad\u03c2 \u03c4\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b1\u03be\u03af\u03b1 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5 \u03c3\u03c4\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u0394\u0398\u039a (42-46). \u03a3\u03b5 \u03c0\u03bf\u03bb\u03cd \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03b1\u03bd\u03b1\u03b4\u03c1\u03bf\u03bc\u03b9\u03ba\u03ae \u03b1\u03bd\u03ac\u03bb\u03c5\u03c3\u03b7 14 \u03b4\u03b7\u03bc\u03bf\u03c3\u03b9\u03b5\u03c5\u03bc\u03ad\u03bd\u03c9\u03bd \u03bc\u03b5\u03bb\u03b5\u03c4\u03ce\u03bd \u03b5\u03c0\u03af \u03c3\u03c5\u03bd\u03cc\u03bb\u03bf\u03c5 1066 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd, \u03c4\u03bf SPECT\/CT \u03b5\u03c0\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03c0\u03c1\u03bf\u03c3\u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 I-131 WBS \u03c3\u03c4\u03bf 48-88% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd \u03ba\u03b1\u03b9 \u03b5\u03af\u03c7\u03b5 \u03c9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c4\u03c1\u03b1\u03c4\u03b7\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c4\u03bf 23-25% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd (47). \u0397 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03b1\u03ba\u03cc\u03bc\u03b1 \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03b5\u03cd\u03c3\u03b5\u03b9 \u03b3\u03b9\u03b1 \u03b1\u03ba\u03c1\u03b9\u03b2\u03ad\u03c3\u03c4\u03b5\u03c1\u03bf\u03c5\u03c2 \u03b4\u03bf\u03c3\u03b9\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c5\u03c0\u03bf\u03bb\u03bf\u03b3\u03b9\u03c3\u03bc\u03bf\u03cd\u03c2, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03b1\u03c1\u03bc\u03bf\u03c3\u03c4\u03b5\u03af \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03cc\u03c3\u03b7 (48,49).<\/p>\n<p>\u03a3\u03c4\u03b9\u03c2 <b>E<\/b><b>\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 3.7 -3.11<\/b> \u03b4\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03b4\u03b5\u03af\u03b3\u03bc\u03b1\u03c4\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 SPECT\/CT. \u0395\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd, \u03c3\u03b5 \u03b5\u03c0\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2 \u03c4\u03bf\u03c5 I-131\/I-123 WBS, \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bf \u03c4\u03c1\u03cc\u03c0\u03bf\u03c2 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03bf\u03c0\u03bf\u03af\u03bf \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c6\u03b5\u03c5\u03c7\u03b8\u03bf\u03cd\u03bd \u03b1\u03c1\u03ba\u03b5\u03c4\u03ad\u03c2 \u03bb\u03b1\u03bd\u03b8\u03b1\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b5\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-906\" alt=\"10.6-figure3..6\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..6.jpg\" width=\"650\" height=\"396\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..6.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..6-300x182.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..6-624x380.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.6.<\/b><\/em> \u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 SPECT\/CT \u03b4\u03b9\u03ac\u03c4\u03b1\u03be\u03b7, \u03c3\u03c4\u03b1 \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03bb\u03c5\u03c7\u03bd\u03af\u03b1 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03ad\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c3\u03c4\u03bf \u03af\u03b4\u03b9\u03bf \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03c3\u03c4\u03ae\u03c1\u03b9\u03be\u03b7\u03c2-\u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae\u03c2 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03cc \u03c4\u03c9\u03bd \u03ba\u03b5\u03c6\u03b1\u03bb\u03ce\u03bd \u03c4\u03b7\u03c2 \u03b3-camera. \u0393\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03c1\u03ce\u03c4\u03b1 \u03b7 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae SPECT \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b5\u03af \u03b7 \u03bb\u03ae\u03c8\u03b7 \u03c4\u03b7\u03c2 CT, \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03cc\u03bc\u03b1\u03c4\u03b7 \u03bc\u03b5\u03c4\u03b1\u03ba\u03af\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ba\u03bb\u03af\u03bd\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03ac\u03bb\u03bb\u03b7\u03bb\u03b7 \u03b8\u03ad\u03c3\u03b7 (\u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b7\u03b8\u03b5\u03af \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03c1\u03bf\u03c6\u03b7 \u03c3\u03b5\u03b9\u03c1\u03ac). \u0394\u03b5\u03be\u03b9\u03ac \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 \u03b4\u03cd\u03bf SPECT\/CT \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c4\u03af\u03b8\u03b5\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03cc \u03bc\u03b1\u03c2. \u03a0\u03ac\u03bd\u03c9, \u03c4\u03bf \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03bc\u03b5 \u03bc\u03bf\u03bd\u03ae \u03c3\u03b5\u03b9\u03c1\u03ac \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03ce\u03bd (Hawkey, GE Healthcare) \u03ba\u03b1\u03b9 \u03ba\u03ac\u03c4\u03c9 \u03bc\u03b5 4-\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc CT (Hawkey-4, GE Healthcare).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-907\" alt=\"10.6-figure3..7\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..7.jpg\" width=\"650\" height=\"296\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..7.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..7-300x136.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..7-624x284.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.7. <\/b><\/em>A)<b> <\/b>I-131 Rx-WBS (\u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae) \u03bc\u03b5\u03c4\u03ac \u03bb\u03ae\u03c8\u03b7 100 mCi \u03b3\u03b9\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2, \u03c3\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 80 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0391\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1 (\u03bb\u03b5\u03c5\u03ba\u03cc \u03b2\u03ad\u03bb\u03bf\u03c2), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ad\u03c2 \u03c3\u03c5\u03b3\u03ba\u03b5\u03bd\u03c4\u03c1\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1 (\u03b3\u03b1\u03bb\u03ac\u03b6\u03b9\u03b1 \u03b2\u03ad\u03bb\u03b7). \u0397 \u03b1\u03ba\u03c1\u03b9\u03b2\u03ae\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03c5\u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf \u03b4\u03b5\u03be\u03b9\u03cc \u03b7\u03bc\u03b9\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03bd\u03b1\u03c4\u03ae. \u0392) SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c3\u03c4\u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1. \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 3 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 (\u03c4\u03bf SPECT \u03c3\u03c4\u03b7\u03bd \u03c0\u03ac\u03bd\u03c9 \u03c3\u03b5\u03b9\u03c1\u03ac, \u03c4\u03bf CT \u03c3\u03c4\u03b7 \u03bc\u03ad\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03b7 \u03bc\u03b5\u03af\u03be\u03b7 (fusion) \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03c3\u03c4\u03b7\u03bd \u03ba\u03ac\u03c4\u03c9 \u03c3\u03b5\u03b9\u03c1\u03ac. \u0397 \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b5\u03c3\u03c4\u03af\u03b1 \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b4\u03b5\u03be\u03b9\u03ac \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03c0\u03cd\u03bb\u03b7. \u0395\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 2 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c0\u03bf\u03bb\u03bb\u03ad\u03c2 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-908\" alt=\"10.6-figure3..8\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..8.jpg\" width=\"650\" height=\"318\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..8.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..8-300x146.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..8-624x305.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.8. <\/b><\/em>\u0386\u03bd\u03b4\u03c1\u03b1\u03c2 46 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5<b> <\/b>\u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u03a5\u03c0\u03b5\u03b2\u03bb\u03ae\u03b8\u03b7 \u03c3\u03b5 \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03bf\u03bb\u03b9\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03c0\u03c1\u03bf \u03ad\u03c4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03ad\u03bb\u03b1\u03b2\u03b5 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 50 mCi I-131 \u03b3\u03b9\u03b1 ablation. \u039b\u03cc\u03b3\u03c9 \u03c5\u03c8\u03b7\u03bb\u03ce\u03bd \u03c4\u03b9\u03bc\u03ce\u03bd Tg \u03ad\u03bb\u03b1\u03b2\u03b5 \u03b5\u03c0\u03b9\u03c0\u03c1\u03cc\u03c3\u03b8\u03b5\u03c4\u03b1 100 mCi I-131. \u0391) \u03a3\u03c4\u03bf Rx-WBS \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03cd\u03bf \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 \u03b5\u03ba\u03b1\u03c4\u03ad\u03c1\u03c9\u03b8\u03b5\u03bd \u03c4\u03b7\u03c2 \u03bc\u03ad\u03c3\u03b7\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2 (\u03b2\u03ad\u03bb\u03b7), \u03c7\u03c9\u03c1\u03af\u03c2 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ac\u03bd \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03bf\u03af\u03c4\u03b7. \u0392) SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7: \u0395\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b7 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b1 \u03c4\u03bf\u03bc\u03ae \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03c3\u03c4\u03bf \u03cd\u03c8\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1\u03c2 \u03b5\u03c0\u03af \u03c4\u03b1 \u03b4\u03b5\u03be\u03b9\u03ac \u03c4\u03b7\u03c2 \u03bc\u03ad\u03c3\u03b7\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2, \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03bf\u03af\u03c4\u03b7. \u0393) SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7:\u00a0 \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 3 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03c0\u03af \u03c4\u03b1 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03c4\u03b7\u03c2 \u03bc\u03ad\u03c3\u03b7\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2. \u03a4\u03bf \u03b5\u03bd \u03bb\u03cc\u03b3\u03c9 \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03ba\u03c4\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ba\u03bf\u03af\u03c4\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b9\u03c3\u03c4\u03ac \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c3\u03b5 \u03c5\u03c0\u03b5\u03c1\u03ba\u03bb\u03b5\u03af\u03b4\u03b9\u03bf \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-909\" alt=\"10.6-figure3..9\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..9.jpg\" width=\"650\" height=\"357\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..9.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..9-300x164.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..9-624x342.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.9. <\/b><\/em>\u0393\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 50 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5 \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03bf\u03c5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b7\u03b8\u03ad\u03bd\u03c4\u03bf\u03c2 \u03c0\u03c1\u03bf 10\u03b5\u03c4\u03af\u03b1\u03c2. \u039b\u03cc\u03b3\u03c9 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae\u03c2 \u03ad\u03bb\u03b1\u03b2\u03b5 \u03c3\u03c4\u03bf \u03c0\u03b1\u03c1\u03b5\u03bb\u03b8\u03cc\u03bd \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03bc\u03b5 \u0399-131 \u03b4\u03cd\u03bf \u03c6\u03bf\u03c1\u03ad\u03c2. \u03a3\u03c4\u03b7 \u03c0\u03b1\u03c1\u03bf\u03cd\u03c3\u03b1 \u03c6\u03ac\u03c3\u03b7 \u03b5\u03bb\u03ad\u03b3\u03c7\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 Dx-WBS, 48 \u03ce\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03bb\u03ae\u03c8\u03b7 5 mCi I-131. \u0391) \u03a3\u03c4\u03bf Dx-WBS \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03af\u03b1 \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf \u03ba\u03b1\u03c4\u03ce\u03c4\u03b5\u03c1\u03bf \u03c4\u03bc\u03ae\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03b4\u03b5\u03be\u03b9\u03ac \u03ae \u03c3\u03c4\u03b7\u03bd \u03b5\u03af\u03c3\u03bf\u03b4\u03bf \u03c4\u03bf\u03c5 \u03b8\u03c9\u03b1\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u03ba\u03bb\u03c9\u03b2\u03bf\u03cd (\u03bb\u03bf\u03be\u03ac \u03b2\u03ad\u03bb\u03b7), \u03b7 \u03b1\u03ba\u03c1\u03b9\u03b2\u03ae\u03c2 \u03b8\u03ad\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bf\u03c0\u03bf\u03af\u03b1\u03c2 \u03c0\u03ac\u03bd\u03c4\u03c9\u03c2 \u03b4\u03b5\u03bd \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03b9\u03c3\u03b8\u03b5\u03af. \u03a4\u03bf \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ac\u03bd\u03c9 \u03ba\u03bf\u03b9\u03bb\u03b9\u03b1\u03ba\u03ae \u03c7\u03ce\u03c1\u03b1 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03c0\u03b1\u03c1\u03b9\u03c3\u03c4\u03ac \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03c3\u03c4\u03cc\u03bc\u03b1\u03c7\u03bf. \u0392) \u03a3\u03c4\u03b7 SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 (\u03b5\u03b4\u03ce \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03bf \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03b1\u03af\u03bf \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03bf \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1) \u03ba\u03b1\u03b8\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae \u03c4\u03b7\u03c2 \u03b4\u03b5\u03be\u03b9\u03ac\u03c2 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b9\u03c3\u03c4\u03ac \u03bf\u03c3\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-910\" alt=\"10.6-figure3..10\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..10.jpg\" width=\"650\" height=\"310\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..10.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..10-300x143.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..10-624x297.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.10. <\/b><\/em>\u0386\u03bd\u03b4\u03c1\u03b1\u03c2 54 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5\u03c4\u03ac \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03b3\u03b9\u03b1 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0391) Rx-WBS 7 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 50 mCi \u0399-131 \u03b3\u03b9\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b1\u03c4\u03b7 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf \u03ba\u03b1\u03c4\u03ce\u03c4\u03b5\u03c1\u03bf \u03c4\u03bc\u03ae\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03ae \u03c3\u03c4\u03b7\u03bd \u03b5\u03af\u03c3\u03bf\u03b4\u03bf \u03c4\u03bf\u03c5 \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1, \u03c7\u03c9\u03c1\u03af\u03c2 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03bd\u03b1\u03c4\u03ae \u03b7 \u03b1\u03ba\u03c1\u03b9\u03b2\u03ae\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7. \u0392) SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1: \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 \u03c4\u03c1\u03b9\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1, \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1. \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03bc\u03b5\u03b3\u03ac\u03bb\u03bf \u03bf\u03c0\u03b9\u03c3\u03b8\u03bf\u03c3\u03c4\u03b5\u03c1\u03bd\u03b9\u03ba\u03ac \u03ba\u03b1\u03c4\u03b1\u03b4\u03c5\u03cc\u03bc\u03b5\u03bd\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c0\u03b1\u03c1\u03b1\u03bb\u03ae\u03c6\u03b8\u03b7\u03ba\u03b5 \u03c4\u03b7\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-911\" alt=\"10.6-figure3..11\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..11.jpg\" width=\"650\" height=\"379\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..11.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..11-300x174.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..11-624x363.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><i> <\/i><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.11.<\/b><\/em> \u0393\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 29 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03bf\u03bb\u03b9\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03b3\u03b9\u03b1 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0391) Rx-WBS 7 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 50 mCi I-131 \u03b3\u03b9\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1. \u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03c3\u03c4\u03b7\u03bd \u03b5\u03bb\u03ac\u03c3\u03c3\u03bf\u03bd\u03b1 \u03c0\u03cd\u03b5\u03bb\u03bf \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac (\u03b2\u03ad\u03bb\u03bf\u03c2), \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b1\u03c1\u03c7\u03b9\u03ba\u03ac \u03b8\u03b5\u03c9\u03c1\u03ae\u03b8\u03b7\u03ba\u03b5 \u03cc\u03c4\u03b9 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03bc\u03bf\u03bd\u03ae \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03ba\u03bf\u03c0\u03c1\u03ac\u03bd\u03c9\u03bd \u03c3\u03c4\u03bf \u03c3\u03b9\u03b3\u03bc\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2. \u03a4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c0\u03b1\u03c1\u03ad\u03bc\u03b5\u03b9\u03bd\u03b5 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b9\u03bf \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03b5\u03c1\u03b7\u03bc\u03ad\u03bd\u03b5\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2, 10 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0399-131. \u0392) \u03a3\u03c4\u03b7 SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c0\u03cd\u03b5\u03bb\u03bf (\u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03b1\u03af\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1). \u0397 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b8\u03ad\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac\u03c2 \u03c9\u03bf\u03b8\u03ae\u03ba\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b1\u03c4\u03b1 \u03c0\u03b1\u03c1\u03b9\u03c3\u03c4\u03ac \u03ad\u03ba\u03c4\u03bf\u03c0\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03cc (struma ovarii).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<h5><b>3.3. \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/b><\/h5>\n<h6><b>3.3.1. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf <\/b><b>scan<\/b><b> (<\/b><b>Dx<\/b><b>&#8211;<\/b><b>WBS<\/b><b>) \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 (<\/b><b>ablation<\/b><b>) \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 <\/b><\/h6>\n<p>\u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03ba\u03bb\u03b1\u03c3\u03c3\u03b9\u03ba\u03ae \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03cc\u03bc\u03c9\u03c2 \u03b1\u03bc\u03c6\u03b9\u03c3\u03b2\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9. \u039f\u03b9 \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03b9\u03ba\u03c4\u03ad\u03c2 \u03b1\u03c5\u03c4\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03b8\u03ad\u03c4\u03bf\u03c5\u03bd \u03c9\u03c2 \u03c0\u03bb\u03b5\u03bf\u03bd\u03b5\u03ba\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b1) \u03c4\u03b7\u03bd \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03b3\u03ad\u03b8\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03b2) \u03c4\u03b7\u03bd \u03c0\u03c1\u03ce\u03b9\u03bc\u03b7 \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7 \u03c4\u03c5\u03c7\u03cc\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03b4\u03cd\u03bf \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b3) \u03bd\u03b1 \u03c3\u03c7\u03b5\u03b4\u03b9\u03b1\u03c3\u03c4\u03b5\u03af \u03c4\u03bf \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c0\u03bb\u03ac\u03bd\u03bf (\u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03b7 \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc\u03c2 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03cc\u03c2 \u03ba\u03b1\u03b8\u03b1\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5) \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03ba\u03b1\u03b8\u03bf\u03c1\u03b9\u03c3\u03c4\u03bf\u03cd\u03bd \u03bf\u03b9 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 (50). \u0397 \u03ac\u03c0\u03bf\u03c8\u03b7 \u03b1\u03c5\u03c4\u03ae \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9, \u03c5\u03c0\u03cc \u03cc\u03c1\u03bf\u03c5\u03c2, \u03c3\u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ad\u03c2 \u03c4\u03b7\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03ac\u03bd\u03b9\u03ba\u03b7\u03c2 \u0395\u03c4\u03b1\u03b9\u03c1\u03b5\u03af\u03b1\u03c2 \u0398\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2(revised ATA guidelines 2009) (18). \u03a3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c4\u03bf\u03c5 National Comprehensive Cancer Network (NCCN version 2.2013) \u03c4\u03bf Dx-WBS \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03bf. \u0391\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03c4\u03bf Dx-WBS \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03ba\u03bb\u03b7\u03c4\u03ae Tg&lt;1 ng\/ml \u03b1\u03af\u03c1\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03b3\u03ba\u03b1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 (ablation) \u03bc\u03b5 \u0399-131. \u03a0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03bf\u03af\u03c4\u03b7 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 ablation 30-100 mCi, \u03b5\u03bd\u03ce \u03b5\u03c0\u03af \u03b5\u03c0\u03b9\u03c7\u03ce\u03c1\u03b9\u03c9\u03bd \u03ae \u03b1\u03c0\u03bf\u03bc\u03b1\u03ba\u03c1\u03c5\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 100-200 mCi (51).<\/p>\n<p>\u03a9\u03c2 \u03b5\u03c0\u03b9\u03c7\u03b5\u03b9\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03ac\u03bb\u03b5\u03b9\u03c8\u03b7 \u03c4\u03bf\u03c5 Dx-WBS \u03c0\u03b1\u03c1\u03b1\u03c4\u03af\u03b8\u03b5\u03bd\u03c4\u03b1\u03b9: \u03b1) \u0397 \u03cd\u03c0\u03b1\u03c1\u03be\u03b7 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03cd\u03c0\u03bf\u03c0\u03c4\u03c9\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03c9\u03bd \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03c0\u03bf\u03c5 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03b8\u03b1 \u03ac\u03bb\u03bb\u03b1\u03b6\u03b1\u03bd \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c3\u03c4\u03c1\u03b1\u03c4\u03b7\u03b3\u03b9\u03ba\u03ae \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03b8\u03bf\u03cd\u03bd \u03bc\u03b5 \u03ad\u03bd\u03b1 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03cc \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5. \u03b2) \u0397 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd Dx-WBS \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03ba\u03bb\u03b7\u03c4\u03ae\u03c2 Tg&lt;1 ng\/ml (\u03b4\u03b7\u03bb. \u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae\u03c2) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1, \u03c0\u03ad\u03c1\u03b1\u03bd \u03c4\u03c9\u03bd \u03c0\u03bf\u03bb\u03cd \u03b5\u03be\u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03c9\u03bd \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03ce\u03bd. \u03b3) \u0394\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b1\u03c0\u03bf\u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03c0\u03c1\u03bf\u03c3\u03b1\u03c1\u03bc\u03bf\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 (\u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 scan) \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c1\u03bf\u03cd\u03bd \u03c4\u03c9\u03bd \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03ce\u03bd \u03b5\u03bc\u03c0\u03b5\u03b9\u03c1\u03b9\u03ba\u03ce\u03bd \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u03b3) \u039c\u03b5 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c4\u03c9\u03bd 2-3 mCi \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2, \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b1\u03bc\u03c6\u03b9\u03c3\u03b2\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9, \u03b1\u03c0\u03bf\u03c0\u03bb\u03b7\u03be\u03af\u03b1\u03c2 (stunning) \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 (52), \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b5\u03c0\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b8\u03c5\u03c3\u03c4\u03ad\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd\u03c2 \u03bc\u03ae\u03bd\u03b5\u03c2. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03bc\u03b5 \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0399-123 \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 \u03bc\u03ad\u03c7\u03c1\u03b9 2-3 mCi \u03c4\u03ad\u03c4\u03bf\u03b9\u03bf\u03c2 \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b1\u03c0\u03bf\u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af (53) \u03b4) \u0397 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 Dx-WBS \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b1\u03c6\u03ce\u03c2 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae\u03bd \u03c4\u03bf\u03c5 Rx-WBS. \u03b4) \u039f \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03c5\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03b4\u03cd\u03bf \u03c6\u03bf\u03c1\u03ad\u03c2, \u03bc\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 Dx-WBS \u03ba\u03b1\u03b9 \u03bc\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03bf\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03bf\u03c5 \u0399-131. \u039c\u03b5 \u03c4\u03b7\u03bd \u03ac\u03c0\u03bf\u03c8\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03ac\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 Dx-WBS \u03c4\u03ac\u03c3\u03c3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bf\u03b9 \u0395\u03c5\u03c1\u03c9\u03c0\u03b1\u03ca\u03ba\u03ad\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (European Thyroid Cancer Task Force 2006, ESMO Clinical Practice Guidelines 2012) (41, 54).<\/p>\n<h6><b>3.3.2. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf <\/b><b>scan<\/b><b> (<sup>131<\/sup><\/b><b>I<\/b><b>\/<sup>123<\/sup><\/b><b>I<\/b><b> <\/b><b>Dx<\/b><b>&#8211;<\/b><b>WBS<\/b><b>) \u03c3\u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf<\/b><\/h6>\n<p>\u0397 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf\u03c5 scan \u03bc\u03b5 \u03bc\u03b9\u03ba\u03c1\u03ad\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u0399-131 \u03ae \u03bc\u03b5 I-123 (Dx-WBS) \u03ad\u03c7\u03b5\u03b9 \u03b1\u03bc\u03c6\u03b9\u03c3\u03b2\u03b7\u03c4\u03b7\u03b8\u03b5\u03af \u03c4\u03b1 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7\u03c2 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7\u03c2 (Tg) \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c0\u03c1\u03bf\u03ba\u03bb\u03b7\u03c4\u03ae \u03b1\u03cd\u03be\u03b7\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 TSH. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03bc\u03b9\u03ba\u03c1\u03cc \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd (14% \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03bc\u03b9\u03b1 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 (55)) \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03c4\u03bf Dx-WBS \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ac \u03c4\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae Tg (Tg &lt; 2 ng\/ml \u03bc\u03b5\u03c4\u03ac \u03c0\u03c1\u03cc\u03ba\u03bb\u03b7\u03c3\u03b7). \u039f\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (revised ATA guidelines 2009, ESMO Clinical Practice Guidelines 2012) \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03bf\u03c5\u03bd \u03c4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03a4g \u03bc\u03b5\u03c4\u03ac \u03b5\u03bd\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03ae \u03b5\u03be\u03c9\u03b3\u03b5\u03bd\u03ae \u03c0\u03c1\u03cc\u03ba\u03bb\u03b7\u03c3\u03b7, 6-12 \u03bc\u03ae\u03bd\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf ablation, \u03c7\u03c9\u03c1\u03af\u03c2 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 Dx-WBS, \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03bf\u03cd \u03c1\u03af\u03c3\u03ba\u03bf\u03c5 (18,54). \u03a9\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03bf\u03cd \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u03c3\u03c4\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03c3\u03c4\u03c1\u03c9\u03bc\u03ac\u03c4\u03c9\u03c3\u03b7 \u03b8\u03b5\u03c9\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2: \u03b1) \u03c7\u03c9\u03c1\u03af\u03c2 \u03c4\u03bf\u03c0\u03b9\u03ba\u03ae \u03b5\u03be\u03c9\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03ba\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5, \u03b2) \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03c0\u03b9\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03c4\u03cd\u03c0\u03bf, \u03b3) \u03bc\u03b5 \u03c0\u03bb\u03ae\u03c1\u03b7 \u03b5\u03be\u03b1\u03af\u03c1\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b1\u03ba\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ac \u03bf\u03c1\u03b1\u03c4\u03bf\u03cd \u03bd\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b3) \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03b5\u03c0\u03b9\u03c7\u03ce\u03c1\u03b9\u03c9\u03bd \u03ae \u03b1\u03c0\u03bf\u03bc\u03b1\u03ba\u03c1\u03c5\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u03ba\u03b1\u03b9 \u03b4) \u03bc\u03b5 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u0399-131 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03bf\u03af\u03c4\u03b7 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc scan (Rx-WBS) \u03c3\u03c4\u03b7 \u03c6\u03ac\u03c3\u03b7 \u03c4\u03bf\u03c5 ablation (18). \u03a4\u03bf Dx-WBS \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c7\u03c1\u03ae\u03c3\u03b9\u03bc\u03bf \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03ad\u03c3\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03bf\u03cd \u03c1\u03af\u03c3\u03ba\u03bf\u03c5, \u03b5\u03c0\u03af \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c2 \u03b1\u03bd\u03c4\u03b9-Tg \u03b1\u03bd\u03c4\u03b9\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03ae \u03b5\u03c0\u03af \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03c9\u03bd \u03b5\u03c0\u03b9\u03c0\u03ad\u03b4\u03c9\u03bd Tg \u03bc\u03b5 \u03ae \u03c7\u03c9\u03c1\u03af\u03c2 \u03c0\u03c1\u03cc\u03ba\u03bb\u03b7\u03c3\u03b7. \u0395\u03c0\u03b5\u03b9\u03b4\u03ae \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ae, \u03b2\u03ac\u03c1\u03bf\u03c2 \u03b4\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2. \u03a4\u03bf \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03b1\u03c0\u03cc \u03ad\u03bc\u03c0\u03b5\u03b9\u03c1\u03bf \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03bb\u03cc\u03b3\u03bf \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03c0\u03b9\u03bf \u03b5\u03c5\u03b1\u03af\u03c3\u03b8\u03b7\u03c4\u03b7 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03ac\u03b4\u03b5\u03b9\u03be\u03b7 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ce\u03bd \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd (41). \u03a3\u03b5 \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf\u03c5\u03c2 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 FNA (\u03b5\u03ac\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c6\u03b9\u03ba\u03c4\u03ae) \u03bc\u03b5 \u03bc\u03ad\u03c4\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 Tg \u03c3\u03c4\u03bf \u03ad\u03ba\u03c0\u03bb\u03c5\u03bc\u03b1. \u0395\u03c0\u03af\u03c3\u03b7\u03c2 \u03b7 CT \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b5\u03c5\u03ba\u03c1\u03af\u03bd\u03b5\u03b9\u03b1\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03bf MRI \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03bf\u03c5\u03bd \u03c4\u03bf \u03c0\u03bb\u03b5\u03af\u03c3\u03c4\u03bf\u03bd \u03c4\u03c9\u03bd \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd, \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u03bf\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd. \u0395\u03c0\u03af \u03b8\u03b5\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd, \u03c4\u03bf Dx-WBS \u03b8\u03b1 \u03b4\u03b9\u03b5\u03c1\u03b5\u03c5\u03bd\u03ae\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03c4\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 RAI \u03c3\u03b5 \u03b3\u03bd\u03c9\u03c3\u03c4\u03ad\u03c2 \u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae\u03c2 \u03ae \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03c4\u03b5\u03b8\u03b5\u03af \u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 RAI \u03ae, \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03c4\u03bf\u03c0\u03b9\u03ba\u03ac \u03bd\u03cc\u03c3\u03bf, \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03be\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\u03c2. \u03a4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 Dx-WBS \u03c6\u03ad\u03c1\u03bf\u03c5\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 (56). \u038c\u03c4\u03b1\u03bd \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03c9\u03bd \u03ac\u03bb\u03bb\u03c9\u03bd \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf Dx-WBS \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7, \u03b1\u03bb\u03bb\u03ac \u03c3\u03c5\u03b3\u03ba\u03b5\u03bd\u03c4\u03c1\u03ce\u03bd\u03b5\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ad\u03c2 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc. \u0395\u03ac\u03bd \u03c4\u03bf WBS \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03b9 \u03b7 Tg &lt; 10 ng\/ml \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b5\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf \u03c4\u03c5\u03c6\u03bb\u03ae\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03cc\u03c3\u03b7\u03c2 \u0399-131 \u03ae \u03b7 \u03b1\u03bd\u03b1\u03bc\u03bf\u03bd\u03ae \u03bc\u03b5 \u03c3\u03c4\u03b5\u03bd\u03ae \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7. \u0395\u03ac\u03bd \u03b7 Tg \u03b5\u03af\u03bd\u03b1\u03b9 &gt; 10 ng\/ml \u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 <sup>18<\/sup>F-FDG PET scan (\u03b1\u03bd \u03ba\u03b1\u03b9 \u03c4\u03bf \u03cc\u03c1\u03b9\u03bf \u03c4\u03c9\u03bd 10 ng\/ml \u03b1\u03bc\u03c6\u03b9\u03c3\u03b2\u03b7\u03c4\u03b5\u03af\u03c4\u03b1\u03b9 \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ac\u03c4\u03c9 \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1). \u0395\u03ac\u03bd \u03c4\u03bf PET \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc, \u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd RAI \u03bc\u03ac\u03bb\u03bb\u03bf\u03bd \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b1\u03c4\u03b1 \u03c0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03bf\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b5\u03c2, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd RAI. \u0395\u03ba\u03c4\u03b9\u03bc\u03ac\u03c4\u03b1\u03b9 \u03b7 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03be\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\u03c2 \u03ae, \u03b1\u03bd \u03b1\u03c5\u03c4\u03cc \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc, \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b5\u03c2. \u0395\u03ac\u03bd \u03cc\u03bc\u03c9\u03c2 \u03c4\u03bf PET \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc, \u03b7 \u03c4\u03c5\u03c6\u03bb\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd RAI \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03ad\u03b3\u03b3\u03b9\u03c3\u03b7. \u03a4\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc scan (Rx-WBS) \u03af\u03c3\u03c9\u03c2 \u03b1\u03c0\u03bf\u03ba\u03b1\u03bb\u03cd\u03c8\u03b5\u03b9 \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03c6\u03cd\u03b3\u03b5\u03b9 \u03c4\u03bf\u03c5 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf\u03c5 \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03cd\u03bd\u03b5\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03c4\u03bf\u03bd \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03c3\u03c7\u03b5\u03b4\u03b9\u03b1\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 (32).<\/p>\n<h6><b>3.3.3. \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc <\/b><b>scan<\/b><b> (<\/b><b>Rx<\/b><b>&#8211;<\/b><b>WBS<\/b><b>)<\/b><\/h6>\n<p>\u038c\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5, \u03c4\u03bf Rx-WBS \u03b5\u03ba\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u0399-131. \u039c\u03b5 \u03c4\u03b7 \u03b4\u03cc\u03c3\u03b7 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 (post-ablation Rx-WBS), \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b5\u03ba\u03c4\u03cc\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae, \u03ad\u03c7\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03b5\u03c7\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b4\u03b9\u03b1\u03c3\u03c4\u03c1\u03c9\u03bc\u03ac\u03c4\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (ongoing or late risk assessment) \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03c4\u03c1\u03bf\u03c0\u03bf\u03c0\u03bf\u03b9\u03b5\u03af \u03c4\u03b7\u03bd \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae, \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae, \u03b4\u03b9\u03b1\u03c3\u03c4\u03c1\u03c9\u03bc\u03ac\u03c4\u03c9\u03c3\u03b7 (ESMO Clinical Practice Guidelines 2012) (54).<\/p>\n<p>To Rx-WBS \u03cc\u03c4\u03b1\u03bd \u03b5\u03ba\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03b1\u03ba\u03c1\u03ac\u03bd \u03c4\u03bf\u03c5 ablation , \u03b5\u03af\u03c4\u03b5 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03b9\u03c4\u03b9\u03bf\u03bb\u03bf\u03b3\u03b7\u03bc\u03ad\u03bd\u03b7 (\u03b4\u03b7\u03bb. \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc Dx-WBS) \u03ae \u03c4\u03c5\u03c6\u03bb\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u0399-131, \u03c0\u03b1\u03c1\u03ad\u03c7\u03b5\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c0\u03bf\u03bb\u03cd\u03c4\u03b9\u03bc\u03b5\u03c2 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b5\u03c2 (\u03b5\u03af\u03c4\u03b5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc \u03ae \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc) \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b4\u03b9\u03b1\u03c7\u03b5\u03af\u03c1\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2.<\/p>\n<h5><b>3.4. \u0395\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b1, \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c2<\/b><\/h5>\n<p>\u03a0\u03b1\u03c1\u03ac \u03c4\u03bf \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03cc\u03c4\u03b9 \u03c4\u03bf \u03b9\u03cc\u03bd \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03bf \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03c0\u03bf\u03c5 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03b8\u03ad\u03c3\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 (\u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03b9\u03c3\u03c4\u03cc\u03c2, \u03bf\u03c1\u03b8\u03cc\u03c4\u03bf\u03c0\u03bf\u03c2, \u03ad\u03ba\u03c4\u03bf\u03c0\u03bf\u03c2 \u03ae \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03cc\u03c2), \u03c4\u03b1 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b4\u03b5\u03bd \u03b5\u03bb\u03bb\u03b5\u03af\u03c0\u03bf\u03c5\u03bd. \u03a4\u03b1 \u03b1\u03af\u03c4\u03b9\u03b1 \u03c0\u03c1\u03cc\u03ba\u03bb\u03b7\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03bf\u03c5\u03bd. \u039a\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03b9\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c0\u03af\u03bd\u03b1\u03ba\u03b1 3.1. \u03a3\u03b5 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ad\u03c2 \u03cc\u03bc\u03c9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03bf \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc\u03c2. \u0397 Leitha \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd. \u03b4\u03b7\u03bc\u03bf\u03c3\u03af\u03b5\u03c5\u03c3\u03b1\u03bd \u03c4\u03bf 2003 \u03bc\u03b9\u03b1 \u03bb\u03af\u03c3\u03c4\u03b1 74 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ce\u03bd \u03b1\u03b9\u03c4\u03af\u03c9\u03bd (57), \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03bc\u03c0\u03bb\u03bf\u03c5\u03c4\u03af\u03c3\u03c4\u03b7\u03ba\u03b5 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd Oh \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd. \u03c4\u03bf 2012 (58). \u03a4\u03b1 artifact \u03c1\u03b1\u03b4\u03b9\u03bf\u03bc\u03cc\u03bb\u03c5\u03bd\u03c3\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b5\u03ba\u03ba\u03c1\u03af\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (\u03c3\u03af\u03b5\u03bb\u03bf\u03c2, \u03b9\u03b4\u03c1\u03ce\u03c4\u03b1\u03c2, \u03bf\u03cd\u03c1\u03b1, \u03ba\u03cc\u03c0\u03c1\u03b1\u03bd\u03b1) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac, \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b1 \u03b1\u03bd\u03b1\u03b3\u03bd\u03c9\u03c1\u03af\u03c3\u03b9\u03bc\u03b1. \u0394\u03c5\u03bf \u03c4\u03ad\u03c4\u03bf\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b4\u03b5\u03af\u03b3\u03bc\u03b1\u03c4\u03b1 \u03b4\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 3.12 \u03ba\u03b1\u03b9 3.13. \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03c4\u03bf \u03c1\u03b9\u03bd\u03b9\u03ba\u03cc \u03b2\u03bb\u03b5\u03bd\u03bd\u03bf\u03b3\u03cc\u03bd\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae, \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b4\u03b5 \u03b5\u03ba\u03c3\u03b5\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7, \u03cc\u03c0\u03c9\u03c2 \u03c3\u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03cc \u03c4\u03b7\u03c2 <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1\u03c2 3.14<\/b>. \u0395\u03c0\u03af\u03c3\u03b7\u03c2 \u03c3\u03c5\u03c7\u03bd\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03b5\u03bc\u03b2\u03c1\u03c5\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03bf\u03c1\u03b5\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b3\u03bb\u03c9\u03c3\u03c3\u03b9\u03ba\u03bf\u03cd \u03c0\u03cc\u03c1\u03bf\u03c5, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c5\u03c0\u03b5\u03c1\u03c0\u03bb\u03ac\u03c3\u03c3\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ba\u03b1\u03b9 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf WBS. \u0394\u03b5\u03bd \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03c5\u03b3\u03c7\u03ad\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ba\u03bf\u03af\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 (<b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.15<\/b>). \u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03c9\u03bd \u03c3\u03b9\u03b5\u03bb\u03bf\u03b3\u03cc\u03bd\u03c9\u03bd \u03b1\u03b4\u03ad\u03bd\u03c9\u03bd (\u03c0.\u03c7. \u03bb\u03b9\u03b8\u03af\u03b1\u03c3\u03b7, \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03c3\u03b9\u03b5\u03bb\u03b1\u03b4\u03b5\u03bd\u03af\u03c4\u03b9\u03b4\u03b1, \u03cc\u03b3\u03ba\u03bf\u03c2 \u03c4\u03bf\u03c5 Warthin, \u03ba\u03bb\u03c0) \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ad\u03c3\u03bf\u03c5\u03bd \u03b1\u03c3\u03cd\u03bc\u03bc\u03b5\u03c4\u03c1\u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf WBS \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b4\u03b7\u03bc\u03b9\u03bf\u03c5\u03c1\u03b3\u03ae\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03bb\u03b1\u03bd\u03b8\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b5\u03bd\u03c4\u03cd\u03c0\u03c9\u03c3\u03b7 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2. \u0397 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03bc\u03b1\u03b6\u03b9\u03ba\u03cc \u03b1\u03b4\u03ad\u03bd\u03b1 (\u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03c3\u03b5 \u03b3\u03b1\u03bb\u03bf\u03c5\u03c7\u03af\u03b1) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae. \u03a3\u03b5 \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac \u0399-131 WBS \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 \u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5 \u03b1\u03b4\u03ad\u03bd\u03b1, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.16<\/b>. \u03a4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 NIS \u03c3\u03b5 \u03b5\u03c0\u03b9\u03b8\u03b7\u03bb\u03b9\u03b1\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c4\u03c9\u03bd \u03c3\u03c9\u03bc\u03b1\u03c4\u03af\u03c9\u03bd Hassall \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5 (59) \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03ba\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf. \u039c\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03c9\u03bd \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ce\u03bd \u03b1\u03b9\u03c4\u03af\u03c9\u03bd \u03b1\u03be\u03af\u03b6\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03b1\u03c6\u03b5\u03c1\u03b8\u03bf\u03cd\u03bd \u03c4\u03b1 \u03ba\u03ac\u03c4\u03c9\u03b8\u03b9: \u03a3\u03bc\u03b7\u03b3\u03bc\u03b1\u03c4\u03bf\u03b3\u03cc\u03bd\u03bf\u03b9 \u03ba\u03cd\u03c3\u03c4\u03b5\u03b9\u03c2 \u03c4\u03c1\u03b9\u03c7\u03c9\u03c4\u03bf\u03cd \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae\u03c2, \u03c7\u03bf\u03c1\u03b9\u03bf\u03b5\u03b9\u03b4\u03ae \u03c0\u03bb\u03ad\u03b3\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5, \u03bc\u03b7\u03bd\u03b9\u03b3\u03b3\u03af\u03c9\u03bc\u03b1, \u03b5\u03b3\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03ae \u03b3\u03bb\u03bf\u03af\u03c9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bd\u03b5\u03c5\u03c1\u03bf\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2, \u03c4\u03b5\u03c7\u03bd\u03b7\u03c4\u03cc\u03c2 \u03bf\u03c6\u03b8\u03b1\u03bb\u03bc\u03cc\u03c2, \u03b4\u03b1\u03ba\u03c1\u03c5\u03bf\u03ba\u03c5\u03c3\u03c4\u03af\u03c4\u03b9\u03b4\u03b1, \u03c0\u03b1\u03c1\u03b1\u03c1\u03c1\u03b9\u03bd\u03bf\u03ba\u03bf\u03bb\u03c0\u03af\u03c4\u03b9\u03b4\u03b1, \u03bf\u03b4\u03bf\u03bd\u03c4\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ac \u03c3\u03c6\u03c1\u03b1\u03b3\u03af\u03c3\u03bc\u03b1\u03c4\u03b1, \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ad\u03c2 \u03b5\u03b9\u03b4\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b7, \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b1, \u03c0\u03b5\u03c1\u03b9\u03ba\u03b1\u03c1\u03b4\u03af\u03c4\u03b9\u03b4\u03b1, \u03bf\u03b9\u03c3\u03bf\u03c6\u03b1\u03b3\u03bf\u03ba\u03ae\u03bb\u03b7, \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c2 Barett, \u039c\u03b5\u03ba\u03ba\u03ad\u03bb\u03b5\u03b9\u03bf\u03c2 \u03b1\u03c0\u03cc\u03c6\u03c5\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03ad\u03ba\u03c4\u03bf\u03c0\u03bf\u03c5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd \u03b2\u03bb\u03b5\u03bd\u03bd\u03bf\u03b3\u03cc\u03bd\u03bf\u03c5, \u03ba\u03cd\u03c3\u03c4\u03b5\u03b9\u03c2 \u03bd\u03b5\u03c6\u03c1\u03ce\u03bd \u03ba\u03b1\u03b9 \u03ae\u03c0\u03b1\u03c4\u03bf\u03c2, \u03c7\u03bf\u03bb\u03bf\u03bb\u03b9\u03b8\u03af\u03b1\u03c3\u03b7, \u03b4\u03b9\u03ac\u03c4\u03b1\u03c3\u03b7 \u03c7\u03bf\u03bb\u03b7\u03c6\u03cc\u03c1\u03c9\u03bd, \u03c5\u03b4\u03c1\u03bf\u03bd\u03ad\u03c6\u03c1\u03c9\u03c3\u03b7, \u03ba\u03c5\u03c3\u03c4\u03b1\u03b4\u03ad\u03bd\u03c9\u03bc\u03b1 \u03c9\u03bf\u03b8\u03ae\u03ba\u03b7\u03c2, struma ovarii \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b1 \u03c4\u03b5\u03c1\u03b1\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1, \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b1 \u03bd\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b7 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7, \u03c8\u03c9\u03c1\u03b9\u03b1\u03c3\u03b9\u03ba\u03ad\u03c2 \u03c0\u03bb\u03ac\u03ba\u03b5\u03c2. \u03a3\u03b5 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ad\u03c2 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf SPECT\/CT, \u03b2\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03bf\u03c1\u03b8\u03ae\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c4\u03b7\u03c2 CT (\u03ad\u03c3\u03c4\u03c9 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b5\u03c5\u03ba\u03c1\u03af\u03bd\u03b5\u03b9\u03b1) \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03ce\u03c3\u03b5\u03b9 \u03bb\u03cd\u03c3\u03b5\u03b9\u03c2 \u03ae \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03b5\u03b9 \u03b5\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03af\u03b5\u03c2 \u03c4\u03c9\u03bd \u03cd\u03c0\u03bf\u03c0\u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd. \u03a4\u03ad\u03c4\u03bf\u03b9\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 <b>E<\/b><b>\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 3.17-3.19<\/b>.<b><br \/>\n<\/b><\/p>\n<p>\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 3.1. \u03a4\u03b1\u03be\u03b9\u03bd\u03cc\u03bc\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b1\u03b9\u03c4\u03af\u03c9\u03bd \u03c0\u03bf\u03c5 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ad\u03c3\u03bf\u03c5\u03bd \u03b5\u03c1\u03bc\u03b7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b1\u03c3\u03c4\u03bf\u03c7\u03af\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf\u03c5 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03b5 \u0399-131\/\u0399-123<\/p>\n<table style=\"width: 100%;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\" align=\"left\">\n<tbody>\n<tr style=\"background-color: #385a72;\">\n<td><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>\u03a3\u03c7\u03b5\u03c4\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b2\u03b9\u03bf\u03ba\u03b1\u03c4\u03b1\u03bd\u03bf\u03bc\u03ae \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03ae \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03b1\u03b3\u03ad\u03c2 \u03c4\u03b7\u03c2 (\u03c3\u03c4\u03b9\u03c2 \u03bf\u03b4\u03bf\u03cd\u03c2 \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03c4\u03bf\u03c5, \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03b5 \u03b9\u03c3\u03c4\u03bf\u03cd\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03bf\u03c5\u03bd NIS)<\/li>\n<li>\u00a0Artifacts \u03c1\u03b1\u03b4\u03b9\u03bf\u03bc\u03cc\u03bb\u03c5\u03bd\u03c3\u03b7\u03c2 (\u03b1\u03c0\u03cc \u03c3\u03af\u03b5\u03bb\u03bf, \u03b9\u03b4\u03c1\u03ce\u03c4\u03b1, \u03bf\u03cd\u03c1\u03b1, \u03ba\u03cc\u03c0\u03c1\u03b1\u03bd\u03b1)<\/li>\n<li>\u03a4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ac \u03c0\u03c1\u03bf\u03b2\u03bb\u03ae\u03bc\u03b1\u03c4\u03b1 (\u03c0\u03c4\u03c9\u03c7\u03ae \u03c3\u03c4\u03b1\u03c4\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae, \u03c0\u03c4\u03c9\u03c7\u03ae \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b9\u03ba\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1, collimator penetration effect, \u03ba\u03bb\u03c0)<\/li>\n<li>\u0391\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd (\u03bb\u03b1\u03bd\u03b8\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2)<\/li>\n<li>\u0391\u03bd\u03b5\u03c0\u03b1\u03c1\u03ba\u03ae\u03c2 \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (\u03c0.\u03c7. \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7 \u03c3\u03b5 \u03b9\u03c9\u03b4\u03b9\u03bf\u03cd\u03c7\u03b1, \u03bc\u03b7 \u03b5\u03c0\u03b1\u03c1\u03ba\u03ae\u03c2 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 TSH)<\/li>\n<li>\u03a6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ad\u03c2, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b7<\/li>\n<li>\u039a\u03c5\u03c3\u03c4\u03b9\u03ba\u03bf\u03af \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03c3\u03bc\u03bf\u03af<\/li>\n<li>\u039d\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b7 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7<\/li>\n<li>\u0386\u03bb\u03bb\u03b7\u03c2 \u03b1\u03b9\u03c4\u03b9\u03bf\u03bb\u03bf\u03b3\u03af\u03b1\u03c2, \u03c3\u03c5\u03c7\u03bd\u03ac \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03be\u03ae\u03b3\u03b7\u03c3\u03b7<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>\u00a0<\/b><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><b><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-912\" alt=\"10.6-figure3..12\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..12.jpg\" width=\"650\" height=\"264\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..12.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..12-300x121.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..12-624x253.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><br \/>\n<em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.12<\/em>.<\/b> \u03a3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1 I-131 WBS, \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (\u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac) \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 (\u03b4\u03b5\u03be\u03b9\u03ac) \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae. Artifact \u03c1\u03b1\u03b4\u03b9\u03bf\u03bc\u03cc\u03bb\u03c5\u03bd\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b1 \u03bc\u03b1\u03bb\u03bb\u03b9\u03ac \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b1\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (\u03b2\u03ad\u03bb\u03b7).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-913\" alt=\"10.6-figure3..13\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..13.jpg\" width=\"650\" height=\"261\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..13.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..13-300x120.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..13-624x250.jpg 624w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..13-500x200.jpg 500w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.13.<\/b><\/em> \u03a3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c4\u03b7\u03c2 \u03c0\u03c5\u03ad\u03bb\u03bf\u03c5 \u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1 I-131 WBS, \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 (\u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac) \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 (\u03b4\u03b5\u03be\u03b9\u03ac) \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae. \u03a3\u03c4\u03b7\u03bd \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03bb\u03ae\u03c8\u03b7 \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 artifact \u03c1\u03b1\u03b4\u03b9\u03bf\u03bc\u03cc\u03bb\u03c5\u03bd\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03c4\u03c3\u03ad\u03c0\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03b1\u03bd\u03c4\u03b5\u03bb\u03bf\u03bd\u03b9\u03bf\u03cd \u03c4\u03b7\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2, \u03c3\u03c4\u03b9\u03c2 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b5\u03af\u03c7\u03b5 \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03ae\u03c3\u03b5\u03b9 \u03c7\u03b1\u03c1\u03c4\u03bf\u03bc\u03ac\u03bd\u03c4\u03b7\u03bb\u03b1 \u03bc\u03b5 \u03c1\u03b9\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b5\u03ba\u03ba\u03c1\u03af\u03c3\u03b5\u03b9\u03c2<i>.<\/i><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-914\" alt=\"10.6-figure3..14\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..14.jpg\" width=\"650\" height=\"492\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..14.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..14-300x227.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..14-624x472.jpg 624w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..14-266x200.jpg 266w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.14.<\/b> <\/em>\u0391) \u03a3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bb\u03ae\u03c8\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c4\u03b7\u03c2 \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 (\u03c3\u03c4\u03b1 \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03b1 I-131 WBS) \u03c3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03b1 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae. \u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03af\u03b1 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03b1\u03c3\u03c4\u03b5\u03c1\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03c4\u03ad\u03c7\u03bd\u03b7\u03bc\u03b1 ( collimator penetration artifact) \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae, \u03c3\u03b5 \u03b8\u03ad\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03cd\u03ba\u03bf\u03bb\u03bf \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03c4\u03b5\u03af. \u039c\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03c4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b7\u03c2 \u03c0\u03b7\u03b3\u03ae\u03c2 Co-57 \u03c0\u03af\u03c3\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b1\u03b3\u03c1\u03b1\u03c6\u03ae \u03c4\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03ac\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2, \u03ba\u03b1\u03b8\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03c1\u03b9\u03bd\u03b9\u03ba\u03cc \u03b2\u03bb\u03b5\u03bd\u03bd\u03bf\u03b3\u03cc\u03bd\u03bf \u03ba\u03b1\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-915\" alt=\"10.6-figure3..15\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..15.jpg\" width=\"650\" height=\"338\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..15.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..15-300x156.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..15-624x324.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.15.<\/b><\/em> \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 5 mCi I-131 (Dx-WBS) \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03bc\u03b5 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03ad\u03bd\u03b1 \u03ad\u03c4\u03bf\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u0391) \u03a3\u03c4\u03bf Dx-WBS \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03ae \u03b5\u03c3\u03c4\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03c3\u03b5 \u03c5\u03c8\u03b7\u03bb\u03ae \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf, \u03b5\u03c0\u03af \u03c4\u03b7\u03c2 \u03bc\u03ad\u03c3\u03b7\u03c2 \u03c4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2. \u0392) \u03a3\u03c4\u03b7 SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 (\u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bf\u03b2\u03b5\u03bb\u03b9\u03b1\u03af\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1) \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03ba\u03c1\u03af\u03b2\u03b5\u03b9\u03b1 \u03b7 \u03b8\u03ad\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2, \u03bc\u03c0\u03c1\u03bf\u03c3\u03c4\u03ac \u03b1\u03c0\u03cc \u03c4\u03bf \u03c5\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03bf\u03c3\u03c4\u03cc. \u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03ba\u03bb\u03b1\u03c3\u03c3\u03b9\u03ba\u03ae \u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03b5\u03bc\u03b2\u03c1\u03c5\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03b9\u03c3\u03c4\u03bf\u03cd, \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03c5\u03c0\u03b5\u03c1\u03c0\u03bb\u03ac\u03c3\u03c3\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ba\u03b1\u03b9 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf WBS. \u03a4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b1\u03c5\u03c4\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c5\u03c7\u03bd\u03cc \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03c5\u03b3\u03c7\u03ad\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1 \u03c3\u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03ba\u03bf\u03af\u03c4\u03b7 \u03ae \u03bc\u03b5 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-916\" alt=\"10.6-figure3..16\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..16.jpg\" width=\"650\" height=\"366\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..16.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..16-300x168.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..16-624x351.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.16. <\/b><\/em>\u0393\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 36 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5 \u03c0\u03bf\u03bb\u03c5\u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03cc \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b7\u03b8\u03ad\u03bd \u03c0\u03c1\u03bf 2\u03b5\u03c4\u03af\u03b1\u03c2. \u0388\u03bb\u03b1\u03b2\u03b5 50 mCi I-131 \u03b3\u03b9\u03b1 ablation. \u03a4\u03ce\u03c1\u03b1 \u03b5\u03bb\u03ad\u03b3\u03c7\u03b5\u03c4\u03b1\u03b9 8 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03cc\u03c3\u03b7 100 mCi, \u03c0\u03bf\u03c5 \u03ad\u03bb\u03b1\u03b2\u03b5 \u03bb\u03cc\u03b3\u03c9 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 Tg. A) \u03a3\u03c4\u03bf Rx-WBS<b> <\/b>\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b9\u03b1\u03c6\u03cd\u03b3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2. \u0395\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03c3\u03b7\u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ae\u03c0\u03b9\u03b1 \u03ad\u03c9\u03c2 \u03bc\u03ad\u03c4\u03c1\u03b9\u03b1 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03ba\u03b1\u03b8\u03ae\u03bb\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03af\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf. \u0392) \u03a3\u03c4\u03b7 SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03bf \u03ac\u03bd\u03c9 \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf, \u03c3\u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae \u03b8\u03ad\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5. \u0397 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5 \u03c3\u03b5 \u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c3\u03b5 \u03bd\u03ad\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2. \u0394\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03b9\u03b4\u03c1\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae \u03c5\u03c0\u03b5\u03c1\u03c0\u03bb\u03b1\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c7\u03b7\u03bc\u03b5\u03b9\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1. \u039f\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03b9\u03b4\u03af\u03bf\u03c5 \u03b1\u03c0\u03cc \u03b5\u03c0\u03b9\u03b8\u03b7\u03bb\u03b9\u03bf\u03b5\u03b9\u03b4\u03ae \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5, \u03c4\u03b1 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7\u03bd \u03b5\u03c0\u03b9\u03c6\u03ac\u03bd\u03b5\u03b9\u03ac \u03c4\u03bf\u03c5\u03c2 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ad\u03b1 NIS.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-917\" alt=\"10.6-figure3..17\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..17.jpg\" width=\"650\" height=\"358\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..17.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..17-300x165.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..17-624x343.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><i> <\/i><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.17. <\/b><\/em>\u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 6 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2<b> <\/b>\u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 50 mCi \u03b3\u03b9\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u0391) \u03a3\u03c4\u03bf I-131 Rx-WBS \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1. \u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03c0\u03bf\u03c5 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ac \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03ba\u03bb\u03b7\u03c6\u03b8\u03b5\u03af \u03c9\u03c2 \u03b7 \u03b4\u03b5\u03be\u03b9\u03ac \u03c5\u03c0\u03bf\u03b3\u03bd\u03ac\u03b8\u03b9\u03b1 \u03c7\u03ce\u03c1\u03b1 (\u03b2\u03ad\u03bb\u03bf\u03c2). \u0392) \u03a3\u03c4\u03b7 SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 (\u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03b1\u03af\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1) \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03bd \u03bb\u03cc\u03b3\u03c9 \u03b5\u03c3\u03c4\u03af\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af \u03c3\u03b5 \u03bf\u03b4\u03bf\u03bd\u03c4\u03b9\u03ba\u03cc \u03c3\u03c6\u03c1\u03ac\u03b3\u03b9\u03c3\u03bc\u03b1. \u03a4\u03ad\u03c4\u03bf\u03b9\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03b5 \u03c0\u03b1\u03bb\u03b1\u03b9\u03ac \u03c3\u03c6\u03c1\u03b1\u03b3\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03c3\u03c5\u03c7\u03bd\u03ac SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2. \u039f \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 I-131 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03b8\u03ad\u03c3\u03b5\u03b9\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ac\u03b3\u03bd\u03c9\u03c3\u03c4\u03bf\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-918\" alt=\"10.6-figure3..18\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..18.jpg\" width=\"650\" height=\"331\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..18.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..18-300x152.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..18-624x317.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.18.<\/b><\/em> \u039f\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan 7 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 100 mCi I-131 (Rx-WBS) \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae 48 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5 \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03b4\u03cd\u03bf \u03ad\u03c4\u03b7 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2. \u0391) \u03a3\u03c4\u03bf Rx-WBS \u03b4\u03b9\u03b1\u03ba\u03c1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c3\u03c4\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0399-131 \u03c3\u03c4\u03bf \u03ac\u03bd\u03c9 \u03c4\u03bc\u03ae\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03ae\u03c0\u03b1\u03c4\u03bf\u03c2. \u0392) SPECT\/CT (\u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 3 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1, \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1). \u03a6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03c3\u03c4\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af \u03c3\u03b5 \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03ba\u03cd\u03c3\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf \u03c5\u03c0\u03bf\u03ba\u03b5\u03af\u03bc\u03b5\u03bd\u03b7 \u03bd\u03cc\u03c3\u03bf \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-919\" alt=\"10.6-figure3..19\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..19.jpg\" width=\"650\" height=\"338\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..19.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..19-300x156.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure3..19-624x324.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><b><em>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.19.<\/em> <\/b>\u0393\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 53 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b5\u03c2 Ca \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b7\u03b8\u03ad\u03bd \u03c0\u03c1\u03bf 2\u03b5\u03c4\u03af\u03b1\u03c2. \u0388\u03bb\u03b1\u03b2\u03b5 50 mCi \u0399-131 \u03b3\u03b9\u03b1 ablation \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b1 100 mCi \u03c0\u03c1\u03bf \u03ad\u03c4\u03bf\u03c5\u03c2. \u03a4\u03ce\u03c1\u03b1 \u03b5\u03bb\u03ad\u03b3\u03c7\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03cc WBS 48 \u03ce\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 5mCi \u0399-131. A) \u03a3\u03c4\u03bf Dx-WBS \u03b4\u03b5\u03bd \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c5\u03c0\u03cc\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1 \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf. \u0397 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03b5\u03c3\u03c4\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03ac\u03bd\u03c9 \u03ba\u03bf\u03b9\u03bb\u03b9\u03b1\u03ba\u03ae \u03c7\u03ce\u03c1\u03b1 \u03b1\u03bd\u03c4\u03b9\u03c0\u03c1\u03bf\u03c3\u03c9\u03c0\u03b5\u03cd\u03b5\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c4\u03cc\u03bc\u03b1\u03c7\u03bf. \u03a3\u03b7\u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf (\u03bb\u03b5\u03c5\u03ba\u03ac \u03b2\u03ad\u03bb\u03b7), \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c0\u03b9\u03b8\u03b1\u03bd\u03ac \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c0\u03b1\u03c1\u03b1\u03bc\u03bf\u03bd\u03ae \u03c1\u03b1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c3\u03b9\u03ad\u03bb\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf, \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b4\u03b5\u03bd \u03bc\u03b5\u03c4\u03b1\u03b2\u03bb\u03ae\u03b8\u03b7\u03ba\u03b5 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03c0\u03cc\u03c3\u03b7 \u03cd\u03b4\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03b8\u03b5\u03c9\u03c1\u03ae\u03b8\u03b7\u03ba\u03b5 \u03cd\u03c0\u03bf\u03c0\u03c4\u03bf . \u0392) \u03a3\u03c4\u03b7 SPECT\/CT \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c0\u03bf\u03c5 \u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b5 (\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 \u03c4\u03c1\u03af\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03c4\u03b7\u03bd \u03cd\u03c0\u03bf\u03c0\u03c4\u03b7 \u03b5\u03c3\u03c4\u03af\u03b1) \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03b8\u03b7\u03ba\u03b5 \u03b7 \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b7\u03c2 \u03c6\u03cd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03b1\u03c5\u03c4\u03cc \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03c3\u03c4\u03b7\u03ba\u03b5 \u03c3\u03c4\u03bf\u03bd \u03b1\u03c5\u03bb\u03cc \u03c4\u03bf\u03c5 \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5 (\u03ba\u03cc\u03ba\u03ba\u03b9\u03bd\u03b1 \u03b2\u03ad\u03bb\u03b7).<\/p>\n<h5><b>3.5. \u0395\u03c0\u03b9\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac &#8211; \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 3<\/b><\/h5>\n<ul>\n<li>\u0397 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 <sup>131\/123<\/sup><sup>I<\/sup> Dx-WBS (\u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan \u03bc\u03b5 \u03bc\u03b9\u03ba\u03c1\u03ad\u03c2\/\u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 RAI) \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bc\u03c6\u03b9\u03bb\u03b5\u03b3\u03cc\u03bc\u03b5\u03bd\u03b7.<\/li>\n<li>\u03a3\u03c4\u03b7\u03bd \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf Dx-WBS \u03b4\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03bf\u03cd \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5. \u03a0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03ad\u03c4\u03c1\u03b9\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03bf\u03cd \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5, \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03b9\u03c3\u03c7\u03c5\u03c1\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 RAI.<\/li>\n<li>\u03a4\u03bf <sup>131<\/sup>I Rx-WBS (\u03bc\u03b5\u03c4\u03b1\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan) \u03ad\u03c7\u03b5\u03b9 \u03c3\u03b1\u03c6\u03ce\u03c2 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf Dx-WBS \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9.<\/li>\n<li>\u0397 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 SPECT\/CT \u03c0\u03bb\u03b5\u03bf\u03bd\u03b5\u03ba\u03c4\u03b5\u03af \u03c3\u03b1\u03c6\u03ce\u03c2 \u03c4\u03b7\u03c2 \u03bc\u03bf\u03bd\u03bf\u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b7\u03c2 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae\u03c2, \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bb\u03b5\u03af\u03c0\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b7, \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03cc\u03c4\u03b1\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03ae \u03b1\u03bc\u03c6\u03af\u03b2\u03bf\u03bb\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03c4\u03bf Dx\/Rx WBS.<\/li>\n<li>\u03a0\u03b1\u03c1\u03ac \u03c4\u03b7\u03bd \u03c5\u03c8\u03b7\u03bb\u03ae \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 WBS, \u03c4\u03b1 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b4\u03b5\u03bd \u03b5\u03bb\u03bb\u03b5\u03af\u03c0\u03bf\u03c5\u03bd \u03ba\u03b1\u03b9 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03c5\u03bd\u03c5\u03c0\u03bf\u03bb\u03bf\u03b3\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b1\u03be\u03b9\u03bf\u03bb\u03cc\u03b3\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd. \u03a4\u03bf SPECT\/CT \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bd\u03b1 \u03b2\u03bf\u03b7\u03b8\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2.<\/li>\n<li>T\u03b9\u03bc\u03ad\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7\u03c2 \u2265 10 ng\/ml \u03bc\u03b5 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc Dx-WBS \u03b8\u03ad\u03c4\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2 \u03bc\u03b5 <sup>18<\/sup>F-FDG-PET\/CT. \u0395\u03c0\u03af \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd PET \u03ba\u03b1\u03b9 \u03b5\u03c6\u2019 \u03cc\u03c3\u03bf\u03bd \u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03be\u03b1\u03af\u03c1\u03b5\u03c3\u03b7 \u03b5\u03c3\u03c4\u03b9\u03ce\u03bd \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03c4\u03c5\u03c7\u03cc\u03bd \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03b1\u03c0\u03cc \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c6\u03b9\u03ba\u03c4\u03ae, \u03b7 \u03c4\u03c5\u03c6\u03bb\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 RAI \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03ad\u03b3\u03b3\u03b9\u03c3\u03b7 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03bf\u03cd\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2.<\/li>\n<\/ul>\n<h4><br clear=\"all\" \/><b>4. \u0391\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 (<\/b><b>PET<\/b><b>)<\/b><\/h4>\n<h5><b>4.1. \u0395\u03b9\u03c3\u03b1\u03b3\u03c9\u03b3\u03b9\u03ba\u03ac \u03b3\u03b9\u03b1 \u03c4\u03bf <\/b><b>PET<\/b><b> \u03ba\u03b1\u03b9 \u03c4\u03bf <\/b><b>PET<\/b><b>\/<\/b><b>CT<\/b><\/h5>\n<p>\u0397 \u03c4\u03b5\u03c7\u03bd\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 PET (\u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2, positron emission tomography) \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03b9\u03bd\u03bf\u03cd\u03c1\u03b3\u03b9\u03b1. \u03a7\u03c1\u03bf\u03bd\u03bf\u03bb\u03bf\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03ae\u03b4\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03b1\u03c1\u03c7\u03ad\u03c2 \u03c4\u03b7\u03c2 10\u03b5\u03c4\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5 \u201950 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c0\u03c1\u03ce\u03c4\u03b5\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ad\u03c2 \u03c4\u03b7\u03c2 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03c3\u03b1\u03bd \u03c3\u03b5 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b3\u03b9\u03b1 \u03c0\u03bf\u03bb\u03bb\u03ac \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03c0\u03b1\u03c1\u03ad\u03bc\u03b5\u03bd\u03b5 \u03ad\u03bd\u03b1 \u03b5\u03c1\u03b5\u03c5\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03b5\u03c1\u03b3\u03b1\u03bb\u03b5\u03af\u03bf. \u03a4\u03b9\u03c2 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b5\u03c2 \u03b4\u03cd\u03bf \u03b4\u03b5\u03ba\u03b1\u03b5\u03c4\u03af\u03b5\u03c2 \u03c5\u03c0\u03ae\u03c1\u03be\u03b5 \u03bc\u03b9\u03b1 \u03b5\u03ba\u03c1\u03b7\u03ba\u03c4\u03b9\u03ba\u03ae \u03b5\u03af\u03c3\u03bf\u03b4\u03bf\u03c2 \u03c4\u03bf\u03c5 PET \u03c3\u03c4\u03b7\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c0\u03c1\u03ac\u03be\u03b7, \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c4\u03bf \u03c0\u03b5\u03b4\u03af\u03bf \u03c4\u03b7\u03c2 \u03bf\u03b3\u03ba\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2. \u03a4\u03bf PET \u03b2\u03b1\u03c3\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c4\u03b1\u03c5\u03c4\u03cc\u03c7\u03c1\u03bf\u03bd\u03b7 (\u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03c4\u03b9\u03ba\u03ae) \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7 \u03b4\u03cd\u03bf \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03ce\u03bd \u03b1\u03ba\u03c4\u03af\u03bd\u03c9\u03bd \u03b3, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c3\u03cd\u03b3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7 (\u03b5\u03be\u03b1\u03b0\u03bb\u03c9\u03c3\u03b7) \u03b5\u03bd\u03cc\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5 (\u03b4\u03b7\u03bb. \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03c6\u03bf\u03c1\u03c4\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5) \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03cc\u03c2 \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5 \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf\u03c5 \u03b3\u03b5\u03b9\u03c4\u03bf\u03bd\u03b9\u03ba\u03bf\u03cd \u03b1\u03c4\u03cc\u03bc\u03bf\u03c5. \u039f\u03b9 \u03b4\u03cd\u03bf \u03b1\u03ba\u03c4\u03af\u03bd\u03b5\u03c2 \u03b3 \u03bc\u03bf\u03b9\u03c1\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b5\u03be\u03b1\u03b0\u03bb\u03c9\u03c3\u03b7. \u0397 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.1<\/b>. \u03a3\u03c4\u03b7\u03bd \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03c4\u03b1\u03be\u03b7, \u03bf\u03b9 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03c4\u03ad\u03c2 (\u03ba\u03c1\u03cd\u03c3\u03c4\u03b1\u03bb\u03bb\u03bf\u03b9 \u03c3\u03c0\u03b9\u03bd\u03b8\u03b7\u03c1\u03b9\u03c3\u03bc\u03bf\u03cd) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf\u03c0\u03bf\u03b8\u03b5\u03c4\u03b7\u03bc\u03ad\u03bd\u03bf\u03b9 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03bf\u03cd\u03c2 \u03ba\u03c5\u03ba\u03bb\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b4\u03b1\u03ba\u03c4\u03c5\u03bb\u03af\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b4\u03ad\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03bf\u03c5\u03c2 \u03bc\u03b5 \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03bd\u03b9\u03ba\u03ac \u03ba\u03c5\u03ba\u03bb\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03af\u03c7\u03bd\u03b5\u03c5\u03c3\u03b7\u03c2. \u03a4\u03bf PET \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b1\u03bc\u03b9\u03b3\u03ce\u03c2 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ae, \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03bc\u03b5 \u03c4\u03b7 \u03bc\u03b5\u03c4\u03b1\u03ba\u03af\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ba\u03bb\u03af\u03bd\u03b7\u03c2 \u03b5\u03c0\u03b9\u03c4\u03c5\u03b3\u03c7\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03ae \u03c3\u03ac\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03ce\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03b9\u03b1\u03c2 \u03c4\u03c1\u03b9\u03c3\u03b4\u03b9\u03ac\u03c3\u03c4\u03b1\u03c4\u03b7\u03c2 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-920\" alt=\"10.6-figure4..1\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..1.jpg\" width=\"500\" height=\"361\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..1.jpg 500w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..1-300x216.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.1.<\/b><\/em> \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b7 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03b4\u03cd\u03bf \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03ce\u03bd \u03b1\u03ba\u03c4\u03af\u03bd\u03c9\u03bd \u03b3, \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c3\u03cd\u03b3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03b5\u03be\u03b1\u03b0\u03bb\u03c9\u03c3\u03b7 \u03b5\u03bd\u03cc\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03cc\u03c2 \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5. \u039a\u03ac\u03b8\u03b5 \u03b1\u03ba\u03c4\u03af\u03bd\u03b1 \u03b3 \u03ad\u03c7\u03b5\u03b9 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 511 KeV. \u03a4\u03bf \u03ac\u03b8\u03c1\u03bf\u03b9\u03c3\u03bc\u03b1, 1022 KeV, \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af \u03c3\u03c4\u03bf \u03b5\u03bd\u03b5\u03c1\u03b3\u03b5\u03b9\u03b1\u03ba\u03cc \u03b9\u03c3\u03bf\u03b4\u03cd\u03bd\u03b1\u03bc\u03bf \u03c4\u03b7\u03c2 \u03bc\u03ac\u03b6\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03bd\u03af\u03bf\u03c5, \u03c3\u03cd\u03bc\u03c6\u03c9\u03bd\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03be\u03af\u03c3\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 Einstein E=mc<sup>2<\/sup>. \u0397 \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03ae \u03c6\u03bf\u03c1\u03ac \u03c4\u03c9\u03bd \u03b1\u03ba\u03c4\u03af\u03bd\u03c9\u03bd \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03b5\u03af \u03bc\u03b7\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03c4\u03b7\u03bd \u03bf\u03c1\u03bc\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2, \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03cb\u03c0\u03cc\u03b8\u03b5\u03c3\u03b7 \u03cc\u03c4\u03b9 \u03c4\u03b1 \u03b4\u03c5\u03bf \u03c3\u03c9\u03bc\u03b1\u03c4\u03af\u03b4\u03b9\u03b1 \u03c0\u03c1\u03b9\u03bd \u03c3\u03c5\u03b3\u03ba\u03c1\u03bf\u03c5\u03c3\u03c4\u03bf\u03cd\u03bd \u03b5\u03af\u03c7\u03b1\u03bd \u03c7\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ba\u03b9\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03ae\u03c4\u03b1\u03bd \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd \u03b1\u03ba\u03af\u03bd\u03b7\u03c4\u03b1.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"text-align: justify;\">\n<p>\u03a3\u03c7\u03b5\u03b4\u03cc\u03bd \u03cc\u03bb\u03b1 \u03c4\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03c9\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03c5\u03c4\u03ac \u03b1\u03c0\u03b1\u03c1\u03b9\u03b8\u03bc\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3.1<\/b>. \u03b5\u03af\u03bd\u03b1\u03b9 \u03b2\u03b1\u03c3\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1 \u03c4\u03c9\u03bd \u03bf\u03c1\u03b3\u03b1\u03bd\u03b9\u03ba\u03ce\u03bd \u03b5\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd. \u0395\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03bd \u03bb\u03bf\u03b9\u03c0\u03cc\u03bd \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03bd\u03b8\u03b5\u03af \u03bc\u03b9\u03b1 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7 \u03b3\u03ba\u03ac\u03bc\u03b1 \u03b2\u03b9\u03bf\u03bc\u03bf\u03c1\u03af\u03c9\u03bd \u03bc\u03b5 \u03b9\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b9\u03c7\u03bd\u03b7\u03b8\u03b5\u03c4\u03b7\u03b8\u03bf\u03cd\u03bd \u03ad\u03c4\u03c3\u03b9 \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03b5\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ad\u03c2 \u03b4\u03b9\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b5\u03c2, \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2. \u03a4\u03bf \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03b1\u03c5\u03c4\u03cc \u03b1\u03bd\u03b1\u03b3\u03bf\u03c1\u03b5\u03cd\u03b5\u03b9 \u03c4\u03bf PET \u03c3\u03b5 \u03ba\u03b1\u03c4\u2019 \u03b5\u03be\u03bf\u03c7\u03ae\u03bd \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf \u03bc\u03bf\u03c1\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2. \u03a3\u03c4\u03b7\u03bd \u03c0\u03c1\u03ac\u03be\u03b7 \u03b1\u03bd\u03b1\u03ba\u03cd\u03c0\u03c4\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03c0\u03c1\u03bf\u03b2\u03bb\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03b2\u03c1\u03b1\u03c7\u03b5\u03af\u03c2 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5\u03c2 \u03b7\u03bc\u03b9\u03c3\u03b5\u03af\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03bf\u03c4\u03ad\u03c1\u03c9\u03bd \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03c9\u03bd \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03c9\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd <b>\u03a0\u03af\u03bd\u03b1\u03ba\u03b1 4.1<\/b>. \u03a4\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03b1\u03c5\u03c4\u03ac \u03b4\u03b5\u03bd \u03b1\u03c0\u03b1\u03bd\u03c4\u03bf\u03cd\u03bd \u03c3\u03c4\u03b7 \u03c6\u03cd\u03c3\u03b7. \u03a0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03ba\u03cd\u03ba\u03bb\u03bf\u03c4\u03c1\u03bf \u03ba\u03b1\u03b9 \u03b5\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03b7 \u03b4\u03b9\u03b1\u03bd\u03bf\u03bc\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03b1 \u03c0\u03bf\u03c5 \u03b2\u03c1\u03af\u03c3\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c0\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03c4\u03cc\u03c0\u03bf \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03c0\u03c1\u03bf\u03cb\u03c0\u03bf\u03b8\u03ad\u03c4\u03b5\u03b9 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5\u03c2 \u03b7\u03bc\u03b9\u03c3\u03b5\u03af\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 \u03bf\u03bb\u03af\u03b3\u03c9\u03bd \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03c9\u03c1\u03ce\u03bd, \u03ce\u03c3\u03c4\u03b5 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c6\u03b9\u03ba\u03c4\u03ae \u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03ac\u03be\u03b7. \u039a\u03b1\u03c4\u2019 \u03b5\u03be\u03b1\u03af\u03c1\u03b5\u03c3\u03b7, \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ac \u03cc\u03c0\u03c9\u03c2 \u03c4\u03bf Ga-68, \u03b4\u03b9\u03b1\u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b5\u03bd\u03bd\u03ae\u03c4\u03c1\u03b9\u03b1 (\u03c3\u03c4\u03ae\u03bb\u03b7) \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03c4\u03bf\u03c5\u03c2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9 \u03b5\u03c0\u03af \u03bc\u03b1\u03ba\u03c1\u03cc\u03bd \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf. \u0397 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03b9\u03b1\u03ba\u03bf\u03cd \u03b9\u03c7\u03bd\u03b7\u03b8\u03ad\u03c4\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c4\u03b9\u03ba\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b4\u03b5\u03af\u03ba\u03c4\u03b7 SUV (standardized uptake value), \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03b5\u03b9 \u03c0\u03cc\u03c3\u03b5\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc \u03bc\u03b9\u03b1 \u03c5\u03c0\u03bf\u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03bf\u03bc\u03bf\u03b9\u03bf\u03b3\u03b5\u03bd\u03ae \u03ba\u03b1\u03c4\u03b1\u03bd\u03bf\u03bc\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf \u03c3\u03ce\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (\u03bc\u03b5 \u03c4\u03b9\u03bc\u03ae SUV=1) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03b7 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03b7 \u03b8\u03ad\u03c3\u03b7.<\/p>\n<p>\u03a4\u03b1 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 PET\/CT, \u03b5\u03bc\u03c0\u03bf\u03c1\u03b9\u03ba\u03ac \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf \u03ad\u03c4\u03bf\u03c2 2000 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac, \u03c0\u03c1\u03bf\u03c3\u03c6\u03ac\u03c4\u03c9\u03c2 \u03b4\u03b5 \u03ba\u03b1\u03b9 \u03c4\u03bf PET\/MRI, \u03ad\u03b4\u03c9\u03c3\u03b1\u03bd \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03ce\u03b8\u03b7\u03c3\u03b7 \u03c3\u03c4\u03b9\u03c2 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ad\u03c2 \u03c4\u03bf\u03c5 PET. \u038c\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03bf PET\/CT, \u03c4\u03b1 \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b1\u03c5\u03c4\u03ac \u03b5\u03bd\u03c3\u03c9\u03bc\u03b1\u03c4\u03ce\u03bd\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03c5\u03c4\u03bf\u03bc\u03b9\u03ba\u03cc \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03cc \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03ac\u03c6\u03bf, 4, 8, 16, 64 \u03ae \u03ba\u03b1\u03b9 128 \u03c4\u03bf\u03bc\u03ce\u03bd , \u03bc\u03b5 \u03be\u03b5\u03c7\u03c9\u03c1\u03b9\u03c3\u03c4\u03cc \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03c3\u03c4\u03ae\u03c1\u03b9\u03be\u03b7\u03c2 (gantry). \u0388\u03bd\u03b1 \u03c4\u03ad\u03c4\u03bf\u03b9\u03bf \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03bf PET\/CT \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03bc\u03b5 \u03b1\u03be\u03bf\u03bd\u03b9\u03ba\u03cc \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03ac\u03c6\u03bf 128 \u03c4\u03bf\u03bc\u03ce\u03bd \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.2<\/b>. \u0397 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03b7 \u03c3\u03ac\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 PET \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 CT \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03ae (\u03cc\u03c7\u03b9 \u03c4\u03b1\u03c5\u03c4\u03cc\u03c7\u03c1\u03bf\u03bd\u03b7). \u039c\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c3\u03cd\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c4\u03bf\u03bc\u03ce\u03bd \u03c3\u03b5 \u03c4\u03c1\u03af\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1, \u03b5\u03c0\u03b9\u03c3\u03ba\u03bf\u03c0\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bf\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c4\u03bf\u03c5 PET \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 CT \u03be\u03b5\u03c7\u03c9\u03c1\u03b9\u03c3\u03c4\u03ac, \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03b4\u03b5 \u03b7 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03c0\u03b9\u03c0\u03c1\u03bf\u03b2\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03bc\u03b5\u03b9\u03ba\u03c4\u03ae \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 (fusion). \u0397 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03c4\u03b7 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03ba\u03c1\u03b9\u03b2\u03bf\u03cd\u03c2 \u03b5\u03bd\u03c4\u03bf\u03c0\u03b9\u03c3\u03bc\u03bf\u03cd \u03c4\u03c9\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03c4\u03bf\u03c5 PET, \u03b4\u03b9\u03bf\u03c1\u03b8\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7 \u03c6\u03c9\u03c4\u03bf\u03bd\u03b9\u03b1\u03ba\u03ae \u03b5\u03be\u03b1\u03c3\u03b8\u03ad\u03bd\u03b7\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03b7 \u03b3-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ad\u03bb\u03b5\u03c5\u03c3\u03ae \u03c4\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03b9\u03c3\u03c4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b7 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03ba\u03c1\u03af\u03b2\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\u03c2. \u039c\u03b5\u03c1\u03b9\u03ba\u03ac \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 PET \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03ad\u03c4\u03c3\u03b9 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c6\u03b5\u03c5\u03c7\u03b8\u03bf\u03cd\u03bd, \u03b5\u03bd\u03ce \u03b7 CT \u03c0\u03c1\u03bf\u03c3\u03b8\u03ad\u03c4\u03b5\u03b9 \u03c0\u03bf\u03bb\u03cd\u03c4\u03b9\u03bc\u03b7 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b1. \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.3<\/b> \u03b4\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03c0\u03b1\u03c1\u03ac\u03b4\u03b5\u03b9\u03b3\u03bc\u03b1 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 PET\/CT \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2. \u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b4\u03b5\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03c3\u03ba\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7\u03c2, per os \u03ae \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1. \u03a3\u03b5 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03cc\u03bc\u03c9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03c0\u03bb\u03ae\u03c1\u03b7\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae CT \u03bc\u03b5 \u03c3\u03ba\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc, \u03c7\u03c9\u03c1\u03af\u03c2 \u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 PET (60).<\/p>\n<p><b>\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 4.1.<\/b> \u0399\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03c9\u03bd \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c6\u03c5\u03c3\u03b9\u03ba\u03bf\u03af \u03c7\u03c1\u03cc\u03bd\u03bf\u03b9 \u03b7\u03bc\u03af\u03c3\u03b5\u03b9\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 \u03c4\u03bf\u03c5\u03c2.<\/p>\n<table style=\"width: 100%;\" border=\"0\" cellspacing=\"3\" cellpadding=\"3\" align=\"left\">\n<tbody>\n<tr style=\"background-color: #385a72;\">\n<td style=\"text-align: center;\" valign=\"top\" width=\"175\"><span style=\"color: #ffffff;\"><b>\u03a1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03bf<\/b><\/span><\/td>\n<td style=\"text-align: center;\" valign=\"top\" width=\"228\"><span style=\"color: #ffffff;\"><b>\u03a6\u03c5\u03c3\u03b9\u03ba\u03cc\u03c2 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b7\u03bc\u03af\u03c3\u03b5\u03b9\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2<\/b><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">C-11<\/td>\n<td style=\"text-align: center;\" width=\"228\">20,5 min<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">N-13<\/td>\n<td style=\"text-align: center;\" width=\"228\">10 min<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">O-15<\/td>\n<td style=\"text-align: center;\" width=\"228\">2,1 min<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">F-18<\/td>\n<td style=\"text-align: center;\" width=\"228\">110 min<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">Rb-82<\/td>\n<td style=\"text-align: center;\" width=\"228\">1,3 min<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">Ga-68<\/td>\n<td style=\"text-align: center;\" width=\"228\">68,3 min<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"175\">I-124<\/td>\n<td style=\"text-align: center;\" width=\"228\">4,2 days<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><b>\u00a0<\/b><\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<p><b>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-921\" alt=\"10.6-figure4..2\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..2.jpg\" width=\"650\" height=\"289\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..2.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..2-300x133.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..2-624x277.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/b><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.2.<\/b> <\/em>\u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03bf PET\/CT \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1. \u03a0\u03ac\u03bd\u03c9 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b7 \u03b4\u03b9\u03ac\u03c4\u03b1\u03be\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-922\" alt=\"10.6-figure4..3\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..3.jpg\" width=\"650\" height=\"557\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..3.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..3-300x257.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..3-624x534.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.3.<\/b><\/em> \u03a0\u03b1\u03c1\u03ac\u03b4\u03b5\u03b9\u03b3\u03bc\u03b1 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 PET\/CT \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2. \u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c3\u03b5 \u03bc\u03b5\u03c4\u03c9\u03c0\u03b9\u03b1\u03af\u03bf \u03ba\u03b1\u03b9 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03bf \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03bf, \u03b5\u03c0\u03b9\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03b5 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03cc \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03c3\u03c4\u03bf \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03cc \u03bb\u03b1\u03b3\u03cc\u03bd\u03b9\u03bf. \u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03c4\u03bf\u03c5 PET, \u03c3\u03c4\u03bf \u03ba\u03ad\u03bd\u03c4\u03c1\u03bf \u03bf\u03b9 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 \u03c4\u03b7\u03c2 CT \u03ba\u03b1\u03b9 \u03b4\u03b5\u03be\u03b9\u03ac \u03b7 \u03bc\u03b5\u03af\u03be\u03b7 (fusion) \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>&nbsp;<\/p>\n<h5><b>4.2. \u03a1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03ba\u03b1\u03b9 \u03c4\u03bf \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1<\/b><\/h5>\n<h6><b>4.2.1. <\/b><b>F<\/b><b>-18 \u03a6\u03bb\u03bf\u03c5\u03c1\u03bf-\u03b4\u03b5\u03bf\u03be\u03c5-\u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7 (<\/b><b>FDG<\/b><b>)<\/b><\/h6>\n<p>\u0395\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03c5\u03c1\u03cd\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ad\u03c2 \u03c3\u03c4\u03b7\u03bd \u03bf\u03b3\u03ba\u03bf\u03bb\u03bf\u03b3\u03af\u03b1. \u0397 FDG \u03bc\u03b9\u03bc\u03b5\u03af\u03c4\u03b1\u03b9 \u03c4\u03b7 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7 \u03ba\u03b1\u03b9 \u03b5\u03b9\u03c3\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03c9\u03bd \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ad\u03c9\u03bd \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 (GLUT) \u03ba\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03bf\u03c5 GLUT-1. \u0395\u03bd\u03c4\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5 \u03c6\u03c9\u03c3\u03c6\u03bf\u03c1\u03c5\u03bb\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03be\u03bf\u03ba\u03b9\u03bd\u03ac\u03c3\u03b7\u03c2. \u03a4\u03bf \u03c6\u03c9\u03c3\u03c6\u03bf\u03c1\u03c5\u03bb\u03b9\u03c9\u03bc\u03ad\u03bd\u03bf \u03bc\u03cc\u03c1\u03b9\u03bf FDG-P \u03b4\u03b5\u03bd \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c5\u03c0\u03cc\u03c3\u03c4\u03c1\u03c9\u03bc\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b9\u03c3\u03bf\u03bc\u03b5\u03c1\u03ac\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b4\u03b5\u03bd \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03ad\u03c7\u03b5\u03b9 \u03c3\u03c4\u03bf \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03cc \u03ba\u03cd\u03ba\u03bb\u03bf \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2. \u0391\u03c0\u03bf\u03c6\u03c9\u03c3\u03c6\u03bf\u03c1\u03c5\u03bb\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c6\u03c9\u03c3\u03c6\u03b1\u03c4\u03ac\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03be\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf. \u03a4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03ac\u03c3\u03b9\u03bf\u03c5\u03c2 \u03c1\u03c5\u03b8\u03bc\u03bf\u03cd\u03c2 \u03b1\u03b5\u03c1\u03cc\u03b2\u03b9\u03b1\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03bb\u03c5\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b1 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03b1\u03c5\u03c4\u03cc \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03b7 \u03b2\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5 <sup>18<\/sup>F-FDG PET. \u0395\u03ba\u03c6\u03c1\u03ac\u03b6\u03bf\u03c5\u03bd \u03c3\u03b5 \u03b1\u03c6\u03b8\u03bf\u03bd\u03af\u03b1 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03bc\u03b2\u03c1\u03b1\u03bd\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03b5\u03af\u03c2 GLUT-1, \u03b5\u03bd\u03ce \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03be\u03bf\u03ba\u03b9\u03bd\u03ac\u03c3\u03b7\u03c2. \u0391\u03bd\u03c4\u03af\u03b8\u03b5\u03c4\u03b1 \u03b7 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03c6\u03c9\u03c3\u03c6\u03b1\u03c4\u03ac\u03c3\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c9\u03c2 \u03b5\u03c0\u03af \u03c4\u03bf \u03c0\u03bb\u03b5\u03af\u03c3\u03c4\u03bf\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b7 FDG \u03c0\u03b1\u03b3\u03b9\u03b4\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03bf\u03cd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5. \u039f \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 FGD \u03c3\u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.4<\/b>.<\/p>\n<p>\u039f \u03b2\u03b1\u03b8\u03bc\u03cc\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 <sup>18<\/sup>F-FDG \u03b1\u03c0\u03cc \u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c0\u03bf\u03bb\u03bb\u03b1\u03c0\u03bb\u03b1\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac \u03c3\u03c5\u03bd\u03ad\u03c0\u03b5\u03b9\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03ba\u03b1\u03ba\u03cc\u03b7\u03b8\u03b5\u03c2 \u03b4\u03c5\u03bd\u03b1\u03bc\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5\u03c2. \u038c\u03b3\u03ba\u03bf\u03b9 \u03bc\u03b5 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03bc\u03b9\u03c4\u03c9\u03c4\u03b9\u03ba\u03ae \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1, \u03cc\u03c0\u03c9\u03c2 \u03bf \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c4\u03ac\u03c4\u03b7, \u03c4\u03bf \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03ba\u03c5\u03c8\u03b5\u03bb\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b1, \u03c4\u03b1 \u03bd\u03b5\u03c5\u03c1\u03bf\u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03ae \u03bd\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1, \u03bc\u03b5\u03c1\u03b9\u03ba\u03ac \u03bb\u03b5\u03bc\u03c6\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b2\u03c1\u03b1\u03b4\u03b5\u03af\u03b1\u03c2 \u03b5\u03be\u03ad\u03bb\u03b9\u03be\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03bf \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03bf\u03c5 <sup>18<\/sup>F-FDG, \u03cc\u03c3\u03bf \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03bf\u03c5\u03bd \u03ba\u03b1\u03bb\u03ac \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03b9. \u03a3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b7\u03c2 FDG \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c4\u03c9\u03bd GLUT-1, \u03c4\u03b7 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03be\u03bf\u03ba\u03b9\u03bd\u03ac\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03c0\u03b1\u03b3\u03cc\u03bc\u03b5\u03bd\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c5\u03c0\u03bf\u03be\u03af\u03b1 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1 (hypoxia-inducible factor) 1\u03b1 (HIF-1\u03b1). \u039f \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03bf\u03c2 \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03b9\u03b5\u03af \u03c4\u03b1 \u03b3\u03bf\u03bd\u03af\u03b4\u03b9\u03b1 \u03c0\u03bf\u03c5 \u03ba\u03c9\u03b4\u03b9\u03ba\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd \u03c4\u03b7 \u03c3\u03cd\u03bd\u03b8\u03b5\u03c3\u03b7 \u03c4\u03c9\u03bd GLUT \u03ba\u03b1\u03b9 \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03c1\u03cc\u03c6\u03c9\u03c2 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03bc\u03b5 \u03c4\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03bf\u03cd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5. \u039a\u03b1\u03c4\u2019 \u03b1\u03bd\u03b1\u03bb\u03bf\u03b3\u03af\u03b1, \u03b7 FDG \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03c0\u03b9\u03bf \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03b1. \u0397 \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c4\u03c9\u03bd GLUT-1 \u03ac\u03c1\u03b1 \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b7\u03c2 FDG \u03b5\u03c0\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd TSH, \u03cc\u03c0\u03c9\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b4\u03b5\u03b9\u03c7\u03b8\u03b5\u03af \u03c3\u03b5 \u03c0\u03b5\u03b9\u03c1\u03b1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b4\u03bf\u03ba\u03b9\u03bc\u03ad\u03c2 (61).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-926\" alt=\"10.6-figure4.4\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4.4.jpg\" width=\"500\" height=\"382\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4.4.jpg 500w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4.4-300x229.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<div style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.4<\/b>.<\/em> \u03a3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03bf\u03cd \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03b3\u03af\u03b4\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 FDG \u03c3\u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1. \u0397 FDG \u03b5\u03b9\u03c3\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03bf \u03bc\u03ad\u03c3\u03c9 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ad\u03b1 \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 GLUT-1 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 \u03c6\u03c9\u03c3\u03c6\u03bf\u03c1\u03c5\u03bb\u03b9\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9. \u0397 \u03c6\u03c9\u03c3\u03c6\u03bf\u03c1\u03c5\u03bb\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 FDG (FDG-P), \u03c3\u03b5 \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7 ( G-P), \u03b4\u03b5\u03bd \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b5\u03af \u03c4\u03b7 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03bf\u03b4\u03cc \u03c4\u03b7\u03c2 \u03b1\u03b5\u03c1\u03cc\u03b2\u03b9\u03b1\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03bb\u03c5\u03c3\u03b7\u03c2. \u03a3\u03c4\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03b7 \u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 6-\u03c6\u03c9\u03c3\u03c6\u03b1\u03c4\u03ac\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03bb\u03b1\u03c4\u03c4\u03c9\u03bc\u03ad\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03ad\u03c4\u03c3\u03b9 \u03b7 FDG-P \u03c0\u03b1\u03b3\u03b9\u03b4\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03c3\u03c3\u03c9\u03c1\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03c1\u03bf\u03bf\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf \u03b5\u03c3\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03bf\u03c5.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\n<\/div>\n<p style=\"text-align: justify;\">\u0397 FDG \u03b4\u03b9\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf\u03bd \u03b1\u03b9\u03bc\u03b1\u03c4\u03bf\u03b5\u03b3\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03cc \u03c6\u03c1\u03b1\u03b3\u03bc\u03cc \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b5\u03b3\u03ba\u03ad\u03c6\u03b1\u03bb\u03bf, \u03c3\u03b5 \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03b1\u03c0\u03cc \u03c4\u03bf \u03bc\u03c5\u03bf\u03ba\u03ac\u03c1\u03b4\u03b9\u03bf (\u03c0\u03bf\u03bb\u03cd \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03b5 \u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03bd\u03b7\u03c3\u03c4\u03b5\u03af\u03b1\u03c2, \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c4\u03bf \u03bc\u03c5\u03bf\u03ba\u03ac\u03c1\u03b4\u03b9\u03bf \u03ba\u03b1\u03c4\u03b1\u03bd\u03b1\u03bb\u03ce\u03bd\u03b5\u03b9 \u03bb\u03b9\u03c0\u03b1\u03c1\u03ac \u03bf\u03be\u03ad\u03b1), \u03c4\u03bf\u03bd \u03bc\u03b1\u03b6\u03b9\u03ba\u03cc \u03b1\u03b4\u03ad\u03bd\u03b1, \u03c4\u03bf \u03ae\u03c0\u03b1\u03c1, \u03c4\u03bf\u03c5\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03c9\u03c4\u03bf\u03cd\u03c2 \u03bc\u03cd\u03b5\u03c2 (\u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03b7 \u03c6\u03c5\u03c3\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1) \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5\u03c2 \u03b3\u03b5\u03bd\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b5\u03c2. \u0391\u03c0\u03bf\u03b2\u03ac\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03bd\u03b5\u03c6\u03c1\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf.<\/p>\n<p style=\"text-align: justify;\">\u0393\u03b5\u03bd\u03b9\u03ba\u03ac, \u03c4\u03b9\u03bc\u03ad\u03c2 \u03c4\u03bf\u03c5 \u03b4\u03b5\u03af\u03ba\u03c4\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 SUV \u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc 2-2.5 \u03c3\u03b5 \u03bc\u03af\u03b1 \u03b5\u03c3\u03c4\u03af\u03b1, \u03b5\u03ba\u03c4\u03cc\u03c2 \u03c4\u03c9\u03bd \u03b8\u03ad\u03c3\u03b5\u03c9\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2<sup> 18<\/sup>F-FDG, \u03b8\u03b5\u03c9\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2, \u03b1\u03bb\u03bb\u03ac \u03c3\u03b5 \u03ba\u03b1\u03bc\u03af\u03b1 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03b1\u03b8\u03bf\u03b3\u03bd\u03c9\u03bc\u03bf\u03bd\u03b9\u03ba\u03ad\u03c2. \u039a\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c0\u03bf\u03c5 \u03c3\u03c5\u03c1\u03c1\u03ad\u03bf\u03c5\u03bd \u03c3\u03b5 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ad\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03c4\u03b1 \u03bc\u03b1\u03ba\u03c1\u03bf\u03c6\u03ac\u03b3\u03b1, \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c5\u03c8\u03b7\u03bb\u03bf\u03cd\u03c2 \u03c1\u03c5\u03b8\u03bc\u03bf\u03cd\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03bb\u03c5\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd <sup>18<\/sup>F-FDG. \u0395\u03ba\u03c4\u03cc\u03c2 \u03c4\u03c9\u03bd \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03bd, \u03c0\u03bf\u03b9\u03ba\u03af\u03bb\u03b1 \u03ac\u03bb\u03bb\u03b1 \u03b1\u03af\u03c4\u03b9\u03b1, \u03cc\u03c0\u03c9\u03c2 \u03c0\u03b1\u03c1\u03b1\u03bb\u03bb\u03b1\u03b3\u03ad\u03c2 \u03c4\u03b7\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b2\u03b9\u03bf\u03ba\u03b1\u03c4\u03b1\u03bd\u03bf\u03bc\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5, \u03c5\u03c0\u03b5\u03c1\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 (\u03c0.\u03c7. \u03bd\u03cc\u03c3\u03bf\u03c2 Paget, \u03b9\u03bd\u03ce\u03b4\u03b7\u03c2 \u03b4\u03c5\u03c3\u03c0\u03bb\u03b1\u03c3\u03af\u03b1, \u03b1\u03bd\u03c4\u03b9\u03b4\u03c1\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae \u03c5\u03c0\u03b5\u03c1\u03c0\u03bb\u03b1\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b8\u03cd\u03bc\u03bf\u03c5, \u03c6\u03b1\u03b9\u03cc \u03bb\u03af\u03c0\u03bf\u03c2 \u03ba.\u03ac.) \u03bc\u03b5\u03c1\u03b9\u03ba\u03ac \u03ba\u03b1\u03bb\u03bf\u03ae\u03b8\u03b7 \u03bd\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1, artifacts \u03ba\u03bb\u03c0, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03bf\u03c5\u03bd \u03c3\u03b5 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1. \u0397 \u03c5\u03c0\u03b5\u03c1\u03b3\u03bb\u03ba\u03c5\u03ba\u03b1\u03b9\u03bc\u03af\u03b1 \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c4\u03b1 \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03c3\u03b5 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1, \u03b3\u03b9 \u03b1\u03c5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b7\u03c3\u03c4\u03b9\u03ba\u03cc\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7\u03bd \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 FDG-PET. \u038c\u03c4\u03b1\u03bd \u03bf\u03b9 \u03c4\u03b9\u03bc\u03ad\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc 120-150 mg\/dL \u03c4\u03cc\u03c4\u03b5 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03c1\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9. \u0394\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bd\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03c0\u03c1\u03bf\u03b7\u03b3\u03b7\u03b8\u03b5\u03af \u03ad\u03bd\u03b5\u03c3\u03b7 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7\u03c2 \u03c4\u03bf 4\u03c9\u03c1\u03bf \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7\u03bd \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7.<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf <sup>18<\/sup>F-FDG \u03c7\u03bf\u03c1\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 5-10 mCi (185-370 MBq) \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03bf \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf PET \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 (\u03c4\u03b1 \u03bd\u03b5\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b1\u03c0\u03b1\u03b9\u03c4\u03bf\u03cd\u03bd \u03bc\u03b9\u03ba\u03c1\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2) \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b2\u03ac\u03c1\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2. H \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 60 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03bb\u03b5\u03c0\u03c4\u03ac \u03b1\u03c1\u03b3\u03cc\u03c4\u03b5\u03c1\u03b1. \u0397 \u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03cc\u03c3\u03b7 (effective dose) \u03c3\u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 3-4 mSv (\u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c7\u03bf\u03c1\u03b7\u03b3\u03b7\u03b8\u03b5\u03af\u03c3\u03b1 \u03b4\u03cc\u03c3\u03b7 5 mCi) (62).<\/p>\n<h6 style=\"text-align: justify;\"><b>4.2.2. <\/b><b>I<\/b><b>-124<\/b><\/h6>\n<p style=\"text-align: justify;\">\u03a0\u03c1\u03cc\u03ba\u03b5\u03b9\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b9\u03c3\u03cc\u03c4\u03bf\u03c0\u03bf \u03c4\u03bf\u03c5 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03b5\u03b9, \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03ac\u03bb\u03bb\u03c9\u03bd \u03c4\u03cd\u03c0\u03c9\u03bd \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2, \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03cc\u03bd\u03b9\u03b1 \u03c5\u03c8\u03b7\u03bb\u03ae\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1\u03c2. \u039f \u03c6\u03c5\u03c3\u03b9\u03ba\u03cc\u03c2 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b7\u03bc\u03b9\u03c3\u03b5\u03af\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03b9\u03c3\u03bf\u03c4\u03cc\u03c0\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 4.2 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2, \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03bc\u03b5\u03b3\u03ac\u03bb\u03bf\u03c2 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b1 \u03ac\u03bb\u03bb\u03b1 \u03b9\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03b5\u03ba\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 \u03c0\u03bf\u03b6\u03b9\u03c4\u03c1\u03bf\u03bd\u03af\u03c9\u03bd. \u03a7\u03bf\u03c1\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 18-74 MBq (0.5-2 mCi) \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 24-48 \u03ce\u03c1\u03b5\u03c2 \u03b1\u03c1\u03b3\u03cc\u03c4\u03b5\u03c1\u03b1. \u03a4\u03bf PET \u03ba\u03b1\u03b9 \u03c4\u03bf PET\/CT \u03bc\u03b5 \u0399-124 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03bf\u03c5\u03bd \u03c3\u03b1\u03c6\u03ce\u03c2 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u0399-131\/\u0399-123 WBS, \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf SPECT\/CT (63).<\/p>\n<h6 style=\"text-align: justify;\"><b>4.2.3. \u0391\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03c4\u03b7\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03b1 \u03bc\u03b5 \u03b3\u03ac\u03bb\u03bb\u03b9\u03bf-68 (68Ga)<\/b><\/h6>\n<p style=\"text-align: justify;\">\u03a0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b1, \u03c9\u03c2 \u03b3\u03ad\u03c6\u03c5\u03c1\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03b7 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03bf\u03c4\u03cc\u03c0\u03c9\u03bd \u03bc\u03b5 \u03c4\u03b1 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03c7\u03b7\u03bb\u03b9\u03ba\u03ae \u03ad\u03bd\u03c9\u03c3\u03b7 DOTA (tetraazacyclo-D\u03bfdecane-Tetraacetic Acid), \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03bd\u03b8\u03b5\u03af \u03bc\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03bd\u03bf\u03c5\u03ba\u03bb\u03af\u03b4\u03b9\u03b1 (111In, 68Ga, 64Cu, 90Y, 177Lu \u03ba\u03bb\u03c0) \u03b3\u03b9\u03b1 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c7\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2. \u03a4\u03b1 \u03c0\u03b5\u03c0\u03c4\u03af\u03b4\u03b9\u03b1 DOTA-TOC, DOTA-NOC \u03ba\u03b1\u03b9 DOTA-TATE (\u03c3\u03c5\u03bd\u03bf\u03c0\u03c4\u03b9\u03ba\u03ac DOTA-x) \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03c0\u03b9\u03bf \u03b3\u03bd\u03c9\u03c3\u03c4\u03ac. \u0393\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 PET \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 68Ga. \u039f\u03b9 \u03b5\u03bd\u03ce\u03c3\u03b5\u03b9\u03c2 68Ga- DOTA-x \u03c3\u03c5\u03bd\u03b4\u03ad\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c5\u03c0\u03cc\u03c4\u03c5\u03c0\u03bf 2 \u03c4\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03b1 \u03c4\u03b7\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 (SSTR-2) \u03c0\u03bf\u03bb\u03cd \u03b9\u03c3\u03c7\u03c5\u03c1\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b1\u03c0\u03cc \u03cc\u03c4\u03b9 \u03c4\u03bf 111In-octreotide (OctreoscanTM). \u03a4\u03bf DOTA-NOC \u03c3\u03c5\u03bd\u03b4\u03ad\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 SSTR-3 \u03ba\u03b1\u03b9 SSTR-5.<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf 68Ga \u03ad\u03c7\u03b5\u03b9 \u03c6\u03c5\u03c3\u03b9\u03ba\u03cc \u03c7\u03c1\u03cc\u03bd\u03bf \u03b7\u03bc\u03b9\u03c3\u03b5\u03af\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 68,3 min. \u0395\u03ba\u03bb\u03bf\u03cd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03b3\u03b5\u03bd\u03bd\u03ae\u03c4\u03c1\u03b9\u03b1 (\u03c3\u03c4\u03ae\u03bb\u03b7) \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03c1\u03bf\u03bc\u03b7\u03b8\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf \u03ac\u03c0\u03b1\u03be \u03b5\u03c4\u03b7\u03c3\u03af\u03c9\u03c2, \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03ad\u03c7\u03b5\u03b9 \u03c6\u03c5\u03c3\u03b9\u03ba\u03cc \u03c7\u03c1\u03cc\u03bd\u03bf \u03b7\u03bc\u03b9\u03c3\u03b5\u03af\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 271 \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2. \u0397 \u03b5\u03c0\u03b9\u03c3\u03ae\u03bc\u03b1\u03bd\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03b5\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd \u03bc\u03b5 \u03c4\u03bf 68Ga \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03cd\u03ba\u03bf\u03bb\u03b1, \u03b3\u03c1\u03ae\u03b3\u03bf\u03c1\u03b1 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c5\u03c8\u03b7\u03bb\u03ae \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03b7\u03c2 \u03c3\u03c4\u03bf \u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c1\u03b9\u03bf. \u03a7\u03bf\u03c1\u03b7\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03b5\u03b2\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b7 100-200 MBq. \u0397 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ce\u03bd \u03c4\u03c9\u03bd \u03c0\u03b5\u03c0\u03c4\u03b9\u03b4\u03af\u03c9\u03bd \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03b5\u03af\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1\u03c7\u03b5\u03af\u03b1 (\u03c4\u03bf 80% \u03b5\u03bd\u03c4\u03cc\u03c2 30 min \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7). \u0397 \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03bc\u03b5 PET\/CT scanner \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c7\u03ce\u03c1\u03b1 60-90 \u03bb\u03b5\u03c0\u03c4\u03ac \u03b1\u03c1\u03b3\u03cc\u03c4\u03b5\u03c1\u03b1. \u0397 \u03b1\u03c0\u03bf\u03c1\u03c1\u03bf\u03c6\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b4\u03cc\u03c3\u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae (\u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03cc\u03c3\u03b7) \u03b5\u03af\u03bd\u03b1\u03b9 3,4-6,8 mSv (64).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03b1 DOTA-x \u03c0\u03b5\u03c0\u03c4\u03af\u03b4\u03b9\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bd\u03b5\u03c5\u03c1\u03bf\u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03bc\u03ac\u03c4\u03c9\u03bd, \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2. \u0395\u03ba\u03b5\u03af \u03cc\u03c0\u03bf\u03c5 \u03c4\u03bf PET \u03ba\u03b1\u03b9 \u03b7 \u03b3\u03b5\u03bd\u03bd\u03ae\u03c4\u03c1\u03b9\u03b1 Ga-68 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b1, \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ae\u03c3\u03b5\u03b9 \u03c4\u03bf \u03ba\u03bb\u03b1\u03c3\u03c3\u03b9\u03ba\u03cc Octreoscan.<\/p>\n<h6 style=\"text-align: justify;\"><b>4.2.4. <\/b><b>F<\/b><b>-18 \u03a6\u03bb\u03bf\u03c5\u03c1\u03bf-\u03b4\u03b9\u03c5\u03b4\u03c1\u03bf\u03be\u03c5-\u03c6\u03b1\u03b9\u03bd\u03c5\u03bb\u03b1\u03bb\u03b1\u03bd\u03af\u03bd\u03b7 (<\/b><b>FDOPA<\/b><b>)<\/b><\/h6>\n<p style=\"text-align: justify;\">\u0397 18F-FDOPA \u03b9\u03c7\u03bd\u03b7\u03b8\u03b5\u03c4\u03b5\u03af \u03c4\u03b7 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03b1\u03c0\u03bf\u03ba\u03b1\u03c1\u03b2\u03bf\u03be\u03c5\u03bb\u03af\u03c9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 L-DOPA, \u03bc\u03ad\u03c3\u03c9 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03bf\u03ba\u03b1\u03c1\u03b2\u03bf\u03be\u03c5\u03bb\u03ac\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b1\u03bc\u03b9\u03bd\u03ce\u03bd, \u03b3\u03b9\u03b1 \u03c4\u03bf \u03c3\u03c7\u03b7\u03bc\u03b1\u03c4\u03b9\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03bd\u03c4\u03bf\u03c0\u03b1\u03bc\u03af\u03bd\u03b7\u03c2 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03bd\u03c4\u03bf\u03c0\u03b1\u03bc\u03b9\u03bd\u03b5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03b4\u03c1\u03b5\u03bd\u03b5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03bd\u03b5\u03c5\u03c1\u03ce\u03bd\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03ba\u03b5\u03c6\u03ac\u03bb\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03b5\u03c0\u03b9\u03bd\u03b5\u03c6\u03c1\u03b9\u03b4\u03af\u03c9\u03bd. \u0397 18F-FDOPA \u03ad\u03c7\u03b5\u03b9 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c4\u03bf\u03c5 Parkinson \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03c9\u03bd \u03b5\u03be\u03c9\u03c0\u03c5\u03c1\u03b1\u03bc\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03ba\u03b9\u03bd\u03b7\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03c9\u03bd, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bd\u03b5\u03c5\u03c1\u03bf\u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03cc\u03b3\u03ba\u03c9\u03bd, \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (65). \u03a3\u03c4\u03bf \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03bf\u03bd \u03c0\u03bb\u03ad\u03bf\u03bd \u03c5\u03c0\u03bf\u03c3\u03c7\u03cc\u03bc\u03b5\u03bd\u03bf PET \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c7\u03bd\u03b7\u03b8\u03ad\u03c4\u03b7, \u03cc\u03c0\u03c9\u03c2 \u03b8\u03b1 \u03b1\u03bd\u03b1\u03c6\u03b5\u03c1\u03b8\u03b5\u03af \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1. \u0393\u03b9\u03b1 \u03c4\u03b9\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b5\u03b3\u03ba\u03ad\u03c6\u03b1\u03bb\u03bf \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03bb\u03ae\u03c8\u03b7 \u03ba\u03b1\u03c1\u03b2\u03b9\u03bd\u03c4\u03cc\u03c0\u03b1 per os (\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03bf\u03ba\u03b1\u03c1\u03b2\u03bf\u03be\u03c5\u03bb\u03ac\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03c6\u03ad\u03c1\u03b5\u03b9\u03b1) \u03c0\u03c1\u03b9\u03bd \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 FDOPA, \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b4\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bd\u03b5\u03c5\u03c1\u03bf\u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03cc\u03b3\u03ba\u03c9\u03bd \u03b4\u03b5\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c3\u03c5\u03bc\u03c6\u03c9\u03bd\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c5\u03c4\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03bf\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2 (66). \u0397 18F-FDOPA \u03c7\u03bf\u03c1\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 150-370 MBq (4-10 mCi) \u03ba\u03b1\u03b9 \u03b7 \u03b1\u03ba\u03c4\u03b9\u03bd\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03b2\u03ac\u03c1\u03c5\u03bd\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 (\u03b5\u03bd\u03b5\u03c1\u03b3\u03cc\u03c2 \u03b4\u03cc\u03c3\u03b7) \u03b5\u03af\u03bd\u03b1\u03b9 3,7-10 mSv.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-923\" alt=\"10.6-figure4..5\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..5.jpg\" width=\"500\" height=\"388\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..5.jpg 500w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..5-300x232.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.5.<\/b> <\/em>\u0397 \u03c3\u03cd\u03bd\u03b8\u03b5\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03c4\u03bf\u03c0\u03b1\u03bc\u03af\u03bd\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03ba\u03b1\u03c4\u03b5\u03c7\u03bf\u03bb\u03b1\u03bc\u03b9\u03bd\u03ce\u03bd \u03c3\u03c4\u03bf\u03c5\u03c2 \u03bd\u03c4\u03bf\u03c0\u03b1\u03bc\u03b9\u03bd\u03b9\u03ba\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03b4\u03c1\u03b5\u03bd\u03b5\u03c1\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03bd\u03b5\u03c5\u03c1\u03ce\u03bd\u03b5\u03c2. \u0397 <sup>18<\/sup>F-FDOPA \u03b9\u03c7\u03bd\u03b7\u03b8\u03b5\u03c4\u03b5\u03af \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1. \u0397 \u03c3\u03c5\u03b3\u03ba\u03ad\u03bd\u03c4\u03c1\u03c9\u03c3\u03ae \u03c4\u03b7\u03c2 \u03c3\u03c4\u03b1 \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c4\u03c9\u03bd \u03bd\u03b5\u03c5\u03c1\u03bf\u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03cc\u03b3\u03ba\u03c9\u03bd \u03b1\u03bd\u03c4\u03b1\u03bd\u03b1\u03ba\u03bb\u03ac \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c4\u03b7 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b2-\u03b1\u03c0\u03bf\u03ba\u03b1\u03c1\u03b2\u03bf\u03be\u03c5\u03bb\u03ac\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b1\u03bc\u03b9\u03bd\u03ce\u03bd.PNMT: Phenylethanolamine N-methyltransferase<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\n<h5 style=\"text-align: justify;\"><b>4.3. \u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/b><\/h5>\n<h6 style=\"text-align: justify;\"><b>4.3.1. \u0394\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2, \u03b1\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c4\u03bf \u03ba\u03b1\u03b9 \u03b1\u03bd\u03b1\u03c0\u03bb\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1<\/b><\/h6>\n<p style=\"text-align: justify;\"><i>\u00a0<\/i><b>4.3.1.1. \u039f \u03c1\u03cc\u03bb\u03bf\u03c2 \u03c4\u03bf\u03c5 <sup>18<\/sup><\/b><b>F<\/b><b>&#8211;<\/b><b>FDG<\/b><b> <\/b><b>PET<\/b><\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf FDG-PET \u03ba\u03b1\u03b9 PET\/CT \u03b4\u03b5\u03bd \u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03bd\u03c5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7\/\u03c3\u03c4\u03b1\u03b4\u03b9\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5. \u0395\u03c0\u03af\u03c3\u03b7\u03c2 \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03c9\u03bd \u03bc\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ce\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03cc\u03b6\u03c9\u03bd, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03c0\u03c4\u03c9\u03c7\u03ae\u03c2 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2. \u03a5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03c4\u03bf FDG-PET, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03ae\u03b8\u03b7\u03ba\u03b5 \u03b3\u03b9\u03b1 \u03ac\u03bb\u03bb\u03bf\u03c5\u03c2 \u03bb\u03cc\u03b3\u03bf\u03c5\u03c2, \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03b9 \u03b5\u03c3\u03c4\u03b9\u03b1\u03ba\u03ac \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c3\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03cc\u03b6\u03bf (PET thyroid incidentalomas). \u0397 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b1\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03cc \u03c4\u03bf \u03c4\u03c5\u03c7\u03b1\u03af\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 27-50% (67-69) \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac \u03ba\u03b1\u03c1\u03bd\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b8\u03b7\u03bb\u03ce\u03b4\u03b7. \u0391\u03bd \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c5\u03c8\u03b7\u03bb\u03ae, \u03b1\u03c5\u03c4\u03ae \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ae \u03ce\u03c3\u03c4\u03b5 \u03bd\u03b1 \u03b4\u03b9\u03ba\u03b1\u03b9\u03bf\u03bb\u03bf\u03b3\u03ae\u03c3\u03b5\u03b9 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 FNA, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (18). \u03a5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03cc\u03c4\u03b9 \u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c4\u03c5\u03c7\u03b1\u03af\u03b1 \u03c3\u03b5 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 FDG-PET \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03bf \u03b5\u03c0\u03b9\u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b4\u03c5\u03c3\u03bc\u03b5\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03bf\u03c5\u03c2 \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c4\u03cd\u03c0\u03bf\u03c5\u03c2, \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b1 \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03b1 (70). \u0394\u03b9\u03ac\u03c7\u03c5\u03c4\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b7\u03c2 FDG \u03c3\u03c4\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03ae \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b1\u03c4\u03b1 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03af\u03c4\u03b9\u03b4\u03b1 Hashimoto \u03ba\u03b1\u03b9 \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac \u03bc\u03b5 \u03bd\u03cc\u03c3\u03bf Graves (61, 70)<\/p>\n<p style=\"text-align: justify;\">\u0397 \u03ba\u03cd\u03c1\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03bc\u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03c4\u03bf\u03c5 FDG-PET \u03c3\u03c4\u03bf \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03c0\u03bf\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2, \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c5\u03c8\u03b7\u03bb\u03ce\u03bd \u03c4\u03b9\u03bc\u03ce\u03bd Tg \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03bf\u03c5\u03bd \u03b5\u03bc\u03bc\u03ad\u03bd\u03bf\u03c5\u03c3\u03b1, \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03b9\u03ac\u03b6\u03bf\u03c5\u03c3\u03b1 \u03ae \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03bc\u03b5 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u0399-131 WBS (18, 41, 54). \u0397 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 FDG-PET \u03c3\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd 70-95%, \u03bc\u03b5 \u03bc\u03ad\u03c3\u03b7 \u03c4\u03b9\u03bc\u03ae 88% (71). \u039c\u03b5 \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c5\u03b2\u03c1\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd PET\/CT \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 (71). \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.6<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03cc \u03bc\u03b5 \u03c5\u03c8\u03b7\u03bb\u03ae Tg, \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u0399-131 Dx-WBS \u03ba\u03b1\u03b9 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc PET\/CT. \u03a4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 FDG-PET \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bb\u03bb\u03ac\u03be\u03bf\u03c5\u03bd \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c3\u03c4\u03c1\u03b1\u03c4\u03b7\u03b3\u03b9\u03ba\u03ae \u03c3\u03b5 20-40% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd (61). \u03a0\u03ad\u03c1\u03b1\u03bd \u03c4\u03b7\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae\u03c2, \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 FDG-PET \u03c6\u03ad\u03c1\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03be\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b1\u03bd\u03b5\u03be\u03ac\u03c1\u03c4\u03b7\u03c4\u03b7 \u03b1\u03c0\u03cc \u03ac\u03bb\u03bb\u03bf\u03c5\u03c2 \u03c0\u03c1\u03bf\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b5\u03c2, \u03bc\u03b5 \u03c4\u03b7\u03bd \u03ad\u03bd\u03bd\u03bf\u03b9\u03b1 \u03cc\u03c4\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc FDG-PET \u03ad\u03c7\u03bf\u03c5\u03bd \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03c7\u03b5\u03b9\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c0\u03c1\u03cc\u03b3\u03bd\u03c9\u03c3\u03b7. \u038c\u03c3\u03bf \u03b5\u03bd\u03c4\u03bf\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b7\u03c2 FDG, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03c5\u03c4\u03ae \u03b5\u03ba\u03c6\u03c1\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c4\u03b9\u03bc\u03ae SUV, \u03ba\u03b1\u03b9 \u03cc\u03c3\u03bf \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03bf\u03b9 \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2, \u03c4\u03cc\u03c3\u03bf \u03b4\u03c5\u03c3\u03bc\u03b5\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03cc\u03b3\u03bd\u03c9\u03c3\u03b7 (72). \u03a0\u03bf\u03bb\u03bb\u03bf\u03af \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03bf\u03cd\u03bd \u03c4\u03b7 \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03c4\u03bf\u03c5 FDG-PET \u03bc\u03b5\u03c4\u03ac \u03b4\u03bf\u03ba\u03b9\u03bc\u03b1\u03c3\u03af\u03b1 \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7\u03c2 \u03bc\u03b5 rhTSH \u03ae \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03c4\u03b7\u03c2 LT4, \u03c7\u03c9\u03c1\u03af\u03c2 \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b1\u03c5\u03c4\u03cc \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03b8\u03bf\u03bb\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c0\u03ac\u03b3\u03b9\u03b1 \u03c4\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae.<\/p>\n<p style=\"text-align: justify;\">\u039a\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03b9\u03c9\u03b4\u03af\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b1\u03c4\u03b1 \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd FDG \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03c1\u03bf\u03c6\u03b1. \u03a4\u03bf \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03bf \u03b1\u03c5\u03c4\u03cc \u03ad\u03c7\u03b5\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03b5\u03af \u03b1\u03c0\u03cc \u03c0\u03b1\u03bb\u03b9\u03ac, \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc \u03c9\u03c2 \u201cflip-flop phenomenon\u201d (73) \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03c4\u03bf\u03c0\u03c4\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03b9\u03c2 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03ad\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03bf\u03cd \u03c6\u03b1\u03b9\u03bd\u03cc\u03c4\u03c5\u03c0\u03bf\u03c5 (\u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 NIS vs. \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03bf\u03bb\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03bf\u03b4\u03bf\u03cd) \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03bf\u03c5\u03c2 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd\u03c2 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03ce\u03bd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03cc\u03c0\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03af\u03b4\u03b9\u03bf \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae \u03ac\u03bb\u03bb\u03b5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b2\u03bb\u03ac\u03b2\u03b5\u03c2 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u0399-131 \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b5\u03c2 FDG, \u03b5\u03bd\u03ce \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c3\u03c5\u03b3\u03ba\u03b5\u03bd\u03c4\u03c1\u03ce\u03bd\u03bf\u03c5\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 (74). \u0395\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2, \u03c3\u03b5 \u03b4\u03b9\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2, \u03c4\u03bf \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc I-131 WBS \u03b4\u03b5\u03bd \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03af\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 FDG-PET, \u03c3\u03b5 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03b2\u03ad\u03b2\u03b1\u03b9\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03c5\u03c0\u03bf\u03c8\u03af\u03b1 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03b5\u03ba\u03c4\u03b5\u03c4\u03b1\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf I-131 WBS. \u03a4\u03bf \u03cc\u03c1\u03b9\u03bf \u03c4\u03b7\u03c2 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 Tg \u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03c4\u03af\u03b8\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 FDG-PET \u03c3\u03c4\u03b9\u03c2 \u0391\u03bc\u03b5\u03c1\u03b9\u03ba\u03b1\u03bd\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (revised ATA guidelines 2009) \u03ba\u03b1\u03b8\u03bf\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b1 10 ng\/ml, \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b5\u03bd\u03b4\u03bf\u03b3\u03b5\u03bd\u03ae \u03ae \u03b5\u03be\u03c9\u03b3\u03b5\u03bd\u03ae \u03c0\u03c1\u03cc\u03ba\u03bb\u03b7\u03c3\u03b7 (18). \u0397 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b8\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd PET scan \u03c0\u03c1\u03ac\u03b3\u03bc\u03b1\u03c4\u03b9 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03cc\u03c3\u03bf \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03c4\u03b7\u03c2 Tg. \u038c\u03bc\u03c9\u03c2, \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03bd\u03b1\u03c6\u03b5\u03c1\u03b8\u03b5\u03af \u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03b5 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03bc\u03ad\u03c7\u03c1\u03b9 \u03ba\u03b1\u03b9 20% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 Tg &lt;10 ng\/ml (75), \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03af\u03b6\u03bf\u03c5\u03bd \u03c4\u03bf \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03cc\u03c4\u03b9 \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c4\u03ce\u03c6\u03bb\u03b9 \u03c4\u03b9\u03bc\u03ce\u03bd Tg \u03c0\u03bf\u03c5 \u03b8\u03ad\u03c4\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b3\u03b9\u03b1 PET \u03b4\u03b5\u03bd \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03c4\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03ba\u03ac\u03b8\u03b5 \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03be\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9. \u039f\u03b9 \u0395\u03c5\u03c1\u03c9\u03c0\u03b1\u03ca\u03ba\u03ad\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (European consensus 2006, ESMO guidelines 2012) \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03af\u03b6\u03bf\u03c5\u03bd \u03c4\u03ad\u03c4\u03bf\u03b9\u03bf \u03ba\u03b1\u03c4\u03ce\u03c6\u03bb\u03b9 (41, 54).<\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf FDG-PET, \u03cc\u03c0\u03c9\u03c2 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b5, \u03b4\u03b5\u03bd \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03ac\u03bc\u03b5\u03c3\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5. \u038c\u03bc\u03c9\u03c2, \u03c3\u03b5 \u03c0\u03c4\u03c9\u03c7\u03ac \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03ce\u03bc\u03b1\u03c4\u03b1 \u03b1\u03c0\u03cc \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 H\u00fcrthle, \u03c4\u03b1 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c4\u03bf \u0399-131, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf \u03b1\u03bd\u03b1\u03c0\u03bb\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03c4\u03bf FDG-PET \u03ad\u03c7\u03b5\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c0\u03b9\u03b8\u03b1\u03bd\u03ac \u03b8\u03ad\u03c3\u03b7, \u03c3\u03c5\u03bd\u03b5\u03c0\u03b9\u03ba\u03bf\u03c5\u03c1\u03ce\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b9\u03c2 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2 (US, CT, MRI) \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03c3\u03c4\u03b1\u03b4\u03b9\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 (18). \u03a4\u03ad\u03bb\u03bf\u03c2, \u03c4\u03bf FDG-PET \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03b5\u03cd\u03c3\u03b5\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03c4\u03b7\u03c2 \u03b1\u03bd\u03c4\u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2, \u03c0\u03bb\u03b7\u03bd \u03c4\u03b7\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 RAI, \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b5\u03c2 (\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae, \u03b5\u03bc\u03b2\u03bf\u03bb\u03b9\u03c3\u03bc\u03cc\u03c2 \u03bc\u03b5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1, \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1, \u03bc\u03bf\u03c1\u03b9\u03b1\u03ba\u03ac \u03c3\u03c4\u03bf\u03c7\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b5\u03c2) (18).<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-924\" alt=\"10.6-figure4..6\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..6.jpg\" width=\"650\" height=\"345\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..6.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..6-300x159.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..6-624x331.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><b>\u00a0<\/b><\/p>\n<p style=\"text-align: justify;\"><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.6.<\/b> \u0393\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 80 \u03b5\u03c4\u03ce\u03bd \u03bc\u03b5 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae \u03b8\u03c5\u03bb\u03b1\u03ba\u03b9\u03ce\u03b4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (\u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 Tg), 4 \u03ad\u03c4\u03b7 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae. \u03a4\u03bf <sup>131<\/sup>\u0399 Dx-WBS (A) \u03ae\u03c4\u03b1\u03bd \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc. \u03a4\u03bf <sup>18<\/sup>F-FDG PET\/CT \u03c0\u03bf\u03c5 \u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b5 (\u0392) \u03b1\u03bd\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03b5\u03c3\u03c4\u03af\u03b1 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03bf \u03ac\u03bd\u03c9 \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf \u03b1\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac (\u03b2\u03ad\u03bb\u03bf\u03c2). \u0395\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03b7 \u03c4\u03c1\u03b9\u03c3\u03b4\u03b9\u03ac\u03c3\u03c4\u03b1\u03c4\u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c3\u03b7 (maximum intensity projection, MIP) \u03ba\u03b1\u03b9 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b1 \u03c4\u03bf\u03bc\u03ae (PET, CT \u03ba\u03b1\u03b9 \u03bc\u03b5\u03af\u03be\u03b7 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf) \u03c3\u03c4\u03bf \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03bf \u03c4\u03bf\u03c5 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a4\u03bf \u03b5\u03cd\u03c1\u03b7\u03bc\u03b1 \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03b8\u03b7\u03ba\u03b5 \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03cc\u03c4\u03b9 \u03b1\u03c6\u03bf\u03c1\u03bf\u03cd\u03c3\u03b5 \u03c3\u03b5 \u03bb\u03b5\u03bc\u03c6\u03b1\u03b4\u03b5\u03bd\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5. \u039f\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c4\u03bc\u03ae\u03bc\u03b1 \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03a0\u03b1\u03bd\u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03b9\u03b1\u03ba\u03bf\u03cd \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf\u03c5 \u03c4\u03b7\u03c2 \u03a7\u03b1\u03ca\u03b4\u03b5\u03bb\u03b2\u03ad\u03c1\u03b3\u03b7\u03c2 (Universit\u00e4tsKlinikum Heidelberg, Kopfklinik) \u03ba\u03b1\u03b9 \u03b4\u03b7\u03bc\u03bf\u03c3\u03b9\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03b1\u03b4\u03b5\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5 \u039a\u03b1\u03b8\u03b7\u03b3\u03b7\u03c4\u03bf\u03cd Uwe Haberkorn, \u03c4\u03bf\u03bd \u03bf\u03c0\u03bf\u03af\u03bf\u03bd \u03b5\u03c5\u03c7\u03b1\u03c1\u03b9\u03c3\u03c4\u03bf\u03cd\u03bc\u03b5 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c5\u03b3\u03b5\u03bd\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c6\u03bf\u03c1\u03ac.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>4.3.1.2. \u039f \u03c1\u03cc\u03bb\u03bf\u03c2 \u03c4\u03bf\u03c5 <\/b><b><sup>I<\/sup><\/b><b><sup>24<\/sup><\/b><b>I<\/b><b> <\/b><b>PET<\/b><\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf PET \u03bc\u03b5 \u0399-124 \u03c5\u03c0\u03b5\u03c1\u03c4\u03b5\u03c1\u03b5\u03af \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03c5 \u0399-131\/\u0399-123 Dx-WBS , \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03bf\u03bd\u03c4\u03b1\u03c2 12-50% \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b5\u03c3\u03c4\u03af\u03b5\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03bf (63). \u0397 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03b1\u03c0\u03bf\u03b4\u03af\u03b4\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c0\u03bf\u03bb\u03cd \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03b9\u03ba\u03ae\u03c2 PET \u03ba\u03b1\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7\u03c2 PET\/CT \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7\u03c2 \u03b1\u03c0\u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c3\u03c4\u03bf \u03bc\u03bf\u03bd\u03bf\u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03bf \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03bf scan.<\/p>\n<p style=\"text-align: justify;\">\u0395\u03ba\u03c4\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03be\u03af\u03b1\u03c2, \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03c0\u03c1\u03cc\u03c3\u03b8\u03b5\u03c4\u03b7 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03c4\u03bf\u03c5 124\u0399- PET\/CT \u03b8\u03b5\u03c9\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03ba\u03c1\u03b9\u03b2\u03bf\u03cd\u03c2 \u03b4\u03bf\u03c3\u03b9\u03bc\u03b5\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7\u03c2, \u03c0\u03c1\u03bf\u03ba\u03b5\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03bd\u03b1 \u03c5\u03c0\u03bf\u03bb\u03bf\u03b3\u03b9\u03c3\u03c4\u03b5\u03af \u03ba\u03b1\u03b9 \u03b5\u03be\u03bf\u03c1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03c3\u03c4\u03b5\u03af \u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03cc\u03c3\u03b7 \u0399-131 \u03c0\u03bf\u03c5 \u03b8\u03b1 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03ae\u03c3\u03b5\u03b9 (63). \u0394\u03c5\u03c3\u03c4\u03c5\u03c7\u03ce\u03c2 \u03c4\u03bf \u0399-124 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03c0\u03b1\u03c1\u03cc\u03bd \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf \u03c3\u03b5 \u03bb\u03af\u03b3\u03b1 \u03ba\u03ad\u03bd\u03c4\u03c1\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd.<\/p>\n<h6 style=\"text-align: justify;\"><b>4.3.2. \u039c\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2<\/b><\/h6>\n<p style=\"text-align: justify;\">\u039c\u03b9\u03b1 \u03b5\u03c5\u03c1\u03b5\u03af\u03b1 \u03b3\u03ba\u03ac\u03bc\u03b1 \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c3\u03c4\u03bf \u03c0\u03b1\u03c1\u03b5\u03bb\u03b8\u03cc\u03bd \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 (MTC). \u039c\u03b5\u03c4\u03b1\u03be\u03cd \u03b1\u03c5\u03c4\u03ce\u03bd \u03c4\u03bf \u03b4\u03b9\u03bc\u03b5\u03c1\u03ba\u03b1\u03c0\u03c4\u03bf\u03c3\u03bf\u03c5\u03ba\u03b9\u03bd\u03b9\u03ba\u03cc \u03bf\u03be\u03cd \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03bc\u03ad\u03bd\u03bf \u03bc\u03b5 \u03c0\u03b5\u03bd\u03c4\u03b1\u03c3\u03b8\u03b5\u03bd\u03ad\u03c2 Tc-99m (99mTc-V-DMSA) \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03bf \u03c4\u03b7\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 \u03bf\u03ba\u03c4\u03c1\u03b5\u03bf\u03c4\u03af\u03b4\u03b9\u03bf, \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03bc\u03ad\u03bd\u03bf \u03bc\u03b5 In-111 (111In-Octreotide, OctreoscanTM) \u03c5\u03c0\u03ae\u03c1\u03be\u03b1\u03bd \u03c4\u03b1 \u03c0\u03b9\u03bf \u03b4\u03b7\u03bc\u03bf\u03c6\u03b9\u03bb\u03ae. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03ae\u03c4\u03b1\u03bd \u03bc\u03ad\u03c4\u03c1\u03b9\u03b1, \u03c3\u03b5 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ad\u03c2 \u03ba\u03b1\u03c4\u03ce\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03b1\u03c5\u03c4\u03ae \u03c4\u03c9\u03bd \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03c9\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ce\u03bd. \u0397 \u03bc\u03b5\u03c4\u03b1-\u03b9\u03c9\u03b4\u03bf-\u03b2\u03b5\u03bd\u03b6\u03c5\u03bb\u03b3\u03bf\u03c5\u03b1\u03bd\u03b9\u03b4\u03af\u03bd\u03b7 (MIBG) \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03bc\u03b5 I-131 \u03ae \u0399-123 \u03ad\u03c7\u03b5\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03cc\u03bc\u03c9\u03c2 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03bc\u03b9\u03b1 \u03c0\u03c1\u03bf\u03bf\u03c0\u03c4\u03b9\u03ba\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 \u03bc\u03b5 I-131 MIBG, \u03c3\u03b5 \u03bc\u03b9\u03b1 \u03c5\u03c0\u03bf\u03bf\u03bc\u03ac\u03b4\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc MIBG scan.<i><br \/>\n<\/i><\/p>\n<p style=\"text-align: justify;\"><b>4.3.2.1. <sup>18<\/sup><\/b><b>F<\/b><b>&#8211;<\/b><b>FDG<\/b><b> <\/b><b>PET<\/b><b> \u03c3\u03c4\u03bf \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2<\/b><\/p>\n<p style=\"text-align: justify;\">\u03a4\u03bf <sup>18<\/sup>F-FDG PET \u03ba\u03b1\u03b9 PET\/CT \u03ad\u03c7\u03b5\u03b9 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03c4\u03b1 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 MTC. \u0394\u03b5\u03bd \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7. \u039c\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd\u03c2 \u03bc\u03ae\u03bd\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf, \u03c5\u03c8\u03b7\u03bb\u03ac \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7\u03c2 (Ct) \u03ae\/\u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03bf\u03b5\u03bc\u03b2\u03c1\u03c5\u03b9\u03ba\u03bf\u03cd \u03b1\u03bd\u03c4\u03b9\u03b3\u03cc\u03bd\u03bf\u03c5 (CEA) \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03bf\u03c5\u03bd \u03c5\u03c0\u03bf\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03ae \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae. \u03a4\u03b9\u03bc\u03ad\u03c2 Ct&lt;150 pg\/ml \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03bf\u03c5\u03bd \u03c4\u03bf\u03c0\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03b5\u03ba\u03c1\u03af\u03b6\u03c9\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03cc \u03ba\u03b1\u03b8\u03b1\u03c1\u03b9\u03c3\u03bc\u03cc, \u03b5\u03bd\u03ce \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c4\u03b9\u03bc\u03ad\u03c2 \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03c0\u03bf\u03bc\u03b1\u03ba\u03c1\u03c5\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03c1\u03b9\u03b6\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2. \u038c\u03bb\u03b5\u03c2 \u03bf\u03b9 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03b9, \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 FDG-PET, \u03ad\u03c7\u03bf\u03c5\u03bd \u03bc\u03b9\u03ba\u03c1\u03ae \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c3\u03b5 \u03c4\u03cc\u03c3\u03bf \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf. \u039f\u03b9 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7 \u03b4\u03b9\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1 \u03bc\u03cc\u03bd\u03bf US \u03c4\u03c1\u03b1\u03c7\u03ae\u03bb\u03bf\u03c5 \u03b5\u03c0\u03af Ct &lt; 150 pg\/ml, \u03b5\u03bd\u03ce \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03c1\u03b5\u03c2 \u03c4\u03b9\u03bc\u03ad\u03c2 Ct (ATA guidelines 2009) (76). \u0397 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 FDG PET \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b5\u03c5\u03c1\u03ad\u03c9\u03c2 \u03c3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1 \u03b1\u03c0\u03cc 17% \u03bc\u03ad\u03c7\u03c1\u03b9 96% (77,78) \u03b1\u03bd\u03c4\u03b1\u03bd\u03b1\u03ba\u03bb\u03ce\u03bd\u03c4\u03b1\u03c2 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c4\u03b7\u03bd \u03b5\u03c4\u03b5\u03c1\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1 \u03c4\u03c9\u03bd \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03ce\u03bd \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5\u03bb\u03b5\u03c4\u03b7\u03b8\u03b5\u03af. \u03a3\u03b5 \u03b4\u03cd\u03bf \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b5\u03c2 \u03bc\u03b5\u03c4\u03b1-\u03b1\u03bd\u03b1\u03bb\u03cd\u03c3\u03b5\u03b9\u03c2, \u03b7 \u03bc\u03ad\u03c3\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ae\u03c4\u03b1\u03bd 59% \u03ba\u03b1\u03b9 68% \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 (78,79), \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b5\u03c2 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03bf\u03c4\u03bf\u03c0\u03b9\u03ba\u03ad\u03c2 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b1\u03bd \u03ba\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03ac \u03ba\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2 (80). \u0395\u03af\u03bd\u03b1\u03b9 \u03c3\u03b1\u03c6\u03ad\u03c2 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 FDG PET \u03ba\u03b1\u03b9 PET\/CT \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03c4\u03b7\u03c2 Ct \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 CEA, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03c5\u03c2 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5\u03c2 \u03b4\u03b9\u03c0\u03bb\u03b1\u03c3\u03b9\u03b1\u03c3\u03bc\u03bf\u03cd \u03c4\u03bf\u03c5\u03c2, \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03bc\u03b5 \u03c4\u03bf \u03c6\u03bf\u03c1\u03c4\u03af\u03bf \u03bd\u03cc\u03c3\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03c0\u03b9\u03b8\u03b5\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 MTC. \u0388\u03c4\u03c3\u03b9, \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7 &gt; 1000 pg\/ml \u03ba\u03b1\u03b9 CEA &gt; 5 ng\/ml \u03b7 \u03bc\u03ad\u03c3\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 75% \u03ba\u03b1\u03b9 69% \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1, \u03b5\u03bd\u03ce \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c7\u03c1\u03cc\u03bd\u03bf \u03b4\u03b9\u03c0\u03bb\u03b1\u03c3\u03b9\u03b1\u03c3\u03bc\u03bf\u03cd \u03c4\u03bf\u03c5 CEA &lt; 24 \u03bc\u03ae\u03bd\u03b5\u03c2 91% (79). \u03a0\u03b1\u03c1\u03ac \u03c4\u03b9\u03c2 \u03cc\u03c7\u03b9 \u03c5\u03c8\u03b7\u03bb\u03ad\u03c2 \u03b5\u03c0\u03b9\u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5, \u03c4\u03bf FDG-PET \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 MTC \u03c9\u03c2 \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u03c4\u03c9\u03bd \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5\u03b8\u03cc\u03b4\u03c9\u03bd, \u03b4\u03b9\u03cc\u03c4\u03b9 \u03c3\u03b5 \u03bc\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03b9 \u03c4\u03bf \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c0\u03bb\u03ac\u03bd\u03bf \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7 \u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03ba\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2 (guidelines ATA 2009, ESMO 2012) (54,76)<\/p>\n<p style=\"text-align: justify;\"><b>4.3.2.2. <sup>68<\/sup><\/b><b>Ga<\/b><b>&#8211;<\/b><b>DOTA<\/b><b>&#8211;<\/b><b>x<\/b><b> \u03c0\u03b5\u03c0\u03c4\u03af\u03b4\u03b9\u03b1 \u03c3\u03c4\u03bf \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2<\/b><\/p>\n<p style=\"text-align: justify;\">\u03a3\u03c4\u03b7 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1, \u03bf \u03b1\u03c1\u03b9\u03b8\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 MTC \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03bc\u03b5\u03bb\u03b5\u03c4\u03b7\u03b8\u03b5\u03af \u03bc\u03b5 <sup>68<\/sup>Ga-DOTA-x PET \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03ba\u03c1\u03cc\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03c0\u03b1\u03c1\u03cc\u03bd. \u03a6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03b4\u03b9\u03b1\u03b3\u03bd\u03c9\u03c3\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b9\u03b4\u03cc\u03c3\u03b5\u03b9\u03c2 \u03b1\u03c5\u03c4\u03ce\u03bd \u03c4\u03c9\u03bd \u03b5\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03b5\u03c2 \u03bc\u03b5 \u03c4\u03bf <sup>18<\/sup>F-FDG-PET (80). \u03a3\u03c4\u03b7 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03c3\u03b5\u03b9\u03c1\u03ac 41 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03b9\u03ac\u03b6\u03bf\u03bd MTC \u03c3\u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03c0\u03b9\u03c7\u03b5\u03b9\u03c1\u03ae\u03b8\u03b7\u03ba\u03b5 \u03b5\u03c5\u03b8\u03b5\u03af\u03b1 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd, \u03c4\u03bf <sup>68<\/sup>Ga-DOTA-NOC \u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 (76%) \u03b1\u03c0\u03cc <sup>18<\/sup>F-FDG-PET (63%), \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03ac \u03b4\u03b5\u03bd \u03ae\u03c4\u03b1\u03bd \u03c3\u03c4\u03b1\u03c4\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae (81). \u0397 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ae \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03bc\u03b5\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03c9\u03bd \u03c4\u03bf\u03c5 MTC \u03bc\u03b5 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03c4\u03b7\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bc\u03b9\u03b1 \u03b5\u03c0\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03c0\u03c1\u03bf\u03bf\u03c0\u03c4\u03b9\u03ba\u03ae, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03b1\u03c3\u03c4\u03b5\u03af \u03b7 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03af\u03b4\u03b9\u03c9\u03bd \u03b5\u03bd\u03ce\u03c3\u03b5\u03c9\u03bd \u03b5\u03c0\u03b9\u03c3\u03b7\u03bc\u03b1\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03bc\u03b5 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03cc\u03c4\u03bf\u03c0\u03b1 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c0\u03ad\u03bc\u03c0\u03bf\u03c5\u03bd \u03b2-\u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1, \u03cc\u03c0\u03c9\u03c2 <sup>90<\/sup>Y-DOTA-TOC \u03ae <sup>177<\/sup>Lu-DOTA-TATE.<i><br \/>\n<\/i><\/p>\n<p style=\"text-align: justify;\"><b>4.3.2.3. <sup>18<\/sup><\/b><b>F<\/b><b>&#8211;<\/b><b>FDOPA<\/b><b> <\/b><b>PET<\/b><b> \u03c3\u03c4\u03bf \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2<\/b><\/p>\n<p style=\"text-align: justify;\">\u0397 <sup>18<\/sup>F-FDOPA \u03ad\u03c7\u03b5\u03b9 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b7\u03b8\u03b5\u03af \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1, \u03c3\u03b5 \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <sup>18<\/sup>F-FDG, \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 MTC, \u03bc\u03b5 \u03b5\u03bd\u03b8\u03b1\u03c1\u03c1\u03c5\u03bd\u03c4\u03b9\u03ba\u03ac \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1.<\/p>\n<p style=\"text-align: justify;\">\u03a3\u03b5 \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03bc\u03b5\u03c4\u03b1-\u03b1\u03bd\u03ac\u03bb\u03c5\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03ad\u03bb\u03b1\u03b2\u03b5 8 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b5\u03c0\u03af 146 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ac \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd, \u03b7 \u03bc\u03ad\u03c3\u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 <sup>18<\/sup>F-FDOPA PET (\u03ae PET\/CT) \u03ae\u03c4\u03b1\u03bd 66%. \u03a3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 Ct&gt;1000 p\/ml \u03ae \u03bc\u03b5 \u03c7\u03c1\u03cc\u03bd\u03bf \u03b4\u03b9\u03c0\u03bb\u03b1\u03c3\u03b9\u03b1\u03c3\u03bc\u03bf\u03cd \u03c4\u03b7\u03c2 Ct &lt; 24 \u03bc\u03ae\u03bd\u03b5\u03c2 \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ae\u03c4\u03b1\u03bd 86% \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03b4\u03cd\u03bf \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 (82). \u0398\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03b7\u03bc\u03b5\u03b9\u03c9\u03b8\u03b5\u03af \u03cc\u03c4\u03b9 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c4\u03bf <sup>18<\/sup>F-FDOPA PET \u03b4\u03b9\u03b5\u03bd\u03b5\u03c1\u03b3\u03ae\u03b8\u03b7\u03ba\u03b5 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc \u03bb\u03bf\u03b9\u03c0\u03cc \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf. \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03c3\u03c4\u03b7\u03bd \u03c0\u03bb\u03b5\u03b9\u03bf\u03c8\u03b7\u03c6\u03af\u03b1 \u03c4\u03c9\u03bd \u03bc\u03b5\u03bb\u03b5\u03c4\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c4\u03bf <sup>18<\/sup>F-FDOPA PET \u03c3\u03c5\u03b3\u03ba\u03c1\u03af\u03b8\u03b7\u03ba\u03b5 \u03bc\u03b5 \u03c4\u03b7 \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03c0\u03b5\u03b9\u03ba\u03cc\u03bd\u03b9\u03c3\u03b7 (US, CT, MRI), \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b7 \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03ac \u03c4\u03bf\u03c5 \u03ae\u03c4\u03b1\u03bd \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 (80). \u03a3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7\u03bd <sup>18<\/sup>F-FDG, \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03b7\u03c2 <sup>18<\/sup>F-FDOPA \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 (\u03bc\u03ad\u03c3\u03b7 \u03c4\u03b9\u03bc\u03ae 70% \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 44%, \u03c3\u03b5 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03c0\u2019 \u03b5\u03c5\u03b8\u03b5\u03af\u03b1\u03c2 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd) (66). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03b5\u03bd\u03af\u03bf\u03c4\u03b5 \u03b1\u03bd\u03b1\u03b4\u03b5\u03b9\u03ba\u03bd\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b2\u03bb\u03ac\u03b2\u03b5\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd <sup>18<\/sup>F-FDG, \u03b5\u03bd\u03ce \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c4\u03b7\u03bd <sup>18<\/sup>F-FDOPA. \u03a4\u03b1 \u03b4\u03cd\u03bf \u03c1\u03b1\u03b4\u03b9\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03b9\u03c7\u03bd\u03b7\u03b8\u03b5\u03c4\u03bf\u03cd\u03bd \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ad\u03c2 \u03b4\u03b9\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b5\u03c2 \u03c4\u03c9\u03bd \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd (\u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03bf\u03ba\u03b1\u03c1\u03b2\u03bf\u03be\u03c5\u03bb\u03ac\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b1\u03bc\u03b9\u03bd\u03ce\u03bd \u03b7 FDOPA, \u03b3\u03bb\u03c5\u03ba\u03bf\u03bb\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b7 FDG), \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b1\u03bd\u03c4\u03b1\u03bd\u03b1\u03ba\u03bb\u03bf\u03cd\u03bd \u03ac\u03bb\u03bb\u03bf\u03c4\u03b5 \u03ac\u03bb\u03bb\u03bf \u03b2\u03b1\u03b8\u03bc\u03cc \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 MTC \u03ba\u03b1\u03b9 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b8\u03b5\u03c9\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03cc\u03c7\u03b9 \u03b1\u03bd\u03c4\u03b1\u03b3\u03c9\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac (83). \u0393\u03b5\u03bd\u03b9\u03ba\u03ac \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03b7 FDG \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03b5\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1 \u03c4\u03b1 \u03c0\u03b9\u03bf \u03b5\u03c0\u03b9\u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03bd\u03b5\u03bf\u03c0\u03bb\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1, \u03b5\u03bd\u03ce \u03b7 FDOPA (\u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03c4\u03b7\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03bf\u03c3\u03c4\u03b1\u03c4\u03af\u03bd\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c6\u03ad\u03c1\u03b8\u03b7\u03ba\u03b1\u03bd \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b1) \u03c4\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b1.<\/p>\n<p style=\"text-align: justify;\">\u03a0\u03bb\u03b7\u03bd \u03c4\u03b7\u03c2 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1\u03c2, \u03b7 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c8\u03b5\u03c5\u03b4\u03ce\u03c2 \u03b8\u03b5\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03c5\u03c1\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03cc \u03c0\u03bb\u03b5\u03bf\u03bd\u03ad\u03ba\u03c4\u03b7\u03bc\u03b1 \u03c4\u03bf\u03c5 FDOPA PET\/CT \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03c9\u03bd \u03c5\u03c0\u03bf\u03bb\u03bf\u03af\u03c0\u03c9\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5\u03b8\u03cc\u03b4\u03c9\u03bd (80). \u0397 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b4\u03b9\u03b1\u03b8\u03b5\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03ba\u03cc\u03c3\u03c4\u03bf\u03c2 \u03c4\u03bf\u03c5 (\u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03b1\u03c0\u03cc \u03c4\u03bf FDG) \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5\u03b9\u03bf\u03bd\u03b5\u03ba\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1. \u03a3\u03c4\u03b7\u03bd <b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.7<\/b> \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03cc MCT \u03bc\u03b5 \u03b8\u03b5\u03c4\u03b9\u03ba\u03cc <sup>18<\/sup>F-FDOPA PET\/CT \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03ba\u03b1\u03b9 \u03c4\u03bf \u03bc\u03b5\u03c3\u03bf\u03b8\u03c9\u03c1\u03ac\u03ba\u03b9\u03bf.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-925\" alt=\"10.6-figure4..7\" src=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..7.jpg\" width=\"650\" height=\"404\" srcset=\"https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..7.jpg 650w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..7-300x186.jpg 300w, https:\/\/e-endocrinology.gr\/wp-content\/uploads\/2014\/10\/10.6-figure4..7-624x387.jpg 624w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p style=\"text-align: justify;\"><em><b>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4.7. <\/b><\/em><sup>18<\/sup>F-FDOPA PET\/CT \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2 \u03bc\u03b5 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2, \u03bc\u03b5\u03c4\u03ac \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae. \u0391\u03c1\u03b9\u03c3\u03c4\u03b5\u03c1\u03ac \u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03bf\u03bb\u03cc\u03c3\u03c9\u03bc\u03b7 \u03c4\u03c1\u03b9\u03c3\u03b4\u03b9\u03ac\u03c3\u03c4\u03b1\u03c4\u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c3\u03b7 (maximum intensity projection, MIP) \u03ba\u03b1\u03b9 \u03b4\u03b5\u03be\u03b9\u03ac \u03b4\u03cd\u03bf \u03b5\u03c0\u03b9\u03bb\u03b5\u03b3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03b5\u03b3\u03ba\u03ac\u03c1\u03c3\u03b9\u03b5\u03c2 \u03c4\u03bf\u03bc\u03ad\u03c2 (PET, CT \u03ba\u03b1\u03b9 \u03bc\u03b5\u03af\u03be\u03b7 \u03c4\u03c9\u03bd \u03b4\u03cd\u03bf) \u03c3\u03c4\u03bf\u03bd \u03c4\u03c1\u03ac\u03c7\u03b7\u03bb\u03bf \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b8\u03ce\u03c1\u03b1\u03ba\u03b1. \u039f\u03b9 \u03b5\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c4\u03bc\u03ae\u03bc\u03b1 \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03a0\u03b1\u03bd\u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03b9\u03b1\u03ba\u03bf\u03cd \u039d\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf\u03c5 \u03c4\u03b7\u03c2 \u03a7\u03b1\u03ca\u03b4\u03b5\u03bb\u03b2\u03ad\u03c1\u03b3\u03b7\u03c2 (Universit\u00e4tsKlinikum Heidelberg, Kopfklinik) \u03ba\u03b1\u03b9 \u03b4\u03b7\u03bc\u03bf\u03c3\u03b9\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03b1\u03b4\u03b5\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5 \u039a\u03b1\u03b8\u03b7\u03b3\u03b7\u03c4\u03bf\u03cd Uwe Haberkorn, \u03c4\u03bf\u03bd \u03bf\u03c0\u03bf\u03af\u03bf\u03bd \u03b5\u03c5\u03c7\u03b1\u03c1\u03b9\u03c3\u03c4\u03bf\u03cd\u03bc\u03b5 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b5\u03c5\u03b3\u03b5\u03bd\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c6\u03bf\u03c1\u03ac.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p style=\"text-align: justify;\">\n<h5 style=\"text-align: justify;\"><b>4.4. <\/b><b>\u0395\u03c0\u03b9\u03b3\u03c1\u03b1\u03bc\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac<\/b><b> &#8211; \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 4<\/b><\/h5>\n<ul>\n<li>\u03a4\u03bf <sup>18<\/sup>F-FDG PET\/CT \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5. \u0397 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ae \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03cc\u03c4\u03b1\u03bd \u03b7 \u03b8\u03c5\u03c1\u03b5\u03bf\u03c3\u03c6\u03b1\u03b9\u03c1\u03af\u03bd\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u2265 10 ng\/ml \u03ba\u03b1\u03b9 \u03c4\u03bf Dx-WBS \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc, \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf \u03ba\u03b1\u03bb\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03be\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03b5\u03cd\u03b5\u03c4\u03b1\u03b9.<\/li>\n<li>\u0398\u03b5\u03c4\u03b9\u03ba\u03cc FDG PET \u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b1\u03c4\u03b1 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c0\u03c4\u03c9\u03c7\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03c4\u03bf \u03bf\u03c0\u03bf\u03af\u03bf \u03b4\u03b5\u03bd \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 RAI. \u0395\u03c0\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2, \u03b7 \u03c4\u03c5\u03c6\u03bb\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 RAI \u03c3\u03b5 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03b5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03b5\u03c2 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03b5\u03c0\u03b9\u03c4\u03c5\u03c7\u03af\u03b1\u03c2.<\/li>\n<li>\u03a4\u03bf FDG PET\/CT, \u03b5\u03ba\u03c4\u03cc\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7, \u03ad\u03c7\u03b5\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c0\u03b9\u03b8\u03b1\u03bd\u03ac \u03b8\u03ad\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c4\u03b7\u03c4\u03b9\u03ba\u03ae \u03c3\u03c4\u03b1\u03b4\u03b9\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 H\u00fcrthle cell \u03ba\u03b1\u03b9 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03c4\u03bf\u03c5 \u03c0\u03c4\u03c9\u03c7\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c0\u03bb\u03b1\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5.<\/li>\n<li>\u03a3\u03c4\u03bf \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03ad\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1, \u03b7 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03bf\u03c5 FDG PET \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03ba\u03b1\u03bb\u03c3\u03b9\u03c4\u03bf\u03bd\u03af\u03bd\u03b7\u03c2, CEA \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5\u03c2 \u03c1\u03c5\u03b8\u03bc\u03bf\u03cd\u03c2 \u03b4\u03b9\u03c0\u03bb\u03b1\u03c3\u03b9\u03b1\u03c3\u03bc\u03bf\u03cd \u03c4\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ad\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ad\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03c5\u03c8\u03b7\u03bb\u03ae. \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03b9 \u03c4\u03bf \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c0\u03bb\u03ac\u03bd\u03bf \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd, \u03b3\u03b9 \u03b1\u03c5\u03c4\u03cc \u03ba\u03b1\u03b9 \u03ad\u03c7\u03b5\u03b9 \u03b8\u03ad\u03c3\u03b7, \u03c9\u03c2 \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03bb\u03bf\u03b9\u03c0\u03bf\u03cd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5.<\/li>\n<li>\u03a4\u03bf PET\/CT <sup>18<\/sup>F-FDOPA, \u03b1\u03bd \u03ba\u03b1\u03b9 \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03bf \u03b1\u03c0\u03cc \u03c4\u03bf <sup>18<\/sup>F-FDG PET\/CT , \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b7 \u03c0\u03b9\u03bf \u03b5\u03c5\u03b1\u03af\u03c3\u03b8\u03b7\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c0\u03b9\u03bf \u03b5\u03b9\u03b4\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03c0\u03b1\u03c1\u03cc\u03bd \u03bc\u03ad\u03b8\u03bf\u03b4\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03b5\u03bb\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5.<\/li>\n<\/ul>\n<h4>\u0392\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/h4>\n<p>1. 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Piga M, Cocco MC, Serra A, Boi F, Loy M, Mariotti S. The usefulness of 99mTc-sestaMIBI thyroid scan in the differential diagnosis and management of amiodarone-induced thyrotoxicosis. Eur J Endocrinol. 2008 Oct;159(4):423-9.<br \/>\n13. Biersack HJ, Biermann K. The Marine-Lenhart syndrome revisited. Wien Klin Wochenschr. 2011 Aug;123(15-16):459-62.<br \/>\n14. Charkes ND. Graves&#8217; disease with functioning nodules (Marine-Lenhart syndrome). J Nucl Med. 1972 Dec;13(12):885-92.<br \/>\n15. Gharib H, Papini E, Paschke R, Duick DS, Valcavi R, Heged\u00fcs L, Vitti P; AACE\/AME\/ETA Task Force on Thyroid Nodules. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules. J Endocrinol Invest. 2010;33(5 Suppl):1-50.<br \/>\n16. Reschini E, Ferrari C, Castellani M, Matheoud R, Paracchi A, Marotta G, Gerundini P. The trapping-only nodules of the thyroid gland: prevalence study. Thyroid. 2006 Aug;16(8):757-62.<br \/>\n17. Kusi\u0107 Z, Becker DV, Saenger EL, Paras P, Gartside P, Wessler T, Spaventi S. Comparison of technetium-99m and iodine-123 imaging of thyroid nodules: correlation with pathologic findings. J Nucl Med. 1990 Apr;31(4):393-9.<br \/>\n18. Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, Mandel SJ, Mazzaferri EL, McIver B, Pacini F, Schlumberger M, Sherman SI, Steward DL, Tuttle RM. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2009 Nov;19(11):1167-214.<br \/>\n19. G\u00f6rges R, Kandror T, Kuschnerus S, Zimny M, Pink R, Palmedo H, Hach A, Rau H, Tanner C, Zaplatnikov K, Bockisch A, Freudenberg L. Scintigraphically &#8220;hot&#8221; thyroid nodules mainly go hand in hand with a normal TSH. Nuklearmedizin. 2011;50(5):179-88.<br \/>\n20. Hurtado-L\u00f3pez LM, Mart\u00ednez-Duncker C. Negative MIBI thyroid scans exclude differentiated and medullary thyroid cancer in 100% of patients with hypofunctioning thyroid nodules. Eur J Nucl Med Mol Imaging. 2007 Oct;34(10):1701-3.<br \/>\n21. Theissen P, Schmidt M, Ivanova T, Dietlein M, Schicha H. MIBI scintigraphy in hypofunctioning thyroid nodules&#8211;can it predict the dignity of the lesion? Nuklearmedizin. 2009;48(4):144-52.<br \/>\n22. Beristain Hern\u00e1ndez JL, Serv\u00edn Torres E, Sosa Caballero A, Vel\u00e1zquez Garc\u00eda JA, Pozzo Bobar\u00edn R, Delgadillo Teyer G, Serrano Galeana I, M\u00e1rquez Hern\u00e1ndez A, Bevia P\u00e9rez F, Piscil Salazar MA, Ortiz De La Pe\u00f1a Salazar Ilarregui D, S\u00e1nchez Gonz\u00e1lez FJ, Espinoza Aguilar A. 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J Nucl Med. 2011;52:1855-63.<\/p>\n<hr style=\"width: 100%; border-width: 1px; border-style: solid; border-color: #CCCCCC; color: #ffffff;\" noshade=\"noshade\" width=\"100%\" \/>\n<p>Created: October 28, 2014<br \/>\nLast update: October 28, 2014<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0394.\u0399. \u0391\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03cc\u03c0\u03bf\u03c5\u03bb\u03bf\u03c2 \u0391\u03bd\u03b1\u03c0\u03bb\u03b7\u03c1\u03c9\u03c4\u03ae\u03c2 \u039a\u03b1\u03b8\u03b7\u03b3\u03b7\u03c4\u03ae\u03c2 \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03a0\u03b1\u03bd\u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03af\u03bf\u03c5 \u03a0\u03b1\u03c4\u03c1\u03ce\u03bd \u0395\u03b9\u03c3\u03b1\u03b3\u03c9\u03b3\u03ae \u03a3\u03ba\u03bf\u03c0\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03b1\u03c1\u03cc\u03bd\u03c4\u03bf\u03c2 \u03c0\u03bf\u03bd\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03b5\u03b9 \u03ad\u03bd\u03b1 \u03c3\u03cd\u03b3\u03c7\u03c1\u03bf\u03bd\u03bf \u03ba\u03b1\u03b9 \u03c0\u03bb\u03ae\u03c1\u03b5\u03c2, \u03c3\u03c4\u03bf \u03bc\u03ad\u03c4\u03c1\u03bf \u03c4\u03bf\u03c5 \u03b4\u03c5\u03bd\u03b1\u03c4\u03bf\u03cd, \u03b2\u03bf\u03ae\u03b8\u03b7\u03bc\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03c2 \u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03cc\u03bc\u03b5\u03bd\u03bf\u03c5\u03c2 \u03c3\u03c4\u03b7\u03bd \u0395\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03a0\u03c5\u03c1\u03b7\u03bd\u03b9\u03ba\u03ae \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03b1\u03bb\u03bb\u03ac \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03b9\u03b1\u03c4\u03c1\u03bf\u03cd\u03c2, \u03cc\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03b9\u03c2 \u03c1\u03b1\u03b4\u03b9\u03bf\u03ca\u03c3\u03bf\u03c4\u03bf\u03c0\u03b9\u03ba\u03ad\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b9\u03c2 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 \u03b1\u03b4\u03ad\u03bd\u03b1. \u0392\u03ac\u03c3\u03b7 \u03b3\u03b9\u03b1 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"pageCustom.php","meta":{"footnotes":""},"tags":[],"_links":{"self":[{"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=\/wp\/v2\/pages\/622"}],"collection":[{"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=622"}],"version-history":[{"count":24,"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=\/wp\/v2\/pages\/622\/revisions"}],"predecessor-version":[{"id":624,"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=\/wp\/v2\/pages\/622\/revisions\/624"}],"wp:attachment":[{"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=622"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/e-endocrinology.gr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}