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Table 7. Thyroid Late Effects

Predisposing Therapy  Endocrine/Metabolic Effects Health Screening 
mIBG = metaiodobenzylguanidine; T4 = thyroxine; TSH = thyroid-stimulating hormone.
Radiation impacting thyroid gland; thyroidectomyPrimary hypothyroidismTSH level
Radiation impacting thyroid glandHyperthyroidismFree T4 level
TSH level
Radiation impacting thyroid gland, including mIBGThyroid nodulesThyroid exam
Thyroid ultrasound