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    The free iodide load of contrast media injections interferes with iodide uptake in the thyroid and therefore compromises diagnostic thyroid scintigraphy and radio iodine treatment of thyroid malignancies for 2 months after administration of contrast media Simple guidelines on the subject are proposed

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    Apr 28 2021  Administration of N acetylcysteine does not offer a significant benefit and is no longer recommended 39 48 49 In addition the total contrast dose should be monitored and risk scores can be helpful in identifying a suggested limit 27 50 One tool uses the ratio of contrast volume to creatinine clearance CrCl with a ratio of contrast

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    added to 50 mL of preservative free saline The rate of infusion should be initiated at 4 0 mL/minute but titrated as necessary to achieve optimal image enhancement not to exceed 10 mL/minute 2 3 Imaging After baseline non contrast echocardiography is completed set the mechanical index for the ultrasound device at 0 8 or below see

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