First Therapeutic Use of Radioiodine by Saul Hertz

Hertz at Massachusetts General Hospital

Saul Hertz at Massachusetts General Hospital pioneered the medical use of radioactive iodine for thyroid diagnosis and therapy in the late 1930s and early 1940s and his early tracer studies and therapeutic administrations demonstrated that targeted radionuclide approaches could treat hyperthyroidism and later thyroid cancer and his work is recognized as foundational to the field of nuclear medicine and to the concept of combining diagnostic and therapeutic isotopes

Radiopharmacy and Safety Infrastructure

The clinical adoption of radioiodine required development of radiopharmacy standards radiation safety protocols and procedures for dose calibration patient preparation and waste handling and multidisciplinary teams including nuclear medicine physicians technologists and radiation safety officers established practices that enabled safe expansion of radionuclide diagnostics and therapy

Impact on Molecular Imaging and Theranostics

Radioiodine therapy transformed management of thyroid disease and later influenced targeted radionuclide therapies in oncology and the success of early programs demonstrated the potential for molecularly targeted imaging and treatment and spurred research into new tracers and into integrated diagnostic therapeutic approaches


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