Supplemental Table 1. Clinical characteristics according to the cumulative dose of RAI RAI () RAI () High-active Very-high-active 22.3-37.0 GBq N=44 37.1- GBq N=69 P-value N=1072 (1.1-5.55 GBq) N=981 Intermediateactive (5.56-22.2 GBq) N=302 44.8 ± 13.4 48.7 ± 12.5 45.8 ± 13.9 46.1 ± 15.8 40.2 ± 16.4 <0.001 926 (86.4) 829 (84.5) 239 (79.1) 31 (70.5) 51 (73.9) <0.001 Low-active Age at diagnosis of DTC, yrs Female, n (%) T stage, n (%) <0.001 T1 680 (71.4) 534 (63.4) 143 (49.0) 19 (45.2) 25 (45.5) T2 225 (23.6) 244 (29.0) 115 (39.4) 14 (33.3) 25 (45.5) T3 47 (4.9) 64 (7.6) 34 (11.6) 9 (21.4) 5 (9.1) N stage, n (%) N1 <0.001 155 (28.2) 428 (44.1) 180 (64.2) 27 (66.2) 42 (60.0) M stage, n (%) M1 <0.001 0 (0.0) 26 (3.1) 31 (13.9) 9 (24.3) 12 (26.1) Disease status NED <0.001 575 (53.6) 524 (53.4) 130 (43.0) 13 (29.5) 16 (23.2) Persistent 1 (0.1) 34 (3.5) 27 (8.9) 7 (15.9) 19 (27.5) Recurrence 56 (5.2) 151 (15.4) 66 (21.9) 14 (31.8) 24 (34.8) Supplemental Table 2. Types of SPM in thyroid cancer patients compared to that of cancer in general population according to the different periods of SPM developments. 1990-1999 2000-2009 SPM in the present study (Occurrence rate per 100) General Cancer type (Incidence rate per 100,000)a SPM in the present study (Occurrence rate per 100) General Cancer type (Incidence rate per 100,000)b Bladder (0.6) Stomach (0.6) Liver (0.6) Meninx (0.6) Stomach (66.2) Colorectal (26.2) Lung (51.4) Liver (46.8) Bladder (9.0) Stomach (1.5) Hematologic (1.5) Lung (1.5) Liver (0.5) Colorectal (0.5) Stomach (66.9) Lung (50.9) Liver (42.6) Colorectal (41.1) Prostate (15.7) Breast (0.6) Stomach (26.7) Breast (1.2) Hematologic (0.2) Breast (20.9) Hematologic (0.7) Stomach (0.1) Colorectal (16.4) Stomach (0.5) Lung (0.1) Cervix Uteri (16.3) Pancreas(0.3) Bladder (0.1) Liver (12.3) Bladder (0.2) a b Cancer incidence rates, 1999 and Cancer incidence rates, 2005, Statistics Korea Thyroid (35.3) Breast (32.0) Stomach (26.8) Colorectal (23.0) Lung (13.5) Male Female Supplemental Table 3. Risk factors associated with SPM in patients who received 37.1 GBq or more RAI SPM () SPM (+) 58 11 42 (72.4) 9 (81.8) 0.715 Age at diagnosis of thyroid carcinoma 40.9 ± 16.2 36.6 ± 17.6 0.435 Age at the initial RAI Treatment (yrs) 41.8 ± 15.7 34.7 ± 12.5 0.163 Total duration for RAI Treatment (months) 60 [5,232] 83[19,341] 0.123 9 [2,20] 12 [5,20] 0.388 Total iodine dose (GBq) 69.7 ± 24.6 92.5 ± 38.3 0.082 Body weight (kg) 60.4 ± 10.1 48.7 ± 10.0* 0.001* Total iodine dose per weight (GBq/kg) 1.2 ± 0.4 2.0 ± 0.8* 0.009* Serum Creatinine (mg/dL) 0.8 ± 0.1 0.9 ± 0.2 0.301 Number Sex, female N (%) Total number of RAI Treatment P-value CCr 97.1 ± 30.5 73.2 ± 21.9* 0.018* CCr obtained by the Cockroft-vault equation: (140 – age)ⅹ body weight/72 ⅹ Serum creatinine