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Measurement of 153Sm-EDTMP bone uptake by whole-body scintigraphy and its application to individualized treatment dosimetry of bone metastasis

Measurement of 153Sm-EDTMP bone uptake by whole-body scintigraphy and its application to individualized treatment dosimetry of bone metastasis

LI Lin
DENG Hou-Fu
LIANG Zheng-Lu
LI Yun-Chun
KUANG An-Ren
TAN Tian-Zhi
LUO Shun-Zhong
Nuclear Science and TechniquesVol.11, No.4pp.257-262Published in print 01 Nov 2000
31500

To calculate a safe and effective 153Sm-EDTMP therapy dose, a whole-body scintigraphy technique for prospective individual dosimetry was developed and the results were compared with 5 h urine collection method in 20 patients with bone metastases. Anterior and posterior whole-body images were obtained 10 min and 5 h after intravenous injection of 740 MBq 153Sm-EDTMP and the bone uptake value was determined. There is a close correlation between the bone uptake value obtained from the whole-body scintigraphy and 5 h urine collection method (r=0.93). The radiation absorption dose to red marrow was limited to 1.4 Gy and the administered activity calculated from bone uptake value by whole-body scintigraphy was 1.40~2.27 GBq (mean 1.90 GBq). If the activity was calculated according to the standard body weight of 37 MBq•kg-1, the administered activity would be 1.75~2.41 GBq (mean 2.18). the radiation absorption dose to red marrow would be 1.37~2.27 Gy (mean 1.63 Gy), but at these doses significant myelotoxicity would be anticipated, thus emphasizing the need for individual prospective dosimetry.

Samarium-153-EDTMPDosimetryWhole-body scintigraphy
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