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欧洲核医学协会131I-间碘苄胍(131I-mIBG)治疗程序指南

EANM procedure guidelines for 131I-meta-iodobenzylguanidine (131I-mIBG) therapy.

作者信息

Giammarile Francesco, Chiti Arturo, Lassmann Michael, Brans Boudewijn, Flux Glenn

机构信息

CH Lyon Sud, EA 3738, HCL, UCBL, 165 Chemin du Grand Revoyet, 69495, Pierre Benite Cedex, France.

出版信息

Eur J Nucl Med Mol Imaging. 2008 May;35(5):1039-47. doi: 10.1007/s00259-008-0715-3.

DOI:10.1007/s00259-008-0715-3
PMID:18274745
Abstract

Meta-iodobenzylguanidine, or Iobenguane, is an aralkylguanidine resulting from the combination of the benzyl group of bretylium and the guanidine group of guanethidine (an adrenergic neurone blocker). It is a noradrenaline (norepinephrine) analogue and so-called "false" neurotransmitter. This radiopharmaceutical, labeled with 131I, could be used as a radiotherapeutic metabolic agent in neuroectodermal tumours, that are derived from the primitive neural crest which develops to form the sympathetic nervous system. The neuroendocrine system is derived from a family of cells originating in the neural crest, characterized by an ability to incorporate amine precursors with subsequent decarboxylation. The purpose of this guideline is to assist nuclear medicine practitioners to evaluate patients who might be candidates for 131I-meta-iodobenzylguanidine to treat neuro-ectodermal tumours, to provide information for performing this treatment and to understand and evaluate the consequences of therapy.

摘要

间碘苄胍,或称为碘苄胍,是一种芳烷基胍,由溴苄铵的苄基与胍乙啶(一种肾上腺素能神经元阻滞剂)的胍基结合而成。它是去甲肾上腺素(去甲肾上腺素)类似物,即所谓的“假”神经递质。这种用131I标记的放射性药物可作为神经外胚层肿瘤的放射治疗代谢剂,神经外胚层肿瘤源自发育形成交感神经系统的原始神经嵴。神经内分泌系统源自起源于神经嵴的一类细胞,其特征是能够摄取胺前体并随后进行脱羧。本指南的目的是协助核医学从业者评估可能适合用131I - 间碘苄胍治疗神经外胚层肿瘤的患者,提供进行该治疗的信息,并了解和评估治疗的后果。

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Dosimetry for fractionated (131)I-mIBG therapies in patients with primary resistant high-risk neuroblastoma: preliminary results.原发性耐药高危神经母细胞瘤患者分次(131)I-间碘苄胍治疗的剂量测定:初步结果。
Cancer Biother Radiopharm. 2007 Feb;22(1):105-12. doi: 10.1089/cbr.2007.301.
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Phase II study on the effect of disease sites, age, and prior therapy on response to iodine-131-metaiodobenzylguanidine therapy in refractory neuroblastoma.
Dual-Nuclide Biodistribution and Therapeutic Evaluation of a Novel Antibody-Based Radiopharmaceutical in Anaplastic Thyroid Cancer Xenografts.
新型基于抗体的放射性药物在间变性甲状腺癌异种移植模型中的双核素生物分布及治疗评估
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Biodosimetry, can it find its way to the nuclear medicine clinic?生物剂量测定法能进入核医学临床领域吗?
Front Nucl Med. 2023 Jul 25;3:1209823. doi: 10.3389/fnume.2023.1209823. eCollection 2023.
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Results from a phase I study of 4--[131I]iodo-phenylalanine ([I]IPA) with external radiation therapy in patients with recurrent glioblastoma (IPAX-1).一项针对复发性胶质母细胞瘤患者的4-[¹³¹I]碘苯丙氨酸([I]IPA)联合外照射放疗的I期研究(IPAX-1)结果。
Neurooncol Adv. 2024 Jul 29;6(1):vdae130. doi: 10.1093/noajnl/vdae130. eCollection 2024 Jan-Dec.
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