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基于18F标记放射性药物给药的正电子发射断层扫描研究中的吸收剂量估计。

Absorbed dose estimates in positron emission tomography studies based on the administration of 18F-labeled radiopharmaceuticals.

作者信息

Mejia A A, Nakamura T, Itoh M, Hatazawa J, Ishiwata K, Ido T, Matsumoto M, Watabe H, Watanuki S, Seo S

机构信息

Division of Radiation Protection, Tohoku University, Sendai, Japan.

出版信息

J Radiat Res. 1991 Sep;32(3):243-61. doi: 10.1269/jrr.32.243.

Abstract

Absorbed doses were estimated after intravenous administration of 18F-labeled radiopharmaceuticals in Positron Emission Tomography (PET) studies. These radiopharmaceuticals, [18F]-2-Fluoro-2-Deoxy-D-Glucose (FDG), 6-[18F]Fluoro-L-Dopa (FDOPA) and 18F-5-Fluorodeoxyuridine (FdUR), are used in clinical research at the Cyclotron and Radioisotope Center of Tohoku University. Radiopharmaceutical biokinetic values were measured in humans or extrapolated from animal experiments. Selective organ uptake and rapid clearance of activity from the blood were observed. High activity in the bladder contents of humans was found. Calculations were made by the MIRD method, modified to account for the differences in physique and organ mass between the Caucasian Reference Man and the Japanese one. The bladder wall receives the highest dose (more than 1.23 x 10(-1) mGy/MBq) when any of these compounds are administered. Other organs receiving high doses are the heart, brain and kidneys from FDG; the kidneys and pancreas from FDOPA, and the kidneys and small intestine from FdUR. These organs received absorbed doses of more than 2.7 x 10(-2) mGy/MBq. Effective dose equivalents of 2.4 x 10(-2), 2.6 x 10(-2) and 3.3 x 10(-2) mSv/MBq were estimated in the intravenous administration of 18F-FDG, 18F-FDOPA and 18F-FdUR, respectively.

摘要

在正电子发射断层扫描(PET)研究中,静脉注射18F标记的放射性药物后估算吸收剂量。这些放射性药物,即[18F]-2-氟-2-脱氧-D-葡萄糖(FDG)、6-[18F]氟-L-多巴(FDOPA)和18F-5-氟脱氧尿苷(FdUR),用于东北大学回旋加速器与放射性同位素中心的临床研究。放射性药物的生物动力学值在人体中进行测量或从动物实验中推算得出。观察到了对特定器官的摄取以及血液中放射性活度的快速清除。发现人体膀胱内容物中的放射性活度较高。计算采用了MIRD方法,并进行了修正,以考虑白种人参考人(Caucasian Reference Man)与日本人在体格和器官质量上的差异。当给予这些化合物中的任何一种时,膀胱壁接受的剂量最高(超过1.23×10^(-1) mGy/MBq)。接受高剂量的其他器官,FDG对应的是心脏、大脑和肾脏;FDOPA对应的是肾脏和胰腺;FdUR对应的是肾脏和小肠。这些器官接受的吸收剂量超过2.7×10^(-2) mGy/MBq。静脉注射18F-FDG、18F-FDOPA和18F-FdUR时,有效剂量当量分别估计为2.4×10^(-2)、2.6×10^(-2)和3.3×10^(-2) mSv/MBq。

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