Pávics László, Besenyi Zsuzsanna
Nukleáris Medicina Intézet, Szegedi Tudományegyetem, Szeged, Hungary.
Magy Onkol. 2015 Sep;59(3):193-7. Epub 2015 Apr 11.
After a brief historical overview, the basic concept of therapy with radionuclides is summarised. This is followed by a review of the physical and biological features of the different radiopharmaceuticals that are available. A clinical application of the different techniques commences with the treatment of differentiated thyroid cancer using radio-iodine. From the various bone-seeking radiopharmceuticals, we opted for the alpha-emitting 223-RaCl2 for treatment purposes. Due to the increasing prevalence of neuroendocrine tumors nowadays, somatostatin receptor and adrenerg analog radiotherapy are discussed. Next, one of the most promising new techniques is presented along with some radioimmunological applications. Lastly, the importance of multidisciplinary cooperation is analysed from the viewpoint of successful individual oncotherapy and safe radionuclide treatment for the benefit of patients.
在简要回顾历史之后,总结了放射性核素治疗的基本概念。接下来,对现有不同放射性药物的物理和生物学特性进行了综述。不同技术的临床应用始于使用放射性碘治疗分化型甲状腺癌。从各种亲骨性放射性药物中,我们选择发射α粒子的223-RaCl2用于治疗目的。由于当今神经内分泌肿瘤的患病率不断上升,因此讨论了生长抑素受体和肾上腺素能类似物放疗。接下来,介绍了最有前景的新技术之一以及一些放射免疫应用。最后,从成功的个体化肿瘤治疗和安全的放射性核素治疗以造福患者的角度分析了多学科合作的重要性。