Solle Alexander, Wanke Carsten, Geworski Lilli
Medizinische Hochschule Hannover, Stabsstelle Strahlenschutz und Abteilung Medizinische Physik - OE 0020, Carl-Neuberg-Str. 1, D-30625 Hannover, Deutschland.
Medizinische Hochschule Hannover, Stabsstelle Strahlenschutz und Abteilung Medizinische Physik - OE 0020, Carl-Neuberg-Str. 1, D-30625 Hannover, Deutschland.
Z Med Phys. 2017 Mar;27(1):49-55. doi: 10.1016/j.zemedi.2016.06.004. Epub 2016 Jul 16.
Ga-68-labeled radiotracers, particularly used for the detection of neuroendocrine tumors by means of Ga-68-DOTA-TATE or -DOTA-TOC or for the diagnosis of prostate cancer by means of Ga-68-labeled antigens (Ga 68-PSMA), become increasingly important. In addition to the high sensitivity and specificity of these radiopharmaceuticals, the short-lived radionuclide Ga-68 offers almost ideal nuclear characteristics for use in PET. Ga-68 is obtained from a germanium-gallium-generator system, so that the availability of Ga-68-labeled radiotracers is independent of an on-site-cyclotron regardless of the short half-life of Ga-68 of about 68minutes. Regarding the disposal of the radioactively contaminated waste from the preparation of the radiopharmaceutical, the eluted Ga-68 has to be considered to be additionally contaminated with its parent nuclide Ge-68. Due to this production-related impurity in combination with the short half-life of Ga-68, the radioactive waste has to be considered to be contaminated with Ge-68 and Ga-68 in radioactive equilibrium (hereafter referred to as Ge-68+). As there are no clearance levels for Ge-68+ given in the German Radiation Protection Ordinance, this work presents a method to calculate the missing value basing on a recommendation of the German Radiation Protection Commission in combination with simple geometric models of practical radiation protection. Regarding the relevant exposure scenarios, a limit value for the unrestricted clearance of Ge-68+ of 0.4 Bq/g was determined.
镓-68标记的放射性示踪剂变得越来越重要,特别是通过镓-68-多胺基多乙酸-酪胺(Ga-68-DOTA-TATE)或镓-68-多胺基多乙酸-奥曲肽(Ga-68-DOTA-TOC)用于检测神经内分泌肿瘤,或通过镓-68标记的抗原(镓-68-前列腺特异性膜抗原,Ga 68-PSMA)用于诊断前列腺癌。除了这些放射性药物具有高灵敏度和特异性外,短寿命放射性核素镓-68为正电子发射断层扫描(PET)提供了几乎理想的核特性。镓-68是从锗-镓发生器系统获得的,因此镓-68标记的放射性示踪剂的可用性与现场回旋加速器无关,尽管镓-68的半衰期约为68分钟较短。关于放射性药物制备过程中放射性污染废物的处置,洗脱的镓-68必须被视为额外受到其母体核素锗-68的污染。由于这种与生产相关的杂质,再加上镓-68的半衰期较短,放射性废物必须被视为受到处于放射性平衡状态的锗-68和镓-68的污染(以下简称锗-68+)。由于德国《辐射防护条例》中没有给出锗-68+的豁免水平,这项工作提出了一种基于德国辐射防护委员会的建议并结合实际辐射防护的简单几何模型来计算缺失值的方法。关于相关的照射情景,确定了锗-68+无限制豁免的限值为0.4贝可勒尔/克。