Al-Shakhrah Issa Abdel-Rahman
Department of Physics, School of Science, University of Jordan, Amman, Jordan.
Indian J Nucl Med. 2020 Jan-Mar;35(1):28-35. doi: 10.4103/ijnm.IJNM_118_19. Epub 2019 Dec 31.
Radiation absorbed dose to the red bone marrow, in the therapy of differentiated thyroid carcinoma (DTC) with 131I (radioiodine), cannot be measured directly. The absorbed dose to the blood seems to be a good first- order approximation of the radiation absorbed dose to the hematopoietic system and a better means to quantify exposure from therapy than the total amount of activity administered.
The aim of this research was to determine the radiation absorbed dose to the blood, for patients suffering from differentiated thyroid cancer.
Twenty seven patients, 22 women and 5 men, suffering from DTC were enrolled in this study. We applied four formulas and we compared between the estimated values of absorbed dose that were obtained by three formulas and those that obtained by fourth (standard one).
All the values of absorbed dose that obtained by one of the techniques were regularly highly estimated, even though they have an excellent correlation (99%) with the standard value.
Highly overestimated or highly underestimated results that can be obtained by certain method or technique are not desirable, because they tend to exaggerate, by increasing or decreasing, the radiation protection procedures.
To convert the values of absorbed dose from S.I unit (mGy/MBq) to traditional unit (rad/mCi), we can simply multiply the values that expressed in S.I units by a factor of 3.7, and we don't need to apply complicated formulas, which were applied by other researches.
在分化型甲状腺癌(DTC)的¹³¹I(放射性碘)治疗中,红骨髓的辐射吸收剂量无法直接测量。血液的吸收剂量似乎是造血系统辐射吸收剂量的一个很好的一级近似值,并且是比所给予的总活度更好的量化治疗暴露的方法。
本研究的目的是确定分化型甲状腺癌患者血液的辐射吸收剂量。
本研究纳入了27例DTC患者,其中22例女性,5例男性。我们应用了四个公式,并比较了由三个公式获得的吸收剂量估计值与由第四个(标准公式)获得的估计值。
尽管通过其中一种技术获得的所有吸收剂量值与标准值具有极好的相关性(99%),但这些值通常被高估。
通过某些方法或技术可能获得的高度高估或高度低估的结果是不可取的,因为它们往往会通过增加或减少辐射防护程序来夸大情况。
要将吸收剂量值从国际单位制(mGy/MBq)转换为传统单位(rad/mCi),我们只需将以国际单位制表示的值乘以3.7这个系数,而无需应用其他研究中使用的复杂公式。