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核医学治疗中的剂量学:当前的争议和对治疗优化的影响。

Dosimetry of nuclear medicine therapies: current controversies and impact on treatment optimization.

机构信息

PET/RM Unit, Department of Experimental and Clinical Medicine, and Neuroscience Research Center, Magna Graecia University of Catanzaro, Catanzaro, Italy -

Unit of Nuclear Medicine, Mater Domini University Hospital, Catanzaro, Italy -

出版信息

Q J Nucl Med Mol Imaging. 2021 Dec;65(4):327-332. doi: 10.23736/S1824-4785.21.03418-X. Epub 2021 Dec 9.

DOI:10.23736/S1824-4785.21.03418-X
PMID:34881850
Abstract

Nuclear medicine therapeutic procedures have considerably expanded over the last few years, and their number is expected to grow exponentially in the future. Internal dosimetry has significantly developed as well, but has not yet been uniformly accepted as a valuable tool for prediction of therapeutic efficacy and toxicity. In this paper, we briefly summarize some of the arguments about the implementation of internal dosimetry in clinical practice. In addition, we provide a few examples of radionuclide anticancer therapies for which internal dosimetry demonstrated a significant impact on treatment optimization and patient outcome.

摘要

核医学治疗程序在过去几年中得到了极大的扩展,预计未来其数量将呈指数级增长。内剂量测定也有了显著的发展,但尚未被普遍接受为预测治疗效果和毒性的有价值的工具。本文简要总结了一些关于在临床实践中实施内剂量测定的争论。此外,我们还提供了一些放射性核素抗癌治疗的例子,其中内剂量测定对治疗优化和患者预后产生了重大影响。

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Dosimetry of nuclear medicine therapies: current controversies and impact on treatment optimization.核医学治疗中的剂量学:当前的争议和对治疗优化的影响。
Q J Nucl Med Mol Imaging. 2021 Dec;65(4):327-332. doi: 10.23736/S1824-4785.21.03418-X. Epub 2021 Dec 9.
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EANM guidance document: dosimetry for first-in-human studies and early phase clinical trials.EANM 指导文件:用于首次人体研究和早期临床试验的剂量学。
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Milestones in dosimetry for nuclear medicine therapy.核医学治疗中的剂量学里程碑。
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Reimbursement Approaches for Radiopharmaceutical Dosimetry: Current Status and Future Opportunities.放射性药物剂量测定的报销途径:现状与未来机遇。
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Accurate dosimetry: an essential step towards good clinical practice in nuclear medicine.精确剂量测定:迈向核医学良好临床实践的关键一步。
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EANM Dosimetry Committee guidelines for bone marrow and whole-body dosimetry.EANM 剂量学委员会关于骨髓和全身剂量学的指南。
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引用本文的文献

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A comparison of simplified protocols of personalized dosimetry in NEN patients treated by radioligand therapy (RLT) with [Lu]Lu-DOTATATE to favor its use in clinical practice.比较个体化放射性配体治疗(RLT)中使用 [Lu]Lu-DOTATATE 治疗神经内分泌肿瘤(NEN)患者的简化方案,以促进其在临床实践中的应用。
Eur J Nucl Med Mol Imaging. 2023 May;50(6):1753-1764. doi: 10.1007/s00259-023-06112-8. Epub 2023 Jan 23.
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A Theranostic Approach in SIRT: Value of Pre-Therapy Imaging in Treatment Planning.SIRT中的一种诊疗方法:治疗前成像在治疗规划中的价值。
J Clin Med. 2022 Dec 6;11(23):7245. doi: 10.3390/jcm11237245.
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Comparison of absorbed dose extrapolation methods for mouse-to-human translation of radiolabelled macromolecules.
用于放射性标记大分子从小鼠到人剂量外推方法的比较
EJNMMI Res. 2022 Apr 11;12(1):21. doi: 10.1186/s13550-022-00893-z.