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两种不同背景校正方法对¹⁷⁷Lu-DKFZ-PSMA-617放射性配体治疗后肾脏吸收剂量计算准确性的比较。

Comparison of Accuracy in Calculation of Absorbed Dose to the Kidneys Following Radioligand Therapy with Lu-DKFZ-PSMA-617 by Two Different Background Correction Methods.

作者信息

Mahmoudi Elahe, Pirayesh Elahe, Deevband Mohammad Reza, Amoui Mahasti, Rad Mehrdad Ghorbani

机构信息

Department of Biomedical Engineering and Medical Physics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Nuclear Medicine, School of Medicine, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Indian J Nucl Med. 2022 Apr-Jun;37(2):121-125. doi: 10.4103/ijnm.ijnm_134_21. Epub 2022 Jul 8.

Abstract

BACKGROUND

To improve the accuracy of activity image quality, scatter correction is a critical method. The aim of this study is to compare the accuracy in calculation of absorbed dose to patients following radioligand therapy (RLT) with Lu-DKFZ-PSMA-617 by two different methods of background correction in the conjugate view method.

MATERIALS AND METHODS

This study involved 10 patients. The individualized patient dosimetry calculations were based on whole-body planar scintigraphy images acquired in 10 patients with a mean age of 71.4 ± 6.07 years (range 63-85 years) at approximately 0-2 h, 4-6 h, 18-24 h, and 36-48 h after administration of the mean 6253 ± 826.4 MBq (range 5500-7400 MBq) of Lu-DKFZ-PSMA-617. Organ activities were calculated using the conjugate view method by Buijs and conventional background correction. Eventually, the absorbed dose of radiation was calculated using Medical Internal Radiation Dose formalism.

RESULTS

The dose per unit of injected activity (mGy/MBq) ± standard deviation for kidney using Buijs and conventional methods was 1.05 ± 0.11 and 0.63 ± 0.14, respectively.

CONCLUSION

The Buijs background correction method was more accurate than the conventional method.

摘要

背景

为提高活性图像质量的准确性,散射校正是一种关键方法。本研究的目的是比较在共轭视图法中,两种不同背景校正方法对接受Lu-DKFZ-PSMA-617放射性配体治疗(RLT)的患者进行吸收剂量计算的准确性。

材料与方法

本研究纳入10例患者。个体化患者剂量测定计算基于10例平均年龄为71.4±6.07岁(范围63 - 85岁)的患者在注射平均6253±826.4 MBq(范围5500 - 7400 MBq)的Lu-DKFZ-PSMA-617后约0 - 2小时、4 - 6小时、18 - 24小时和36 - 48小时采集的全身平面闪烁扫描图像。使用Buijs共轭视图法和传统背景校正计算器官活性。最终,使用医学内照射剂量公式计算辐射吸收剂量。

结果

使用Buijs法和传统方法计算的肾脏每单位注射活度的剂量(mGy/MBq)±标准差分别为1.05±0.11和0.63±0.14。

结论

Buijs背景校正方法比传统方法更准确。

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