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Tc-MAA 和 Y 微球与欧乃派克造影剂混合的放化可行性。

Radiochemical Feasibility of Mixing of Tc-MAA and Y-Microspheres with Omnipaque Contrast.

机构信息

Department of Nuclear Medicine and Molecular Imaging, Radiological Sciences Division, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.

Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore.

出版信息

Molecules. 2022 Nov 7;27(21):7646. doi: 10.3390/molecules27217646.

DOI:10.3390/molecules27217646
PMID:36364476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9656951/
Abstract

Yttrium-90 (Y) microspheres are widely used for the treatment of liver-dominant malignant tumors. They are infused via catheter into the hepatic artery branches supplying the tumor under fluoroscopic guidance based on pre-therapy angiography and Technetium-99m macroaggregated albumin (Tc-MAA) planning. However, at present, these microspheres are suspended in radiolucent media such as dextrose 5% (D5) solution. In order to monitor the real-time implantation of the microspheres into the tumor, the Y microspheres could be suspended in omnipaque contrast for allowing visualization of the correct distribution of the microspheres into the tumor. The radiochemical purity of mixing Y-microspheres in various concentrations of omnipaque was investigated. The radiochemical purity and feasibility of mixing Tc-MAA with various concentrations of a standard contrast agent were also investigated. Results showed the radiochemical feasibility of mixing Y-microspheres with omnipaque is radiochemically acceptable for allowing real-time visualization of radioembolization under fluoroscopy.

摘要

钇 90(Y)微球被广泛用于治疗肝脏为主的恶性肿瘤。这些微球通过导管注入经动脉造影和锝 99m 聚合白蛋白(Tc-MAA)计划预先治疗的肿瘤供血动脉分支。然而,目前这些微球悬浮在不透明的介质中,如 5%的葡萄糖溶液(D5)。为了监测微球实时植入肿瘤的情况,可以将 Y 微球悬浮在欧乃派克造影剂中,以便能够实时可视化微球在肿瘤内的正确分布。研究了不同浓度的欧乃派克混合 Y 微球的放射化学纯度。还研究了混合 Tc-MAA 与各种浓度标准造影剂的可行性。结果表明,将 Y 微球与欧乃派克混合的放射化学可行性是可以接受的,可在透视下实时可视化放射性栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3845/9656951/990bf84d92d7/molecules-27-07646-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3845/9656951/a5f7b9909d5a/molecules-27-07646-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3845/9656951/990bf84d92d7/molecules-27-07646-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3845/9656951/a5f7b9909d5a/molecules-27-07646-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3845/9656951/990bf84d92d7/molecules-27-07646-g002.jpg

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本文引用的文献

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Sci Rep. 2021 Feb 5;11(1):3207. doi: 10.1038/s41598-021-82887-w.
2
Analysis of differences between Tc-MAA SPECT- and Y-microsphere PET-based dosimetry for hepatocellular carcinoma selective internal radiation therapy.基于锝-99m 标记的大颗粒聚合白蛋白单光子发射计算机断层扫描(Tc-MAA SPECT)和钇微球正电子发射断层扫描(Y-microsphere PET)的肝细胞癌选择性内放射治疗剂量学差异分析。
EJNMMI Res. 2019 Jul 22;9(1):62. doi: 10.1186/s13550-019-0533-6.
3
Liver Resection After Selective Internal Radiation Therapy with Yttrium-90: Safety and Outcomes.
钇-90选择性内放射治疗后的肝切除术:安全性与疗效
J Gastrointest Cancer. 2020 Mar;51(1):152-158. doi: 10.1007/s12029-019-00221-0.
4
Expected and Unexpected Imaging Findings after Y Transarterial Radioembolization for Liver Tumors.肝脏肿瘤 Y 型经动脉放射栓塞治疗后的预期和意外影像学表现。
Radiographics. 2019 Mar-Apr;39(2):578-595. doi: 10.1148/rg.2019180095.
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Single-institution experience with selective internal radiation therapy (SIRT) for the treatment of unresectable colorectal liver metastases.单机构采用选择性内照射治疗(SIRT)治疗不可切除的结直肠癌肝转移的经验。
Ir J Med Sci. 2019 Feb;188(1):43-53. doi: 10.1007/s11845-018-1773-6. Epub 2018 Mar 6.
6
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Radioembolization for the treatment of hepatocellular carcinoma.放射性栓塞治疗肝细胞癌。
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