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MIRD 手册第 28 号,第 2 部分:在一系列诊断放射性药物中比较 MIRDcalc 剂量计算软件的评估。

MIRD Pamphlet No. 28, Part 2: Comparative Evaluation of MIRDcalc Dosimetry Software Across a Compendium of Diagnostic Radiopharmaceuticals.

机构信息

Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York;

Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York.

出版信息

J Nucl Med. 2023 Aug;64(8):1295-1303. doi: 10.2967/jnumed.122.264230. Epub 2023 Jun 2.

Abstract

Radiopharmaceutical dosimetry is usually estimated via organ-level MIRD schema-style formalisms, which form the computational basis for commonly used clinical and research dosimetry software. Recently, MIRDcalc internal dosimetry software was developed to provide a freely available organ-level dosimetry solution that incorporates up-to-date models of human anatomy, addresses uncertainty in radiopharmaceutical biokinetics and patient organ masses, and offers a 1-screen user interface as well as quality assurance tools. The present work describes the validation of MIRDcalc and, secondarily, provides a compendium of radiopharmaceutical dose coefficients obtained with MIRDcalc. Biokinetic data for about 70 currently and historically used radiopharmaceuticals were obtained from the International Commission on Radiological Protection (ICRP) publication 128 radiopharmaceutical data compendium. Absorbed dose and effective dose coefficients were derived from the biokinetic datasets using MIRDcalc, IDAC-Dose, and OLINDA software. The dose coefficients obtained with MIRDcalc were systematically compared against the other software-derived dose coefficients and those originally presented in ICRP publication 128. Dose coefficients computed with MIRDcalc and IDAC-Dose showed excellent overall agreement. The dose coefficients derived from other software and the dose coefficients promulgated in ICRP publication 128 both were in reasonable agreement with the dose coefficients computed with MIRDcalc. Future work should expand the scope of the validation to include personalized dosimetry calculations.

摘要

放射性药物剂量学通常通过器官水平的 MIRD 方案式形式来估计,这些形式构成了常用临床和研究剂量学软件的计算基础。最近,开发了 MIRDcalc 内部剂量学软件,以提供一种免费的器官水平剂量学解决方案,该解决方案纳入了最新的人体解剖模型,解决了放射性药物生物动力学和患者器官质量的不确定性问题,并提供了一个屏幕的用户界面以及质量保证工具。本工作描述了 MIRDcalc 的验证,其次提供了使用 MIRDcalc 获得的放射性药物剂量系数摘要。大约 70 种目前和历史上使用的放射性药物的生物动力学数据是从国际辐射防护委员会(ICRP)出版物 128 放射性药物数据摘要中获得的。使用 MIRDcalc、IDAC-Dose 和 OLINDA 软件从生物动力学数据集推导出吸收剂量和有效剂量系数。使用 MIRDcalc 与其他软件推导的剂量系数与 ICRP 出版物 128 中最初呈现的剂量系数进行了系统比较。MIRDcalc 和 IDAC-Dose 计算的剂量系数显示出极好的总体一致性。从其他软件和 ICRP 出版物 128 中公布的剂量系数得出的剂量系数与使用 MIRDcalc 计算的剂量系数基本一致。未来的工作应该扩大验证范围,包括个性化剂量计算。

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