MIRD宣传册第29号:MIRDy90-A Y研究微球剂量测定工具。

MIRD Pamphlet No. 29: MIRDy90-A Y Research Microsphere Dosimetry Tool.

作者信息

Marquis Harry, Ocampo Ramos Juan C, Carter Lukas M, Zanzonico Pat, Bolch Wesley E, Laforest Richard, Kesner Adam L

机构信息

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

J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida; and.

出版信息

J Nucl Med. 2024 Feb 22;65(5):794-802. doi: 10.2967/jnumed.123.266743.

Abstract

Y-microsphere radioembolization has become a well-established treatment option for liver malignancies and is one of the first U.S. Food and Drug Administration-approved unsealed radionuclide brachytherapy devices to incorporate dosimetry-based treatment planning. Several different mathematical models are used to calculate the patient-specific prescribed activity of Y, namely, body surface area (SIR-Spheres only), MIRD single compartment, and MIRD dual compartment (partition). Under the auspices of the MIRDsoft initiative to develop community dosimetry software and tools, the body surface area, MIRD single-compartment, MIRD dual-compartment, and MIRD multicompartment models have been integrated into a MIRDy90 software worksheet. The worksheet was built in MS Excel to estimate and compare prescribed activities calculated via these respective models. The MIRDy90 software was validated against available tools for calculating Y prescribed activity. The results of MIRDy90 calculations were compared with those obtained from vendor and community-developed tools, and the calculations agreed well. The MIRDy90 worksheet was developed to provide a vetted tool to better evaluate patient-specific prescribed activities calculated via different models, as well as model influences with respect to varying input parameters. MIRDy90 allows users to interact and visualize the results of various parameter combinations. Variables, equations, and calculations are described in the MIRDy90 documentation and articulated in the MIRDy90 worksheet. The worksheet is distributed as a free tool to build expertise within the medical physics community and create a vetted standard for model and variable management.

摘要

钇微球放射性栓塞已成为治疗肝脏恶性肿瘤的一种成熟的治疗选择,并且是美国食品药品监督管理局批准的首批基于剂量测定法进行治疗计划的非密封放射性核素近距离放射治疗设备之一。有几种不同的数学模型用于计算患者特定的钇规定活度,即体表面积(仅适用于SIR-Spheres)、MIRD单室模型和MIRD双室模型(分区模型)。在MIRDsoft倡议开发社区剂量测定软件和工具的支持下,体表面积模型、MIRD单室模型、MIRD双室模型和MIRD多室模型已集成到一个MIRDy90软件工作表中。该工作表是在MS Excel中构建的,用于估计和比较通过这些各自模型计算出的规定活度。MIRDy90软件已针对用于计算钇规定活度的现有工具进行了验证。将MIRDy90的计算结果与从供应商和社区开发的工具获得的结果进行了比较,计算结果吻合良好。开发MIRDy90工作表是为了提供一个经过审核的工具,以更好地评估通过不同模型计算出的患者特定规定活度,以及不同输入参数对模型的影响。MIRDy90允许用户交互并可视化各种参数组合的结果。变量、方程和计算在MIRDy90文档中有描述,并在MIRDy90工作表中有详细说明。该工作表作为免费工具分发,以在医学物理界建立专业知识,并为模型和变量管理创建一个经过审核的标准。

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