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用于疼痛性骨转移姑息治疗的Sn-117m(4+)二乙三胺五乙酸的生物分布

Biodistribution of Sn-117m(4+)DTPA for palliative therapy of painful osseous metastases.

作者信息

Atkins H L, Mausner L F, Srivastava S C, Meinken G E, Straub R F, Cabahug C J, Weber D A, Wong C T, Sacker D F, Madajewicz S

机构信息

Medical Department, Brookhaven National Laboratory, Upton, NY 11973.

出版信息

Radiology. 1993 Jan;186(1):279-83. doi: 10.1148/radiology.186.1.7677974.

DOI:10.1148/radiology.186.1.7677974
PMID:7677974
Abstract

Tin-117 has certain physical characteristics (half-life of 13.6 days, low-energy-conversion electrons, gamma photon of 158.6 keV) that suggest that it may be a favorable agent for radionuclide therapy. It has been shown in animal models that Sn-117m in the chemical form Sn(4+)diethylenetriaminepentaacetic acid localizes selectively in bone. The authors therefore studied its whole-body distribution in 10 patients to obtain absorbed dose estimates for therapy. The results showed that more than 50% of the administered activity was absorbed in the bones of patients with metastatic carcinoma. Retention was determined primarily by radioactive decay. For adult men, the radiation absorbed dose estimate averaged 54.8 mGy/MBq (203 rad/mCi) to bone surfaces and 6.1 mGy/MBq (22.6 rad/mCi) to the red marrow. All other tissues received less than 1/10 of the dose received by red marrow. These results suggest that a clinical therapeutic trial should be attempted.

摘要

锡-117具有某些物理特性(半衰期为13.6天,低能转换电子,158.6keV的γ光子),这表明它可能是一种适合用于放射性核素治疗的药物。在动物模型中已表明,化学形式为Sn(4+)二乙烯三胺五乙酸的Sn-117m选择性地定位于骨骼中。因此,作者研究了其在10名患者体内的全身分布情况,以获得治疗的吸收剂量估计值。结果显示,转移性癌患者骨骼吸收了超过50%的给药活度。滞留主要由放射性衰变决定。对于成年男性,辐射吸收剂量估计平均为骨表面54.8mGy/MBq(203rad/mCi),红骨髓6.1mGy/MBq(22.6rad/mCi)。所有其他组织接受的剂量不到红骨髓的1/10。这些结果表明应尝试进行临床治疗试验。

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Biodistribution of Sn-117m(4+)DTPA for palliative therapy of painful osseous metastases.用于疼痛性骨转移姑息治疗的Sn-117m(4+)二乙三胺五乙酸的生物分布
Radiology. 1993 Jan;186(1):279-83. doi: 10.1148/radiology.186.1.7677974.
2
Treatment of metastatic bone pain with tin-117m Stannic diethylenetriaminepentaacetic acid: a phase I/II clinical study.用锡-117m 二乙烯三胺五乙酸锡治疗转移性骨痛:一项 I/II 期临床研究。
Clin Cancer Res. 1998 Jan;4(1):61-8.
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In-vivo tissue uptake and retention of Sn-117m(4+)DTPA in a human subject with metastatic bone pain and in normal mice.Sn-117m(4+)二乙三胺五乙酸在一名患有转移性骨痛的人类受试者及正常小鼠体内的组织摄取与滞留情况。
Nucl Med Biol. 1998 Apr;25(3):279-87. doi: 10.1016/s0969-8051(97)00180-7.
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Tin-117m(4+)DTPA: pharmacokinetics and imaging characteristics in patients with metastatic bone pain.
J Nucl Med. 1997 Feb;38(2):230-7.
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Tin-117m(4+)-DTPA for palliation of pain from osseous metastases: a pilot study.用于缓解骨转移疼痛的117m锡(4+)-二乙三胺五乙酸:一项试点研究。
J Nucl Med. 1995 May;36(5):725-9.
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Bone pain palliation with 85Sr therapy.用85锶疗法缓解骨痛。
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Marrow-sparing effects of 117mSn(4+)diethylenetriaminepentaacetic acid for radionuclide therapy of bone cancer.117mSn(4+)二乙烯三胺五乙酸对骨癌放射性核素治疗的骨髓保护作用
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Dosimetry of 188Re-hydroxyethylidene diphosphonate in human prostate cancer skeletal metastases.188铼-羟基亚乙基二膦酸盐在人前列腺癌骨转移中的剂量测定
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Re-186(Sn) HEDP for treatment of painful osseous metastases: initial clinical experience in 20 patients with hormone-resistant prostate cancer.铼-186(锡)羟乙膦酸盐治疗疼痛性骨转移瘤:20例激素抵抗性前列腺癌患者的初步临床经验
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Incorporation of a new radioactive compound, 4+Sn-117m DTPA, into normal and burred rat femurs.将一种新的放射性化合物4+锡-117m二乙三胺五乙酸(4+Sn-117m DTPA)掺入正常和骨折大鼠的股骨中。
Clin Orthop Relat Res. 1986 May(206):290-4.

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