Methods of dosimetry-based treatment planning in radiopharmaceutical therapy. Part 2: Planning levels

نویسندگان

چکیده

At the present time three most common approaches are used for planning of radionuclide therapy: administration fixed activity in radiopharmaceutical, or normalized per unit body mass surface. That may lead to significant deviations between prescribed and real absorbed doses healthy organs tissues. These associated with differences biodistribution pharmacokinetics radiopharmaceutical models patients. does not allow individual treatment course each patient since data on accumulated source regions at risk is limited uncertainty too high calculation doses. Improvements reliability dose can be achieved through use different imaging modalities (diagnostic nuclear medicine) quantitative assessment radionuclides tissues distribution Planning therapy should personalized. The current study was aimed analysis dosimetry-based presented Report International Commission Radiation Units Measurements 96 «Dosimetry-guided therapy», differentiated based possibilities medicine departments, including examples levels radiopharmaceuticals. results indicated that optimal approach Russian clinical practice transit requirements level 1: calculate report administered considering mass, type stage disease well as task. Requirements 2 currently impossible implement nation-wide, except several research facilities. Additionally, it necessary focus development methods estimation major delineable organs.

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ژورنال

عنوان ژورنال: Lu?evaâ diagnostika i terapiâ

سال: 2023

ISSN: ['2079-5343', '2079-5351']

DOI: https://doi.org/10.22328/2079-5343-2022-13-4-16-26