Dosimetric evaluation of 177Lu-PSMA-617 therapy: Feasibility of Single Time Point Imaging Protocol

Dosimetric evaluation of 177Lu-PSMA-617 therapy: Feasibility of Single Time Point Imaging Protocol


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نویسندگان: سحر رضائی , اسماعیل قره پاپاق

عنوان کنگره / همایش: 36th Annual Congress of the European Association of Nuclear Medicine , Austria , وین , 2023

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نویسنده ثبت کننده مقاله سحر رضائی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 82696
عنوان فارسی مقاله Dosimetric evaluation of 177Lu-PSMA-617 therapy: Feasibility of Single Time Point Imaging Protocol
عنوان لاتین مقاله Dosimetric evaluation of 177Lu-PSMA-617 therapy: Feasibility of Single Time Point Imaging Protocol
نوع ارائه پوستر
عنوان کنگره / همایش 36th Annual Congress of the European Association of Nuclear Medicine
نوع کنگره / همایش بین المللی
کشور محل برگزاری کنگره/ همایش Austria
شهر محل برگزاری کنگره/ همایش وین
سال انتشار/ ارائه شمسی 1402
سال انتشار/ارائه میلادی 2023
تاریخ شمسی شروع و خاتمه کنگره/همایش 1402/06/18 الی 1402/06/22
آدرس لینک مقاله/ همایش در شبکه اینترنت https://eanm23.eanm.org/
آدرس علمی (Affiliation) نویسنده متقاضی Department of Nuclear Medicine, Medical School, Tabriz University of Medical Sciences, Tabriz, IRAN

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نویسنده نفر چندم مقاله
سحر رضائیاول
اسماعیل قره پاپاقدوم

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عنوان متن
کلمات کلیدیKeywords: Single Time Point Dosimetry; 177Lu-PSMA-617; mCRPC; radioligand therapy
خلاصه مقالهAim/Introduction: Radiopharmaceutical therapies with Lutetium-177 prostate-specific membrane antigen (PSMA) ligands have shown promising results in metastatic castration-resistant prostate cancer (mCRPC). Patient-specific activity personalization is currently impossible due to the lack of absorbed dose-effect relationships. Dosimetry needs to be incorporated into the routine clinical workflow of radiopharmaceutical therapies using simplified methods such as single time point (STP) imaging protocols rather than multiple time point (MTP). This study aims to assess differences between image-based dosimetry for 177Lu-PSMA-617 therapy on lacrimal glands, salivary glands, and tumors using STP versus MTP. Materials and Methods: There were 40 patients with mCRPC with 177Lu-SPECT imaging data (24h, and 72h post-drug administration) available on the first and second 177Lu-PSMA-617 treatment cycles. We employed two different dosimetry methods: the MTP method, which incorporated images from both imaging time points, and the STP method. A method based on the difference between Gaussian curves was used to delineate tumors, while salivary glands and lacrimal glands were drawn manually. Support vector machines were used to classify tumors based on their mean density and coefficient of variation. Results: There were a few exceptions to the pattern of decreasing absorbed doses and the number of tumors with each therapy cycle. The 2-point method seemed to correlate well with the second imaging interval. Furthermore, the mean absorbed dose per time-integrated activity for lacrimal glands was 0.61 ± 0.11 (MTP method), 0.65 ± 0.13 (STP method 24h-image), and 0.52 ± 0.12(STP method 72h-image) Gy/GBq, to submandibular glands it was 0.41 ± 0.11(MTP method), 0.37 ± 0.15 (STP method 24h-image), 0.23 ± 0.12 (STP method 72 h-image) Gy/GBq, and for parotid glands 0.35 ± 0.10 (MTP method), 0.37 ± 0.11 (STP method 24h-image) and 0.24 ± 0.16 (MTP method 72h-image) Gy/GBq. Conclusion: Based on the low mean difference in absorbed dose compared to MTP, STP dosimetry for 177Lu-PSMA-617 therapy at 24 h was found to be sufficiently accurate for 177Lu-PSMA-617 therapy.

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EPOST_EANM23_SRezaei_Dosimetric.pdf1402/07/11380699دانلود
Dosimetry.pdf1402/07/1169604دانلود