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Item Type Journal Article
Title Normal organ dosimetry for thyroid cancer patients treated with radioiodine as part of the multi-centre multi-national Horizon 2020 MEDIRAD project
Creator Taprogge et al.
Author Jan Taprogge
Author Alex Vergara-Gil
Author Francesca Leek
Author Carla Abreu
Author Lenka Vávrová
Author Lily Carnegie-Peake
Author Sarah Schumann
Author Uta Eberlein
Author Michael Lassmann
Author Tino Schurrat
Author Markus Luster
Author Frederik A. Verburg
Author Delphine Vallot
Author Lavinia Vija
Author Kate Newbold
Author Manuel Bardičs
Author Glenn Flux
Abstract PURPOSE: Dosimetry is rarely performed for the treatment of differentiated thyroid cancer patients with Na[131I]I (radioiodine), and information regarding absorbed doses delivered is limited. Collection of dosimetry data in a multi-centre setting requires standardised quantitative imaging and dosimetry. A multi-national, multi-centre clinical study was performed to assess absorbed doses delivered to normal organs for differentiated thyroid cancer patients treated with Na[131I]I. METHODS: Patients were enrolled in four centres and administered fixed activities of 1.1 or 3.7 GBq of Na[131I]I using rhTSH stimulation or under thyroid hormone withdrawal according to local protocols. Patients were imaged using SPECT(/CT) at variable imaging time-points following standardised acquisition and reconstruction protocols. Whole-body retention data were collected. Dosimetry for normal organs was performed at two dosimetry centres and results collated. RESULTS: One hundred and five patients were recruited. Median absorbed doses per unit administered activity of 0.44, 0.14, 0.05 and 0.16 mGy/MBq were determined for the salivary glands of patients treated at centre 1, 2, 3 and 4, respectively. Median whole-body absorbed doses for 1.1 and 3.7 GBq were 0.05 Gy and 0.16 Gy, respectively. Median whole-body absorbed doses per unit administered activity of 0.04, 0.05, 0.04 and 0.04 mGy/MBq were calculated for centre 1, 2, 3 and 4, respectively. CONCLUSIONS: A wide range of normal organ doses were observed for differentiated thyroid cancer patients treated with Na[131I]I, highlighting the necessity for individualised dosimetry. The results show that data may be collated from multiple centres if minimum standards for the acquisition and dosimetry protocols can be achieved.
Publication European Journal of Nuclear Medicine and Molecular Imaging
Volume 50
Issue 11
Pages 3225-3234
Date 2023-09
Journal Abbr Eur J Nucl Med Mol Imaging
Language eng
DOI 10.1007/s00259-023-06295-0
ISSN 1619-7089
Library Catalog PubMed
Extra Number: 11 PMID: 37300572 PMCID: PMC10256579
Tags Dosimetry, Humans, Iodine Radioisotopes, Multicentre study, NaI, original, Radiometry, Salivary Glands, Scientific, Thyroid cancer, Thyroid Neoplasms
Date Added 2023/11/23 - 12:44:33
Date Modified 2024/12/15 - 11:46:12
Notes and Attachments PubMed entry (Attachment)
Texte intégral (Attachment)


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