Current radiopharmaceuticals最新文献

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World's First Experience of the Low-Dose Radionuclide Inhalation Therapy in the Treatment of COVID-19-Associated Viral Pneumonia: Phase 1/2 Clinical Trial. 低剂量放射性核素吸入治疗新型冠状病毒相关病毒性肺炎全球首例临床试验
IF 1.5 4区 医学
Current radiopharmaceuticals Pub Date : 2023-06-05 DOI: 10.2174/1874471016666230307113045
Peter Shegay, Alexey Leontyev, Denis Baranovskii, German Davydov, Marina Poluektova, Lyudmila Grivtsova, Vasily Petriev, Valeriy Stepanenko, Igor Gulidov, Valeriy Krylov, Svetlana Osadchaya, Vladimir Petrov, Maria Sedova, Mikhail Vekilyan, Olga Krasilnikova, Sergey Morozov, Sergey Ivanov, Ilya Klabukov, Andrey Kaprin
{"title":"World's First Experience of the Low-Dose Radionuclide Inhalation Therapy in the Treatment of COVID-19-Associated Viral Pneumonia: Phase 1/2 Clinical Trial.","authors":"Peter Shegay, Alexey Leontyev, Denis Baranovskii, German Davydov, Marina Poluektova, Lyudmila Grivtsova, Vasily Petriev, Valeriy Stepanenko, Igor Gulidov, Valeriy Krylov, Svetlana Osadchaya, Vladimir Petrov, Maria Sedova, Mikhail Vekilyan, Olga Krasilnikova, Sergey Morozov, Sergey Ivanov, Ilya Klabukov, Andrey Kaprin","doi":"10.2174/1874471016666230307113045","DOIUrl":"10.2174/1874471016666230307113045","url":null,"abstract":"<p><strong>Objective: </strong>Previously, low-dose radiation therapy was used for pneumonia treatment. We aimed to investigate the safety and effectiveness of carbon nanoparticles labeled with Technetium isotope (<sup>99m</sup>Tc) in a form of ultradispersed aerosol in combination with standard COVID-19 therapy. The study was a randomized phase 1 and phase 2 clinical trial of low-dose radionuclide inhalation therapy for patients with COVID-19 related pneumonia.</p><p><strong>Methods: </strong>We enrolled 47 patients with confirmed COVID-19 infection and early laboratory signs of cytokine storm and randomized them into the Treatment and Control groups. We analyzed blood parameters reflecting the COVID-19 severity and inflammatory response.</p><p><strong>Results: </strong>Low-dose <sup>99m</sup>Tc-labeled inhalation showed a minimal accumulation of radionuclide in lungs in healthy volunteers. We observed no significant differences between the groups before treatment in WBC-count, D-dimer, CRP, Ferritin or LDH levels. We found that Ferritin and LDH levels significantly raised after the 7th day follow-up only in the Control group (p < 0.0001 and p = 0.0005, respectively), while mean values of the same indicators did not change in patients in the Treatment group after the radionuclide treatment. D-dimer values also lowered in the radionuclide treated group, however, this effect was not statistically significant. Furthermore, we observed a significant decrease in CD19+ cell counts in patients of the radionuclide-treated group.</p><p><strong>Conclusion: </strong>Inhalation low-dose radionuclide therapy of <sup>99m</sup>Tc aerosol affects the major prognostic indicators of COVID-19- related pneumonia restraining inflammatory response. Overall, we identified no evidence of major adverse events in the group receiving radionuclide.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 3","pages":"243-252"},"PeriodicalIF":1.5,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9944648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preface 前言
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-03-01 DOI: 10.1109/DEEC.2005.18
A. Ciarmiello
{"title":"Preface","authors":"A. Ciarmiello","doi":"10.1109/DEEC.2005.18","DOIUrl":"https://doi.org/10.1109/DEEC.2005.18","url":null,"abstract":"<jats:sec>\u0000<jats:title />\u0000<jats:p />\u0000</jats:sec>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"1 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/DEEC.2005.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re-Evaluation of Patient-Sourced Radiation Doses in PET/CT. PET/CT中患者源辐射剂量的再评估。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471016666230102122554
Ahmet Murat Şenışık, Handan Tanyıldızı Kökkülünk, Mahmut Yüksel
{"title":"Re-Evaluation of Patient-Sourced Radiation Doses in PET/CT.","authors":"Ahmet Murat Şenışık,&nbsp;Handan Tanyıldızı Kökkülünk,&nbsp;Mahmut Yüksel","doi":"10.2174/1874471016666230102122554","DOIUrl":"https://doi.org/10.2174/1874471016666230102122554","url":null,"abstract":"<p><strong>Background: </strong>New generation PET/CT devices provide quality images using low radiopharmaceutical activities. Dose monitoring is carried out for nuclear medicine personnel, other health personnel, and companions by determining the radiation dose emitted from low-activity patients to the environment. In particular, it is necessary to revise the working conditions of the personnel according to the radiation dose exposed.</p><p><strong>Aim: </strong>It was aimed to reevaluate the radiation dose rate transmitted to the environment from patients injected with <sup>18</sup>F-FDG.</p><p><strong>Materials and methods: </strong>A total of 31 patients (14F, 17M) who underwent <sup>18</sup>F-FDG PET/CT imaging were included. The mean <sup>18</sup>F-FDG activity of 7.26 ± 1.29 mCi was used for injection. After injection, radiation dose rates (mR/h) were measured at distances of 25, 50, 100, 150, and 200cm for 3 different periods from the level of the head, thorax, abdomen, and pelvis by using a GM counter. Additionally, biological samples such as urine and sweat were taken during 3 different periods. The activity amounts (μCi) in the samples were measured with a well-type counter.</p><p><strong>Results: </strong>Strong correlations were calculated between normalized dose rates obtained by all regions and time. Considering the nuclear medicine staff handling time with a PET/CT patient, the average dose received by staff was calculated between a range of 0.002-0.004 mSv/pt. The radiation dose exposed to the porter and nurse was calculated as 0.049 mSv/pt for the 2<sup>nd</sup> hour and 0.001-0.007 mSv/pt for the 4<sup>th</sup> hour, respectively. The companion was exposed to a dose between 0.073-0.147 mSv and 0.024-0.048 mSv for public transport and private car transportation after 4-6 hours of injection (for 30-60 min of travel duration), respectively. For inpatients, the received dose for porters, serving 20min from a distance of 30cm for the 2<sup>nd</sup> and 4<sup>th</sup> hours after the PET/CT scan, was 0.049 mSv/pt and 0.048 mSv/pt, respectively. And for nurses serving from a 50cm distance between 1-5 minutes, these values were found to be 0.001-0.007mSv/pt, 0.001-0.007mSv/pt, and 0.001-0.006mSv/pt, respectively.</p><p><strong>Conclusion: </strong>The radiation dose of nuclear medicine staff, porters, nurses, and companions are found to be below the recommended dose limit by the ICRP. According to our results, there is no need for any restrictions for patients, companions, or healthcare personnel in PET/CT units.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 2","pages":"163-169"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9549293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Overview of Radiolabeled RGD Peptides for Theranostic Applications. 放射标记RGD肽的治疗应用综述。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471016666221207122731
Fateme Badipa, Behrouz Alirezaour, Hassan Yousefnia
{"title":"An Overview of Radiolabeled RGD Peptides for Theranostic Applications.","authors":"Fateme Badipa,&nbsp;Behrouz Alirezaour,&nbsp;Hassan Yousefnia","doi":"10.2174/1874471016666221207122731","DOIUrl":"https://doi.org/10.2174/1874471016666221207122731","url":null,"abstract":"<p><p>Angiogenesis phenomenon, as a highly affecting factor on the growth and spread of cancer cells, depends on specific molecular interactions between components of the extracellular matrix and vascular cells. αv integrin acts as a cell adhesive molecule involved in tumor invasion and angiogenesis. Among the various combinations of integrin subunits expressed on the surface of cells, α<sub>v</sub>β<sub>3</sub> integrin has a particularly interesting expression pattern during angiogenesis. The α<sub>v</sub>β<sub>3</sub> integrin is a vital receptor affecting tumor growth, tumor invasiveness, metastasis, and angiogenesis overexpressed on various human tumors, leading to the development of different theranostics probes and radiopharmaceuticals. The α<sub>v</sub>β<sub>3</sub> integrin can recognize several extracellular matrix molecules in the base of the RGD adhesive sequence. This review provides an overview of the status, trends and future of the most studied α<sub>v</sub>β<sub>3</sub> integrin-binding ligand, RGD tripeptides, labeled with various radioisotopes. An overview of the pre-clinical models for radiolabeled RGD peptides and clinical aspects of the RGD- based radiopharmaceuticals is provided with some new considerations and ways forward.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 2","pages":"107-122"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking Tako-tsubo Cardiomyopathy: The Contribution of Myocardial Pathology and Molecular Imaging. Tako-tsubo心肌病的再思考:心肌病理学和分子成像的贡献。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471016666230515142106
Stelvio Sestini, Angela Coppola, Manjola Dona, Anna Lisa Martini, Elisa Tardelli, Giulia Montelatici, Iashar Laghai, Angela Arena, Giulia Carli, Francesco Pestelli, Bianca Maraviglia, Giulia Bruni, Christian Mazzeo, Luca Fedeli, Luigi Mansi
{"title":"Rethinking Tako-tsubo Cardiomyopathy: The Contribution of Myocardial Pathology and Molecular Imaging.","authors":"Stelvio Sestini,&nbsp;Angela Coppola,&nbsp;Manjola Dona,&nbsp;Anna Lisa Martini,&nbsp;Elisa Tardelli,&nbsp;Giulia Montelatici,&nbsp;Iashar Laghai,&nbsp;Angela Arena,&nbsp;Giulia Carli,&nbsp;Francesco Pestelli,&nbsp;Bianca Maraviglia,&nbsp;Giulia Bruni,&nbsp;Christian Mazzeo,&nbsp;Luca Fedeli,&nbsp;Luigi Mansi","doi":"10.2174/1874471016666230515142106","DOIUrl":"10.2174/1874471016666230515142106","url":null,"abstract":"<p><strong>Background: </strong>Despite substantial research, the mechanisms behind stress Tako-tsubo cardiomyopathy (TTC) remain rather elusive.</p><p><strong>Objective: </strong>The purpose of this paper was to provide a detailed review of the mainstream factors underlying the pathophysiology of TTC, highlighting the novel contributions of molecular pathology and in-vivo molecular imaging.</p><p><strong>Methods: </strong>A careful literature review selected all papers discussing TTC, specifically those providing novel insights from myocardial pathology and cardiac molecular imaging.</p><p><strong>Results: </strong>Results concerning myocardial pathology, defect extension, sites and relationships between functional parameters underline the existence of a causal relationship between a determinant (e.g., the release of catecholamines induced by stress) and an outcome for TTC, which is not limited to a reversible contractile cardiomyopathy, but it includes reversible changes in myocardial perfusion and a long-lasting residual deficit in sympathetic function. Besides, they reinforce the hypothesis that sympathetic nerves may exert a complex control on cardiac contractile function, which is likely to be direct or indirect through metabolism and microvascular perfusion changes during anaerobic and aerobic conditions.</p><p><strong>Conclusion: </strong>TTC is characterized by acute transient left ventricular systolic dysfunction, which can be challenging to distinguish from myocardial infarction at presentation. Catecholamineinduced myocardial injury is the most established theory, but other factors, including myocardial metabolism and perfusion, should be considered of utmost importance. Each effort to clarify the numerous pathways and emerging abnormalities may provide novel approaches to treat the acute episode, avoid recurrences, and prevent major adverse cardiovascular events.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 4","pages":"253-268"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10145138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dosimetric Comparison of Different Radionuclides Used in Metastatic Bone Disease Treatment. 不同放射性核素在转移性骨病治疗中的剂量学比较。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471015666220806141755
Handan Tanyildizi Kökkülünk
{"title":"Dosimetric Comparison of Different Radionuclides Used in Metastatic Bone Disease Treatment.","authors":"Handan Tanyildizi Kökkülünk","doi":"10.2174/1874471015666220806141755","DOIUrl":"https://doi.org/10.2174/1874471015666220806141755","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to determine the critical organ doses in <sup>223</sup>Ra, <sup>89</sup>Sr, <sup>153</sup>Sm, and <sup>32</sup>P treatments via dosimetry using the phantoms.</p><p><strong>Material and methods: </strong>The OpenDose was used to calculate S values (mGy MBq<sup>-1</sup>s<sup>-1</sup>) for bone surface, red bone marrow, urinary bladder wall, testes, ovaries, uterus, and kidneys using male (ICRP110AM) and female (ICRP110AF) phantoms. The cortical thoracic spine was modeled as metastasis. Moreover, the absorbed doses were computed via MIRD formalism according to the activities of 3.3, 148, 2220, and 370 MBq for ICRP110AM and 4.015, 148, 2701, and 370 MBq for ICRP110AF in <sup>223</sup>Ra, <sup>89</sup>Sr, <sup>153</sup>Sm, and <sup>32</sup>P treatments, respectively.</p><p><strong>Results: </strong>Whilst the maximum bone surface doses were found as 1.22E+02 and 8.51E+01 mGy at <sup>32</sup>P treatment, the minimum bone surface doses were calculated as 8.42E-02 and 8.26E-02 mGy at <sup>223</sup>Ra. In terms of the comparison of red bone marrow, urinary bladder wall, and kidney doses, <sup>153</sup>Sm and <sup>89</sup>Sr treatments showed maximum doses of 2.45E-03, 1.50E-03, 3.23E-07, 5.45E-06, 1.20E-01, 1.49E-01 mGy and the minimum doses with 3.46E-05, 1.99E-05, 6.33E-09, 8.77E-09, 1.19E-04, 1.15E-04 mGy, respectively. The maximum testes and ovaries-uterus doses were found as 6.17E-08, 7.40E-06, 3.46E-07 mGy in <sup>153</sup>Sm treatment, and minimum testes and ovaries doses as 1.70E-09, 1.34E-07 mGy in <sup>223</sup>Ra. The minimum uterus dose with 7.03E-09 mGy was determined in <sup>89</sup>Sr treatment.</p><p><strong>Conclusion: </strong>It is observed that <sup>223</sup>Ra produces low critical organ doses in the treatment of painful bone metastasis. Among the beta-emitting radionuclides, <sup>89</sup>Sr stands out by showing optimal dosimetric results.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 1","pages":"44-49"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiopharmaceutical Encapsulated Liposomes as a Novel Radiotracer Im - aging and Drug Delivery Protocol. 放射性药物包封脂质体作为一种新型放射性示踪剂——老化与给药方案。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471016666221202094628
Anfal M Alkandari, Yasser M Alsayed, Atallah M El-Hanbaly
{"title":"Radiopharmaceutical Encapsulated Liposomes as a Novel Radiotracer Im - aging and Drug Delivery Protocol.","authors":"Anfal M Alkandari,&nbsp;Yasser M Alsayed,&nbsp;Atallah M El-Hanbaly","doi":"10.2174/1874471016666221202094628","DOIUrl":"https://doi.org/10.2174/1874471016666221202094628","url":null,"abstract":"<p><p>Nuclear medicine specialty involves the administration of unsealed radioactive substances to patients to allow specific diagnostics and treatments using radiopharmaceuticals, radiotracers, and materials. Developing a radiopharmaceutical must involve considering and addressing some limitations such as its retention by unintended organs, which can influence patient and worker safety, imaging findings, and diagnostic and therapeutic accuracy. This paper presents data on the changing biodistribution, localization, stability, and accuracy patterns of radiopharmaceuticals by liposome encapsulation.</p><p><strong>Methods: </strong>Data are presented for 5 male New Zealand white rabbits. They were injected intravenously with the <sup>99m</sup>Tc-liposomes encapsulated MIBI through a marginal ear vein, and whole-body images were acquired using a dual-head gamma camera. Cationic PEGylated liposomes were prepared using the conventional thin-film-hydration method. The liposomes were tested for particle size, zeta potential, high-performance-liquid-chromatography (HPLC), and toxicity.</p><p><strong>Results: </strong>The liver activity was slightly greater than or equivalent to heart uptake, using <sup>99m</sup>Tcsestamibi, MIBI, without liposome as a reference. The absorbed doses in myocardium cells after injecting rabbits with <sup>99m</sup>Tc-MIBI labeled with free positive lower pH liposomes was greater than in the liver, whereas <sup>99m</sup>Tc labeled with encapsulated MIBI within positive liposomes showed a significantly higher heart-to-liver ratio. The heart-to-spleen activity uptake ratio in <sup>99m</sup>Tc-MIBI was higher than or equal to one but increased in <sup>99m</sup>Tc labeled with MIBI and free positive liposomes. Injecting rabbits with <sup>99m</sup>Tc labeled with encapsulated MIBI raised myocardium uptake to 2-4 times more than the spleen. Heart-to-bowel activity began to rise with 99m Tc-labeld-MIBI and liposomes.</p><p><strong>Conclusion: </strong>This study provides findings in radiopharmaceutical biodistribution using liposomal agents. Adding free liposomes using a pH gradient technique enhanced the uptake and localization of the radiotracer. However, tracer encapsulation during the formation of the liposomes showed even better specificity.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 2","pages":"133-139"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Undervalued Acute Leukopenia Induced By Radiotherapy In Cervical Cancer. 宫颈癌放疗引起的低估型急性白细胞减少。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471015666221010141250
Xiaoxian Ye, Jianliang Zhou, Shenchao Guo, Pengrong Lou, Ruishuang Ma, Jianxin Guo
{"title":"The Undervalued Acute Leukopenia Induced By Radiotherapy In Cervical Cancer.","authors":"Xiaoxian Ye,&nbsp;Jianliang Zhou,&nbsp;Shenchao Guo,&nbsp;Pengrong Lou,&nbsp;Ruishuang Ma,&nbsp;Jianxin Guo","doi":"10.2174/1874471015666221010141250","DOIUrl":"https://doi.org/10.2174/1874471015666221010141250","url":null,"abstract":"<p><strong>Background: </strong>Myelosuppression is common and threatening during tumor treatment. However, the effect of radiation on bone marrow activity, especially leukocyte count, has been underestimated in cervical cancer. The aim of this study was to evaluate the severity of radiotherapy- induced acute leukopenia and its relationship with intestinal toxicity.</p><p><strong>Methods: </strong>The clinical data of 59 patients who underwent conventional radiation alone for cervical cancer were retrospectively analyzed. The patients had normal leukocyte count on admission, and the blood cell count, gross tumor volume (GTV) dose, and intestinal toxicity were evaluated.</p><p><strong>Results: </strong>During radiotherapy (RT), 47 patients (79.7%) developed into leukopenia, with 38.3% mild and 61.7% moderate. The mean time for leukopenia was 9 days. Compared with leukopenianegative patients, leukopenia-positive ones had lower baseline leukocyte count, while neutrophil/ lymphocyte (NLR) and monocyte/lymphocyte (MLR) showed no significance. Logistic regression analysis indicated that excluding the factors for age, body mass index (BMI), TNM stage, surgery and GTV dose, baseline leukocyte count was an important independent predictor of leukopenia (OR=0.383). During RT, a significant reduction was found in leukocyte, neutrophil and lymphocyte count at week 2 while monocyte count after 2 weeks. Furthermore, NLR and MLR showed a significant and sustained upward trend. About 54.2% of patients had gastrointestinal symptoms. However, no significant relevance was noted between leukocyte count as well as NLR/MLR and intestinal toxicity, indicating leukopenia may not be the main factor causing and aggravating gastrointestinal reaction in cervical cancer.</p><p><strong>Conclusion: </strong>Our results suggest the underrated high prevalence and severity of leukopenia in cervical cancer patients receiving RT, and those with low baseline leukocyte count are more likely for leukopenia, for whom early prevention of infection may be needed during RT.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 1","pages":"50-56"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9447991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation in Terms of Dosimetry and Fertility of F18-FDG and Ga68- PSMA in Prostate Cancer Imaging: A Simulation with GATE. F18-FDG和Ga68- PSMA在前列腺癌成像中的剂量学和生育力评价:GATE模拟。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471016666221124104807
Handan Tanyıldızı Kökkülünk, Ayşe Karadeniz Yıldırım
{"title":"Evaluation in Terms of Dosimetry and Fertility of F18-FDG and Ga68- PSMA in Prostate Cancer Imaging: A Simulation with GATE.","authors":"Handan Tanyıldızı Kökkülünk,&nbsp;Ayşe Karadeniz Yıldırım","doi":"10.2174/1874471016666221124104807","DOIUrl":"https://doi.org/10.2174/1874471016666221124104807","url":null,"abstract":"<p><strong>Introduction: </strong>F18 and Ga68 radioisotopes are used in PET imaging for prostate cancer. It was aimed to calculate the prostate, testicle and bladder effective doses (ED) caused by F18 and Ga68 used in prostate cancer imaging with PET/CT via simulation with the GATE toolkit and evaluate the ED in terms of fertility.</p><p><strong>Methods: </strong>The prostate, testicle and bladder were defined together with their geometric properties and densities in GATE simulation. F18 and Ga68 with activity of 277.5 MBq and 151.7 MBq were identified in the prostate as a source organ. The ED, uncertainties, and S values were taken as an output file in the TXT format with the DoseActors command. S values were used for validation of the simulation.</p><p><strong>Results: </strong>The ED of the prostate, total testicle and bladder for F18 were found to be 6.627E-04 ± 1.799E-06, 12.74E-07 ± 4.11E-08 and 1.617E-05 ± 4.317E-09 (Gy/s), respectively. The ED of the prostate, total testicle, and bladder for Ga68 were found to be 9.195E-04 ± 2.660E-06, 6.54E-07 ± 2.93E-08 and 4.290E-05 ± 6.936E-09 (Gy/s), respectively.</p><p><strong>Conclusion: </strong>It was found that Ga68 produced high prostate and bladder ED, and F18 produced high testicular ED. In terms of male fertility, Ga68 seems to be a good alternative because it produces low testicular doses. The ED of the testicle both F18 and Ga68 were below the reported spermatogonia and azoospermia dose.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 2","pages":"158-162"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9904406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determination of the Re-188 Calibration Number for the Capintec CRC- 25PET Dose Calibrator. Capintec CRC- 25PET剂量校准器Re-188校准号的确定。
IF 2.3 4区 医学
Current radiopharmaceuticals Pub Date : 2023-01-01 DOI: 10.2174/1874471016666230502140224
Mitchell Ashley Klenner, Aron Poole
{"title":"Determination of the Re-188 Calibration Number for the Capintec CRC- 25PET Dose Calibrator.","authors":"Mitchell Ashley Klenner,&nbsp;Aron Poole","doi":"10.2174/1874471016666230502140224","DOIUrl":"https://doi.org/10.2174/1874471016666230502140224","url":null,"abstract":"<p><strong>Background: </strong>During the development of novel Re-188 radiopharmaceuticals, it was discovered that no calibration settings were published to calibrate Re-188 on the Capintec CRC-25PET dose calibrator.</p><p><strong>Methods: </strong>Sodium [<sup>188</sup>Re]perrhenate was eluted from an OncoBeta <sup>188</sup>W/<sup>188</sup>Re generator to measure activity on a Capintec CRC-25R dose calibrator using established dose calibrator settings provided by the manufacturer. The eluent was then used to tune the calibra on settings on a Capintec CRC-25PET dose calibrator, accounting for geometry. Radionuclidic purity of the [<sup>188</sup>Re]perrhenate source was verified via gamma spectroscopy.</p><p><strong>Results: </strong>The calibrator number for Re-188 was determined to be 469 x 10 for the Capintec CRC-25PET dose calibrator, which differed from the manufacturer provided calibra on number of 496 x 10 for the Capintec CRC-25R dose calibra on model. W-188 breakthrough was characterised as < 0.01%.</p><p><strong>Conclusion: </strong>This previously unreported calibration number can be used to determine the activity of Re- 188 labelled radiopharmaceuticals using the Capintec CRC-25PET dose calibrator model.</p>","PeriodicalId":10991,"journal":{"name":"Current radiopharmaceuticals","volume":"16 4","pages":"292-299"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10514721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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