Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats

Introduction: Bone metastasis is the advanced stage of solid malignant tumors. Bone-avid beta-emitting radiopharmaceuticals such as lutetium-177-1,4,7,10-tetraazacyclododecane-1,4,7,10-tetramethylene phosphonic acid ([177Lu]Lu-DOTMP) are effectively utilized for bone pain palliation. Radiation absor...

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Main Authors: Reza Bagheri, Hassan Ranjbar
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2024-12-01
Series:Iranian Journal of Medical Physics
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Online Access:https://ijmp.mums.ac.ir/article_24195_40a703e81b09f37cfbdecaa50ba70df3.pdf
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author Reza Bagheri
Hassan Ranjbar
author_facet Reza Bagheri
Hassan Ranjbar
author_sort Reza Bagheri
collection DOAJ
description Introduction: Bone metastasis is the advanced stage of solid malignant tumors. Bone-avid beta-emitting radiopharmaceuticals such as lutetium-177-1,4,7,10-tetraazacyclododecane-1,4,7,10-tetramethylene phosphonic acid ([177Lu]Lu-DOTMP) are effectively utilized for bone pain palliation. Radiation absorbed dose evaluation of such radiopharmaceuticals is needed in clinical works for estimating the risk associated with the usage of recently developed radiopharmaceuticals. Material and Methods: The radiation absorbed dose of [177Lu]Lu-DOTMP radiopharmaceutical was evaluated for adult men based on biodistribution data in Wistar rats. The Medical Internal Radiation Dosimetry (MIRD) dose calculation method and the Sparks and Aydogan methodology were applied. Results: About 40% of the injected activity is accumulated on the surface of the trabecular and compact bones. Radiation absorbed dose of red bone marrow and osteogenic cells were estimated at 0.89±0.07 and 5.12±0.40 mGy/MBq, respectively. The maximum administrated activity was obtained at 32.2 MBq/kg (0.87 mCi/kg) of body weight with about 11.6 Gy absorbed dose of bone surface for a 70 kg adult man. The effective dose of [177Lu]Lu-DOTMP radiopharmaceutical was estimated at 0.19±0.02 mSv/MBq and the urinary bladder wall and kidneys absorbed doses were evaluated at about 0.20±0.02 mGy/MBq and 0.05±0.01 mGy/MBq, respectively. Conclusion: This study indicated that [177Lu]Lu-­DOTMP radiopharmaceutical can provide palliative care for bone metastases with low undesired doses to other normal tissues.
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spelling doaj-art-2aec2017e12e48b4b259d94e5cd34dd12025-08-20T02:47:51ZengMashhad University of Medical SciencesIranian Journal of Medical Physics2345-36722024-12-0121637238010.22038/ijmp.2024.77199.235724195Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar RatsReza Bagheri0Hassan Ranjbar1Radiation Application Research School, Nuclear Science and Technology Research Institute, Tehran, IranNuclear Fuel Cycle Research School, Nuclear Science and Technology Research Institute, Tehran, IranIntroduction: Bone metastasis is the advanced stage of solid malignant tumors. Bone-avid beta-emitting radiopharmaceuticals such as lutetium-177-1,4,7,10-tetraazacyclododecane-1,4,7,10-tetramethylene phosphonic acid ([177Lu]Lu-DOTMP) are effectively utilized for bone pain palliation. Radiation absorbed dose evaluation of such radiopharmaceuticals is needed in clinical works for estimating the risk associated with the usage of recently developed radiopharmaceuticals. Material and Methods: The radiation absorbed dose of [177Lu]Lu-DOTMP radiopharmaceutical was evaluated for adult men based on biodistribution data in Wistar rats. The Medical Internal Radiation Dosimetry (MIRD) dose calculation method and the Sparks and Aydogan methodology were applied. Results: About 40% of the injected activity is accumulated on the surface of the trabecular and compact bones. Radiation absorbed dose of red bone marrow and osteogenic cells were estimated at 0.89±0.07 and 5.12±0.40 mGy/MBq, respectively. The maximum administrated activity was obtained at 32.2 MBq/kg (0.87 mCi/kg) of body weight with about 11.6 Gy absorbed dose of bone surface for a 70 kg adult man. The effective dose of [177Lu]Lu-DOTMP radiopharmaceutical was estimated at 0.19±0.02 mSv/MBq and the urinary bladder wall and kidneys absorbed doses were evaluated at about 0.20±0.02 mGy/MBq and 0.05±0.01 mGy/MBq, respectively. Conclusion: This study indicated that [177Lu]Lu-­DOTMP radiopharmaceutical can provide palliative care for bone metastases with low undesired doses to other normal tissues.https://ijmp.mums.ac.ir/article_24195_40a703e81b09f37cfbdecaa50ba70df3.pdfradiopharmaceuticalsbone metastasisradiation absorbed doseeffective dose
spellingShingle Reza Bagheri
Hassan Ranjbar
Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats
Iranian Journal of Medical Physics
radiopharmaceuticals
bone metastasis
radiation absorbed dose
effective dose
title Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats
title_full Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats
title_fullStr Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats
title_full_unstemmed Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats
title_short Radiation Absorbed Dose Evaluation of [177Lu] Lu-DOTMP Radiopharmaceutical in Man Based On Biodistribution Data in Wistar Rats
title_sort radiation absorbed dose evaluation of 177lu lu dotmp radiopharmaceutical in man based on biodistribution data in wistar rats
topic radiopharmaceuticals
bone metastasis
radiation absorbed dose
effective dose
url https://ijmp.mums.ac.ir/article_24195_40a703e81b09f37cfbdecaa50ba70df3.pdf
work_keys_str_mv AT rezabagheri radiationabsorbeddoseevaluationof177luludotmpradiopharmaceuticalinmanbasedonbiodistributiondatainwistarrats
AT hassanranjbar radiationabsorbeddoseevaluationof177luludotmpradiopharmaceuticalinmanbasedonbiodistributiondatainwistarrats