Radiation safety of outpatient 177Lu-octreotate radiopeptide therapy of neuroendocrine tumors

P.J. Calais, J Turner

    Research output: Contribution to journalArticle

    18 Citations (Scopus)

    Abstract

    Purpose: To demonstrate the safety of outpatient 7.8 GBq 177Lu-DOTA-tyr3-octreotate radiopeptide therapy of neuroendocrine tumors by measurement of radiation exposures of hospital personnel, carers and members of the public. Methods: Seventy-six patients with progressive, metastatic neuroendocrine tumors each received four cycles of prescribed activity of 7.8 GBq 177Lu-octreotate at 8-week intervals, as an outpatient procedure. Cohorts comprising four patients were treated in one room, each patient remaining in hospital until radiation exposure from them was below the release limit of 25 μSv h-1 at 1 m. On occasion, a single patient was treated in a single room. Radiation exposures of hospital staff and patient carers were monitored by personal dosimeter, and nearby areas monitored with a survey meter. Results: Mean whole-body radiation exposures per therapy day ranged from 8 μSv (physicist) to 33 μSv (nurse), with exposures to personnel, carers and members of the public well within the limits recommended by the International Commission on Radiological Protection. Patients excreted a mean of 46 % of the total administered activity of 177Lu-octreotate within 4 h of therapy. Conclusion: Lutetium-177-octreotate radiopeptide therapy of neuroendocrine tumors can be safely performed as an outpatient treatment. © 2014 The Japanese Society of Nuclear Medicine.
    Original languageEnglish
    Pages (from-to)531-539
    JournalAnnals of Nuclear Medicine
    Volume28
    Issue number6
    DOIs
    Publication statusPublished - 2014

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