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Biologic Dosimetry of 188Re-HDD/Lipiodol Versus 131I-Lipiodol Therapy in Patients with Hepatocellular Carcinoma

Kim De Ruyck, MSc1, Bieke Lambert, MD2, Klaus Bacher, MSc1, Filip Gemmel, MD2, Filip De Vos, PhD2, Anne Vral, PhD1, Leo de Ridder, MD, PhD1, Rudi A. Dierckx, MD, PhD2 and Hubert Thierens, PhD1

1 Department of Anatomy, Embryology, Histology, and Medical Physics, Ghent University, Gent, Belgium
2 Division of Nuclear Medicine, Ghent University Hospital, Gent, Belgium



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FIGURE 1. Total-body scans for 131I-lipiodol (A) and 188Re-HDD/lipiodol (B) for the same patient. These scans were obtained 14 d and 54 h, respectively, after administration of the activity.

 


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FIGURE 2. Yield of DCs in lymphocytes of HCC patients after in vitro irradiation, vs. the standard dose-response curve for a healthy population.

 


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FIGURE 3. Distribution of radiation-induced DCs after 2 Gy of in vitro irradiation in healthy donors and HCC patients. The vertical line represents the cutoff between radiosensitive and nonradiosensitive individuals based on the 90th percentile of the control population.

 


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FIGURE 4. Time plot of DC yield in patients undergoing multiple subsequent therapies with 131I-lipiodol (A) or 188Re-HDD/lipiodol (B).

 


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FIGURE 5. Comparison of the ETBD between 131I-lipiodol and 188Re-HDD/lipiodol at 1 and 2 wk after administration for 131I-lipiodol and at 1 and 2 d after administration for 188Re-HDD/lipiodol. Error bars represent the SD on the mean (SDM).

 


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FIGURE 6. Plot of the WBC (A) and thrombocyte (B) counts vs. time after 188Re-HDD/lipiodol administration.

 





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