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Journal of Nuclear Medicine

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OtherBASIC SCIENCE INVESTIGATIONS

Outpatient Treatment with 131I-Anti-B1 Antibody: Radiation Exposure to Family Members

Frank J. Rutar, Samuel C. Augustine, David Colcher, Jeffry A. Siegel, David A. Jacobson, Margaret A. Tempero, Valorie J. Dukat, Maribeth A. Hohenstein, Lisa S. Gobar and Julie M. Vose
Journal of Nuclear Medicine June 2001, 42 (6) 907-915;
Frank J. Rutar
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Samuel C. Augustine
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David Colcher
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Jeffry A. Siegel
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David A. Jacobson
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Margaret A. Tempero
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Valorie J. Dukat
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Maribeth A. Hohenstein
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Lisa S. Gobar
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Julie M. Vose
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  • FIGURE 1.
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    FIGURE 1.

    Form used to determine whether patient can be released from hospital after radioimmunotherapy with 131I-anti-B1 antibody. S/N = serial number.

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    TABLE 1

    Patient Data

    Patient no.Total body dose (cGy)Administered activity (GBq)Teff (tracer) (h)Initial patient dose rate (mSv/h)Dosimeter* readings (mSv)
    Direct readingDaysTLD or OSLDays
    1653.8554.80.140.373.80.7012.3
    2451.6772.1NA0.6190.509
    3651.4885.2NA——1.7017
    4301.5463.60.091.4671.208
    5301.1471.00.060.3860.396
    6301.2664.00.040.796.21.0511
    7753.0675.60.141.314.21.716
    8754.2556.30.141.6872.357
    9452.1562.90.050.515.10.715.1
    10452.7052.90.080.103.10.173.1
    11450.9480.30.030.6830.793
    12601.7471.30.091.279——
    13602.2762.50.090.565.8——
    14†603.2667.60.142.285.93.455.9
    15†602.2469.40.083.54174.0917
    16603.5759.40.181.2151.315
    17602.4862.00.110.515——
    18753.9267.00.121.216.3——
    19753.8645.50.100.802.1——
    20751.7677.40.082.1713——
    21753.5873.00.131.817——
    22754.7767.90.161.156——
    High754.77850.183.54174.0917
    Low300.94460.030.102.10.173
    Average582.61660.101.166.51.448.2
    • ↵* MyDose electronic pocket dosimeter (Aloka Co., Ltd., Tokyo, Japan) used for direct readings. Film badge, TLD, or OSL dosimeter used for verification.

    • ↵† Radiation badge shared by >1 individual (e.g., family member) to conservatively determine radiation dose to maximally exposed individual.

    • NA = patients who were released on basis of administered activity (no dose rates were recorded); — = dosimeter was not provided.

    • View popup
    TABLE 2

    Predicted vs. Measured Dose over an Infinite Time

    Patient no.Predicted dose for infinite timeMeasured dose for infinite time based on dosimeter readings (Eq. 6)
    Using Equation 1 (administered activity)Using Equation 2 (patient dose rate and 8-h nonvoiding)Using Equation 5 (patient dose rate and 3-h nonvoiding)
    16.023.893.050.72
    23.20NANA0.70
    33.25NANA1.76
    42.682.652.241.74
    52.171.941.650.52
    62.211.210.951.11
    76.114.804.092.33
    86.774.033.122.69
    93.721.541.140.96
    104.112.131.580.27
    111.971.221.021.71
    123.322.772.351.45
    133.922.642.130.71
    145.964.443.694.51*
    154.192.642.164.16*
    165.924.974.101.74
    174.253.262.680.60
    187.133.943.141.53
    195.292.621.851.49
    203.572.802.392.31
    216.964.453.682.27
    22†8.765.244.231.49
    • ↵* Radiation badge shared by >1 family member to conservatively determine radiation dose to maximally exposed individual.

    • ↵† Patient remained in clinic for 1 h before release.

    • NA = patients who were released on basis of administered activity (no dose rates were recorded).

    • Data are in millisieverts.

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    TABLE 3

    Summary of Predicted and Measured Doses for Infinite Time

    GroupDose for infinite timeHighLowAverageMedian
    All patientsPredicted using Equation 18.761.974.614.15
    Predicted using Equation 25.241.213.122.78
    Predicted using Equation 54.230.952.542.37
    Based on measurements4.510.271.681.51
    75-cGy patientsPredicted using Equation 18.763.576.376.77
    Predicted using Equation 25.242.623.984.03
    Predicted using Equation 54.231.853.213.14
    Based on measurements2.691.492.022.27
    • Data are in millisieverts.

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    TABLE 4

    Comparison of Measured Dose for Infinite Time vs. Predicted Dose for Infinite Time

    GroupComparison of measured vs. predicted doses for infinite timeHighLowAverage
    All patientsUsing Equation 198432
    Using Equation 2155847
    Using Equation 51894758
    75-cGy patientsUsing Equation 1651735
    Using Equation 2832953
    Using Equation 5973567
    • Data are percentages calculated by dividing measured dose for infinite time by predicted dose for infinite time and multiplying by 100.

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    TABLE 1A

    Comparison of Measured Dose with Dose Predicted Using Physical Half-Life and Biologic Elimination

    Study% of measured doses < predicted doses
    Using physical half-lifeUsing biologic elimination
    Buchan and Brindle (17)7257
    Harbert and Wells (18)10086
    Jacobson et al. (19)9090
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Journal of Nuclear Medicine: 42 (6)
Journal of Nuclear Medicine
Vol. 42, Issue 6
June 1, 2001
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Outpatient Treatment with 131I-Anti-B1 Antibody: Radiation Exposure to Family Members
Frank J. Rutar, Samuel C. Augustine, David Colcher, Jeffry A. Siegel, David A. Jacobson, Margaret A. Tempero, Valorie J. Dukat, Maribeth A. Hohenstein, Lisa S. Gobar, Julie M. Vose
Journal of Nuclear Medicine Jun 2001, 42 (6) 907-915;

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Outpatient Treatment with 131I-Anti-B1 Antibody: Radiation Exposure to Family Members
Frank J. Rutar, Samuel C. Augustine, David Colcher, Jeffry A. Siegel, David A. Jacobson, Margaret A. Tempero, Valorie J. Dukat, Maribeth A. Hohenstein, Lisa S. Gobar, Julie M. Vose
Journal of Nuclear Medicine Jun 2001, 42 (6) 907-915;
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