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OtherBASIC SCIENCE INVESTIGATIONS

Improved Prediction of Therapeutic Absorbed Doses of Radioiodine in the Treatment of Thyroid Carcinoma

Jindřiška Heřmanská, Miroslav Kárný, Jaroslav Zimák, Ladislav Jirsa, Martin Šámal and Petr Vlček
Journal of Nuclear Medicine July 2001, 42 (7) 1084-1090;
Jindřiška Heřmanská
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Miroslav Kárný
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Jaroslav Zimák
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Ladislav Jirsa
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Martin Šámal
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Petr Vlček
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  • FIGURE 1.
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    FIGURE 1.

    Example of curve fitting in 1 patient using monoexponential (A and C) and alternative biphasic (B and D) models applied to all (A and B) and initial (C and D) data. In each plot, only black points are used for curve fitting. Dashed lines show fitted curves. Figure shows ability of respective models to fit data and to predict course of time–activity curve when fitted to limited number of initial data points. Values of estimated parameters are t1 = 0.89 d, ln A(0) = 6.29, Tef = 2.29 d, τ = 0.22 d (A); C1 = 0.41, C2 = 5.80, C3 = −0.24, τ = 0.37 d (B); t1 = 0.89 d, ln A(0) = 5.74, Tef = 7.07 d, τ = 0.69 d (C); and C1 = 0.34, C2 = 5.72, C3 = −0.21, τ = 0.36 d (D). Average ln errors of fitting are 0.06 (A) and 0.03 (B). Average ln errors of prediction are 2.96 (C) and 0.08 (D). When only 1 measurement a day is evaluated, the errors increase to 0.07 (A), 0.06 (B), 3.88 (C), and 0.43 (D), respectively. exp. = exponential.

  • FIGURE 2.
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    FIGURE 2.

    Mean values and ratios of τd and τt obtained by monoexponential (M) and biphasic (B) models for 633 routine records with infrequent sampling (M633, B633) and for 71 experimental records with frequent sampling (M71, B71).

Tables

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    TABLE 1

    Logarithms of Estimates of Residence Times τd After Diagnostic Administration of 131I

    ModelnArithmetic mean of ln τdSD of ln τdEffect of modelEffect of sampling
    Monoexponential633−3.711.32
    Biphasic633−3.711.21P > 0.05
    Monoexponential71−3.022.23P < 0.05
    Biphasic71−2.881.68P > 0.05P < 0.01
    • Effect of model shows difference between monoexponential and biphasic models in each group of patients. Effect is evaluated by paired t test. Effect of sampling shows difference between 2 groups of patients with different sampling for monoexponential and alternative models. Effect is evaluated by standard t test for 2 arithmetic means.

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    TABLE 2

    Logarithms of Estimates of Residence Times τt After Therapeutic Administration of 131I

    ModelnArithmetic mean of ln τtSD of ln τtEffect of modelEffect of sampling
    Monoexponential633−5.431.08
    Biphasic633−4.770.94P < 0.01
    Monoexponential71−3.791.06P < 0.01
    Biphasic71−3.271.06P < 0.01P < 0.01
    • Effect of model shows difference between monoexponential and biphasic models in each group of patients. Effect is evaluated by paired t test. Effect of sampling shows difference between 2 groups of patients with different sampling for monoexponential and alternative models. Effect is evaluated by standard t test for 2 arithmetic means.

    • View popup
    TABLE 3

    Paired Differences Between Logarithms of Estimates of Residence Times ln τd − ln τt

    ModelnArithmetic mean of ln τd − ln τtSD of ln τd − ln τtPaired t test of ln τd − ln τtEffect of modelEffect of sampling
    Monoexponential6331.720.95P < 0.01
    Biphasic6331.070.76P < 0.01P < 0.01
    Monoexponential710.771.31P < 0.01P < 0.01
    Biphasic710.380.75P < 0.01P < 0.01P < 0.01
    • Differences ln τd − ln τt in each row are evaluated by paired t test. Effect of model shows difference between monoexponential and biphasic models in each group of patients. Effect is evaluated by paired t test. Effect of sampling shows difference between 2 groups of patients with different sampling for monoexponential and alternative models. Effect is evaluated by standard t test for 2 arithmetic means.

    • View popup
    TABLE 4

    Errors of Fitting of Measured Time–Activity Curves

    ModelnMeasurement twice a dayMeasurement once a day
    Arith. mean of ln errorSD of ln errorEffect of modelArith. mean of ln errorSD of ln errorEffect of model
    Monoexponential641.331.282.140.89
    Biphasic640.581.40P < 0.012.150.89P > 0.05
    • Arith. = arithmetic.

    • Effect of model shows difference between monoexponential and biphasic models evaluated by paired t test.

    • View popup
    TABLE 5

    Errors of Prediction of Measured Time–Activity Curves

    ModelnMeasurement twice a dayMeasurement once a day
    Arith. mean of ln errorSD of ln errorEffect of modelArith. mean of ln errorSD of ln errorEffect of model
    Monoexponential642.870.911.760.61
    Biphasic641.330.97P < 0.011.620.85P < 0.05
    • Arith. = arithmetic.

    • Effect of model shows difference between monoexponential and biphasic models evaluated by paired t test.

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Journal of Nuclear Medicine
Vol. 42, Issue 7
July 1, 2001
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Improved Prediction of Therapeutic Absorbed Doses of Radioiodine in the Treatment of Thyroid Carcinoma
Jindřiška Heřmanská, Miroslav Kárný, Jaroslav Zimák, Ladislav Jirsa, Martin Šámal, Petr Vlček
Journal of Nuclear Medicine Jul 2001, 42 (7) 1084-1090;

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Improved Prediction of Therapeutic Absorbed Doses of Radioiodine in the Treatment of Thyroid Carcinoma
Jindřiška Heřmanská, Miroslav Kárný, Jaroslav Zimák, Ladislav Jirsa, Martin Šámal, Petr Vlček
Journal of Nuclear Medicine Jul 2001, 42 (7) 1084-1090;
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