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OtherBASIC SCIENCE INVESTIGATIONS

Dosimetry Estimations for 123I-IAZA in Healthy Volunteers

Daria Stypinski, Steve A. McQuarrie, Leonard I. Wiebe, Yun K. Tam, John R. Mercer and Alexander J.B. McEwan
Journal of Nuclear Medicine September 2001, 42 (9) 1418-1423;
Daria Stypinski
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Steve A. McQuarrie
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Leonard I. Wiebe
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Yun K. Tam
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John R. Mercer
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Alexander J.B. McEwan
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  • FIGURE 1.
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    FIGURE 1.

    Typical immediate (0–30 min) anterior (A) and posterior (B) view, and 22-h anterior (C) and posterior (D) view images after 123I-IAZA intravenous administration to volunteer. Images were obtained from volunteer 3 (27-y-old man) after injection of 207.2 MBq (5.62 mCi) 123I-IAZA into right arm.

  • FIGURE 2.
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    FIGURE 2.

    Plots of mean dose-normalized disposition of total radioactivity and 123I-IAZA (experimental data) and radioactive metabolites (derived data) in human volunteers after 123I-IAZA administration. Data are plotted as percentage injected dose per milliliter of blood and are not decay corrected. ○ = total radioactivity; • = 123I-IAZA; ▾ = radioactive metabolites. (Reprinted with permission of (12).)

Tables

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    TABLE 1

    Radiation Dose Estimates for 4 Male and 2 Female Patients

    OrganTotal dose
    mGy/MBqrad/mCi
    Adrenals8.5E-03 ± 8.3E-043.2E-02 ± 3.1E-03
    Brain5.5E-03 ± 5.3E-042.0E-02 ± 2.0E-03
    Breasts4.7E-03 ± 4.7E-041.7E-02 ± 1.7E-03
    GB wall1.2E-02 ± 1.7E-034.6E-02 ± 6.1E-03
    LLI wall5.6E-02 ± 1.2E-021.7E-01 ± 7.9E-02
    Small intestine2.4E-02 ± 5.1E-037.2E-02 ± 3.3E-02
    Stomach8.7E-03 ± 9.5E-043.2E-02 ± 3.5E-03
    ULI wall5.0E-02 ± 1.2E-021.5E-01 ± 7.0E-02
    Heart wall7.2E-03 ± 7.4E-042.7E-02 ± 2.7E-03
    Kidneys1.9E-02 ± 9.2E-047.0E-02 ± 3.5E-03
    Liver1.4E-02 ± 3.0E-035.2E-02 ± 1.1E-02
    Lung6.7E-03 ± 7.3E-042.5E-02 ± 2.7E-03
    Muscle7.1E-03 ± 5.8E-042.6E-02 ± 2.2E-03
    Ovaries1.8E-02 ± 3.1E-036.7E-02 ± 1.1E-02
    Pancreas9.0E-03 ± 8.7E-043.3E-02 ± 3.3E-03
    Red marrow7.2E-03 ± 6.3E-042.7E-02 ± 2.4E-03
    Bone surfaces1.2E-02 ± 1.1E-034.5E-02 ± 3.9E-03
    Skin4.5E-03 ± 3.8E-041.7E-02 ± 1.4E-03
    Spleen7.7E-03 ± 6.6E-042.8E-02 ± 2.5E-03
    Testes7.0E-03 ± 1.9E-042.6E-02 ± 6.9E-04
    Thymus6.2E-03 ± 6.2E-042.3E-02 ± 2.3E-03
    Thyroid4.4E-02 ± 1.4E-021.4E-01 ± 7.9E-02
    UB wall6.3E-02 ± 8.7E-032.0E-01 ± 8.9E-02
    Uterus1.6E-02 ± 1.4E-035.8E-02 ± 5.5E-03
    TB8.0E-03 ± 7.1E-043.0E-02 ± 2.6E-03
    Effective dose equivalent2.1E-02 ± 2.8E-03*7.9E-02 ± 1.0E-02†
    Effective dose2.2E-02 ± 2.4E-03*8.0E-02 ± 9.1E-03†
    • ↵* mSv/MBq.

    • ↵† rem/mCi.

    • GB = gallbladder; LLI = lower large intestinal; ULI = upper large intestinal; UB = urinary bladder.

    • Values are mean ± SD for 123I-IAZA using 2-h bladder void time.

    • View popup
    TABLE 2

    Dosimetry Estimates Comparison Between 123I-IAZA and Several Other Radiopharmaceuticals for Adults Using 2-Hour Bladder Void Time

    Generic nameULILLIThyroidUrinary bladder wallTotal bodyReference
    123I-IAZA5.0E-025.6E-024.4E-026.3E-028.0E-03This study
    123I-Tropane4.3E-024.6E-025.7E-029.7E-02N/A17
    EDE = 3.2E-02
    131I-Iodobenguane sulfateN/AN/A9.2E-028.0E-016.2E-0219
    99mTc-Bicisate1.6E-021.3E-023.5E-033.0E-022.4E-0320
    99mTc-Sestamibi4.9E-023.5E-026.2E-031.8E-024.6E-0321
    • ULI = upper large intestinal wall; LLI = lower large intestinal wall; N/A = not provided in product monograph; EDE = effective dose equivalent (mSv/MBq).

    • Values are in mGy/MBq.

    • View popup
    TABLE 3

    Mean Residence Time Estimates for Various Organs for 6 Healthy Volunteers

    OrganVolunteer no.MeanSD
    123456
    Liver8.006.826.857.129.136.197.351.05
    Kidney7.865.457.396.328.849.297.531.47
    Thyroid8.296.607.116.317.555.25*7.170.79
    RB7.026.216.096.607.416.126.570.54
    • ↵* Thyroid ROI absent.

    • Data are in hours and are based on WB scintigraphic image analysis at 5 time points within 24-h period after 123I-IAZA administration.

    • View popup
    TABLE 4

    Comparison of Gamma Camera and Serum-Based Pharmacokinetic Methods Used to Estimate MRT and RT and Percentage of Total Radioactivity Eliminated in Urine

    Volunteer no.Gamma cameraPharmacokinetic*PK/gamma camera
    RTTB (h)Urine (%)MRTTB (h)Urine (%)RTTB/MRTTBUrine
    17.4488.97.2595.30.971.07
    27.0192.07.2885.11.040.92
    36.8892.85.9564.4†0.860.069
    46.8587.56.5293.50.951.07
    57.3888.77.6791.21.041.03
    67.6088.06.4097.00.841.10
    • ↵* Reproduced with permission of (12).

    • ↵† Incomplete urine collection (sample missed at end of collection interval).

    • PK = pharmacokinetic method.

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Journal of Nuclear Medicine
Vol. 42, Issue 9
September 1, 2001
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Dosimetry Estimations for 123I-IAZA in Healthy Volunteers
Daria Stypinski, Steve A. McQuarrie, Leonard I. Wiebe, Yun K. Tam, John R. Mercer, Alexander J.B. McEwan
Journal of Nuclear Medicine Sep 2001, 42 (9) 1418-1423;

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Dosimetry Estimations for 123I-IAZA in Healthy Volunteers
Daria Stypinski, Steve A. McQuarrie, Leonard I. Wiebe, Yun K. Tam, John R. Mercer, Alexander J.B. McEwan
Journal of Nuclear Medicine Sep 2001, 42 (9) 1418-1423;
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