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Journal of Nuclear Medicine

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OtherBasic Science Investigations

Planning Time for Peripheral Blood Stem Cell Infusion After High-Dose Targeted Radionuclide Therapy Using Dosimetry

Sui Shen, Sally J. DeNardo, Carol M. Richman, Aina Yuan, Christine Hartmann Siantar, Robert T. O’Donnell, Linda A. Kroger and Gerald L. DeNardo
Journal of Nuclear Medicine June 2005, 46 (6) 1034-1041;
Sui Shen
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Sally J. DeNardo
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Carol M. Richman
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Aina Yuan
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Christine Hartmann Siantar
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Robert T. O’Donnell
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Linda A. Kroger
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Gerald L. DeNardo
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Figures

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  • FIGURE 1.
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    FIGURE 1.

    Schematic diagram to illustrate circulation of PBSCs in major organs and migration of PBSCs to marrow with a half-life of τhome cleared from blood.

  • FIGURE 2.
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    FIGURE 2.

    Effect of 90Y concentration on survival of GM-CFUs from stem cells in cell cultures.

  • FIGURE 3.
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    FIGURE 3.

    Calculated PBSC survival as function of infusion time for patient receiving 2.0 GBq 90Y-2IT-BAD-m170, given patient-specific tissue effective half-lives and radiation doses (Table 3).

  • FIGURE 4.
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    FIGURE 4.

    Isosurvival curves for planning time for PBSC infusion. Isosurvival curves of 70%, 80%, and 90% were determined as function of injection dose and infusion time.

Tables

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    TABLE 1

    Organ Mass and Fraction of Total Blood Volume in Organ of Reference Man

    OrganMass (g)Fraction of total blood volume (%)
    Liver1,80010.0
    Spleen1501.4
    Lungs1,20012.5
    Kidneys3102.0
    Skeleton10,5007.0
        Bone5,500
            Cortical bone4,4001.2
            Trabecular bone1,1000.8
        Red marrow1,1704.0
    Remainder of body59,04067.1
    Remainder of blood67.1
    Total blood100
    • Data are from (26.

    • View popup
    TABLE 2

    Mean Teff and 90Y Radiation Dose for 5 Patients Receiving 111In-2IT-BAD-m170

    TissueTeff (h)Dose (mGy/MBq)
    LiverNA4.8
    Spleen582.8
    Kidneys501.9
    Lungs431.7
    Marrow (imaging L2–L4)601.6
    Body550.61
    Blood387.1*
    • ↵* This is accumulated activity concentration (7.1 kBq h/MBq/g) in blood as actual blood dose is complicated by various blood vessel sizes.

    • NA = not available as uptake in liver typically increased during 6-d imaging period.

    • View popup
    TABLE 3

    Dosimetry Data for 1 Patient Given 2.00 GBq of 90Y-2IT-BAD-m170

    OrganTeff (h)Uptake at 168 h (MBq)Concentration at 168 h (kBq/g)Organ dose rate at 168 h (cGy/h)PBSC dose (cGy)
    Liver6465361.98.3
    Spleen584.0271.40.82
    Kidneys605.4180.940.78
    Lungs426.15.10.271.2
    Red marrow5524210.6929
    Bone64295.20.580.48
    Cortical bone64112.5
    Trabecular bone641816
    Total blood31274.9
    Remainder of blood31194.90.254.9
    Total body552400.0033
    Remainder of body461000.0016
    Remainder of body, no blood49831.4
    • To illustrate the computing process, uptake in cortical bone, trabecular bone, total blood, total body, remainder of body, and remainder of body without blood was listed but was not needed for organ dose rate and PBSC dose.

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Journal of Nuclear Medicine: 46 (6)
Journal of Nuclear Medicine
Vol. 46, Issue 6
June 1, 2005
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Planning Time for Peripheral Blood Stem Cell Infusion After High-Dose Targeted Radionuclide Therapy Using Dosimetry
Sui Shen, Sally J. DeNardo, Carol M. Richman, Aina Yuan, Christine Hartmann Siantar, Robert T. O’Donnell, Linda A. Kroger, Gerald L. DeNardo
Journal of Nuclear Medicine Jun 2005, 46 (6) 1034-1041;

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Planning Time for Peripheral Blood Stem Cell Infusion After High-Dose Targeted Radionuclide Therapy Using Dosimetry
Sui Shen, Sally J. DeNardo, Carol M. Richman, Aina Yuan, Christine Hartmann Siantar, Robert T. O’Donnell, Linda A. Kroger, Gerald L. DeNardo
Journal of Nuclear Medicine Jun 2005, 46 (6) 1034-1041;
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