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OtherSPECIAL CONTRIBUTION

Uncertainties in Internal Dose Calculations for Radiopharmaceuticals

Michael G. Stabin
Journal of Nuclear Medicine May 2008, 49 (5) 853-860; DOI: https://doi.org/10.2967/jnumed.107.048132
Michael G. Stabin
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  • FIGURE 1. 
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    FIGURE 1. 

    Stylized anthropomorphic model representing adult male/female of Cristy/Eckerman phantom series and newer, realistic anthropomorphic model representing adult male.

  • FIGURE 2. 
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    FIGURE 2. 

    Variations in photon specific absorbed fractions for different-sized individuals illustrated using liver and lung as source and target regions, respectively, near median individual size (57 kg).

  • FIGURE 3. 
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    FIGURE 3. 

    Urinary excretion of 166Ho-1,4,7,10-tetraazacyclododecane-1,4,7,10-tetramethylene-phosphonate in 12 subjects with multiple myeloma. (Reprinted from (18).)

  • FIGURE 4. 
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    FIGURE 4. 

    Ninety-five percent confidence interval predicted by Aydogan et al. (20) for dose to liver for a single agent in one patient population, using Latin hypercube sampling modeling and taking into account all sources of uncertainty.

  • FIGURE 5. 
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    FIGURE 5. 

    Excerpt from BEIR VII report, showing excess relative risk of all solid cancers from Japanese bomb survivors.

Tables

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    TABLE 1

    Photon Component of Decay Data for 99mTc

    ParameterEnergy (keV)Intensity (%)Dose (MeV/Bq-s)
    XR l2.420.447 111.08E-5 3
    XR kα218.2512.14 63.91E-4 11
    XR kα118.3674.07 127.47E-4 21
    XR kβ320.5990.330 106.79E-5 20
    XR kβ120.6190.639 181.32E-4 4
    XR kβ221.0050.145 43.04E-5 8
    γ1140.511 189.060.1251
    γ2142.63 30.0187 182.7E-5 3
    • Data are taken from Brookhaven National Laboratory National Nuclear Data Center Decay Data Compendium (http://www.nndc.bnl.gov/). Italics provide 1 SD of uncertainty for rightmost digits.

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    TABLE 2

    Reference Masses for Organs of Adults

    Organ/tissueReference woman (g)Reference man (g)
    Whole body60,00073,000
    All skeleton (including marrow)7,80010,500
    All marrow2,7003,650
    Brain1,3001,450
    Right eye7.57.5
    Left eye7.57.5
    Salivary glands7085
    Heart with blood620840
    Right lung508642
    Left lung442558
    Liver1,4001,800
    Gallbladder (wall and content)56.068.0
    Stomach (wall and content)370400
    Spleen130150
    Right kidney138155
    Left kidney138155
    Right adrenal6.57.0
    Left adrenal6.57.0
    Pancreas120140
    Left thyroid8.510
    Right thyroid8.510
    Urinary bladder wall4050
    Breast50025
    Thymus2025
    Esophagus3540
    Gonads1135
    Uterus8017
    Small intestine wall600650
    Small intestine contents280350
    Right colon wall145150
    Right colon contents160150
    Left colon wall145150
    Left colon contents8075
    Rectosigmoid wall7070
    Rectosigmoid contents8075
    • Data are from ICRP Publication 89 (3).

    • View popup
    TABLE 3

    Reported Variability of Organ Mass for Several Organs in Men, According to Subject Height

    Organ144<H<165165<H<175176<H<190
    Heart344 ± 75360 ± 75381 ± 56
    Right lung616 ± 20625 ± 207741 ± 274
    Left lung523 ± 190551 ± 178658 ± 257
    Liver1,455 ± 3701,637 ± 3691,831 ± 384
    Spleen120 ± 51150 ± 88180 ± 90
    Pancreas138 ± 35143 ± 39147 ± 39
    Right kidney150 ± 49157 ± 36170 ± 37
    Left kidney155 ± 53164 ± 38175 ± 38
    Thyroid25 ± 725 ± 1325 ± 9
    • H = height (cm).

    • View popup
    TABLE 4

    Percentage of Time That Different Scaling Methods Were Successful in Predicting Human Biokinetics from Animal Data Within Specified Uncertainty Levels

    Extrapolation typeUncertainty level
    ±25%±50%±2×±4×±10×±20×
    None18%30%39%62%84%92%
    Mass8%18%40%66%85%93%
    Time21%32%50%74%88%91%
    Mass and time8%21%46%79%94%97%
    • Data are from Sparks and Aydogan 1999 (12). Mass scaling means extrapolation of animal data based on organ concentrations and body mass; time scaling means extrapolation of the time scale based on differences in body mass and assumed metabolic rates.

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    TABLE 5

    Tissue Weighting Factors Recommended by ICRP from 1979 to 2007

    OrganICRP 1979ICRP 1991ICRP 2007
    Gonads0.250.200.08
    Red marrow0.120.120.12
    Colon0.120.12
    Lungs0.120.120.12
    Stomach0.120.12
    Bladder0.050.04
    Breasts0.150.050.12
    Liver0.050.04
    Esophagus0.050.04
    Thyroid0.030.050.04
    Skin0.010.01
    Bone surfaces0.030.010.01
    Salivary glands, brain0.01
    Remainder of body0.300.050.12
    • View popup
    TABLE 6

    Effective Dose Values (mSv/MBq) for Various Heart Agents Based on ICRP 1979 and 1991 Weighting Factors

    Weighting factor201Tl-Chloride99mTc-MIBI resting99mTc-MIBI exercise99mTc-Tetrofosmin resting99mTc-Tetrofosmin exercise82Rb13NH3
    ICRP 19792.3E-011.2E-02*9.6E-03*1.1E-02*8.8E-03*4.8E-032.7E-03
    ICRP 19912.2E-019.0E-037.9E-037.6E-037.0E-033.4E-032.0E-03
    • ↵* Not reported by ICRP; estimated using ICRP biokinetic data.

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Journal of Nuclear Medicine: 49 (5)
Journal of Nuclear Medicine
Vol. 49, Issue 5
May 2008
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Uncertainties in Internal Dose Calculations for Radiopharmaceuticals
Michael G. Stabin
Journal of Nuclear Medicine May 2008, 49 (5) 853-860; DOI: 10.2967/jnumed.107.048132

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Uncertainties in Internal Dose Calculations for Radiopharmaceuticals
Michael G. Stabin
Journal of Nuclear Medicine May 2008, 49 (5) 853-860; DOI: 10.2967/jnumed.107.048132
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    • Abstract
    • CONVERSION FACTOR, K
    • DECAY DATA TERMS, YI AND EI
    • PHYSICAL MODEL–RELATED TERMS, ϕ AND M
    • BIOKINETIC PARAMETERS, N (OR ÃS)
    • CHANGES IN EFFECTIVE DOSE
    • DOSES AT THE TISSUE OR CELL LEVEL
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