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OtherBASIC SCIENCE INVESTIGATIONS

131I-Tositumomab Radioimmunotherapy: Initial Tumor Dose–Response Results Using 3-Dimensional Dosimetry Including Radiobiologic Modeling

Yuni K. Dewaraja, Matthew J. Schipper, Peter L. Roberson, Scott J. Wilderman, Hanan Amro, Denise D. Regan, Kenneth F. Koral, Mark S. Kaminski and Anca M. Avram
Journal of Nuclear Medicine July 2010, 51 (7) 1155-1162; DOI: https://doi.org/10.2967/jnumed.110.075176
Yuni K. Dewaraja
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Matthew J. Schipper
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Peter L. Roberson
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Scott J. Wilderman
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Hanan Amro
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Denise D. Regan
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Kenneth F. Koral
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Mark S. Kaminski
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Anca M. Avram
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  • FIGURE 1. 
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    FIGURE 1. 

    SPECT/CT images showing uptake in an inguinal tumor at day 0 after tracer, day 2 after therapy, and day 8 after therapy.

  • FIGURE 2. 
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    FIGURE 2. 

    Response at 2 mo plotted against mean tumor-absorbed dose (A) and EUD (B), at tumor level (n = 57).

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    FIGURE 3. 

    Response at 2 mo (based on sum of products (SPDs) of perpendicular tumor diameters) plotted against mean tumor-absorbed dose (A) and EUD (B), at patient level (n = 19). Dose values were averaged over multiple tumors of each patient.

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    FIGURE 4. 

    Mean tumor-absorbed dose (A) and EUD (B) as function of patient response as assessed by Cheson et al. (19).

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    TABLE 1

    Summary of Tumor Dosimetry Results and Response

    ParameterSample sizeMedianRange
    Initial tumor volume (mL)60342 to 423
    Volume decrease during tracer SPECT/CT* (%)6012−10 to 49
    Volume decrease during therapy SPECT/CT† (%)60302 to 76
    Decrease in product of diameters at 2 mo‡ (%)6072−45 to 100
    Average dose (cGy)57341102 to 711
    EUD (cGy)57391113 to 764
    Maximum dose (cGy)57508162 to 1,404
    D99 (cGy)5720335 to 373
    D80 (cGy)5726958 to 466
    • ↵* Difference in volumes defined on first and last posttracer scans (6 d).

    • ↵† Difference in volumes defined on first and last posttherapy scans (∼6 d).

    • ↵‡ Difference in product of largest perpendicular diameters at 2 mo compared with the first posttracer imaging time point.

    • Results for individual tumors are given in the supplemental material.

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    TABLE 2

    Pearson Correlations Between Various Dose Measures and Response at 2 Months Determined by Percentage Reduction in Product of Longest Diameters (Tumor Level) or Sum of Product of Diameters (Patient Level)

    Tumor levelPatient level
    ParameterrpPrpP
    Mean tumor dose0.1890.1590.2260.352
    Maximum tumor dose0.0330.8090.0860.726
    D990.1640.2220.1930.429
    D800.2000.1360.2230.359
    EUD0.3570.0060.4590.048

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Journal of Nuclear Medicine: 51 (7)
Journal of Nuclear Medicine
Vol. 51, Issue 7
July 2010
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131I-Tositumomab Radioimmunotherapy: Initial Tumor Dose–Response Results Using 3-Dimensional Dosimetry Including Radiobiologic Modeling
Yuni K. Dewaraja, Matthew J. Schipper, Peter L. Roberson, Scott J. Wilderman, Hanan Amro, Denise D. Regan, Kenneth F. Koral, Mark S. Kaminski, Anca M. Avram
Journal of Nuclear Medicine Jul 2010, 51 (7) 1155-1162; DOI: 10.2967/jnumed.110.075176

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131I-Tositumomab Radioimmunotherapy: Initial Tumor Dose–Response Results Using 3-Dimensional Dosimetry Including Radiobiologic Modeling
Yuni K. Dewaraja, Matthew J. Schipper, Peter L. Roberson, Scott J. Wilderman, Hanan Amro, Denise D. Regan, Kenneth F. Koral, Mark S. Kaminski, Anca M. Avram
Journal of Nuclear Medicine Jul 2010, 51 (7) 1155-1162; DOI: 10.2967/jnumed.110.075176
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