RT Journal Article
SR Electronic
T1 Uptake, Localization, and Dosimetry of <sup>111</sup>In and <sup>201</sup>Tl in Human Testes
JF Journal of Nuclear Medicine
JO J Nucl Med
FD Society of Nuclear Medicine
SP 138
OP 146
VO 45
IS 1
A1 Jo S. Nettleton
A1 Richard S. Lawson
A1 Mary C. Prescott
A1 Ian D. Morris
YR 2004
UL http://jnm.snmjournals.org/content/45/1/138.abstract
AB This study concerns the testicular uptake and dosimetry of Auger electron-emitting radionuclides that are used during routine diagnostic nuclear medicine procedures. To consider the possible effects of these radionuclides on spermatogenic cells, a study has been undertaken to obtain in vivo data for quantification of 111In chloride and 201Tl chloride uptake into the human testis after intravenous administration. Values have been determined for uptake into the testis as a whole and to the seminiferous tubules where the germ cells are located. Methods: Data were obtained from patients with prostate cancer who opted for orchidectomy to effect hormone suppression. Patients were administered intravenously 1.5 MBq of either 111In chloride or 201Tl chloride at 24 or 48 h before orchidectomy. Upon removal, the testes were analyzed to assess uptake of radionuclide. Conventional dosimetry has been used to estimate testicular radiation doses using our values of percentage uptake. Results: Uptake of both 111In chloride and 201Tl chloride into the testes was seen at a level above that explained by simple homogeneous distribution of the radionuclide throughout the body; the testes as a whole demonstrated increased uptake by factors of 3.56 and 4.01 compared with nonspecific uptake for 111In and 201Tl, respectively, at 24 h after administration. Both radionuclides gained access to the seminiferous tubules. Conclusion: The results obtained indicate that the values of testicular radiation doses quoted by the International Commission on Radiological Protection for 111In might be too low by a factor of 4, whereas those for 201Tl might be too high by a factor of 4. No data were obtained for uptake by individual germ cells within the testis and, therefore, no consideration of dosimetry at the cellular level was possible. However, it has been demonstrated that uptake of diagnostic Auger electron-emitting radionuclides by male germ cells within the testis is possible after intravenous administration.