Absorbed dose to very low birth weight infants from 18F-fluorodeoxyglucose

Health Phys. 2003 Mar;84(3):307-16. doi: 10.1097/00004032-200303000-00003.

Abstract

The radiation absorbed dose to very low birth weight infants from 18F-fluorodeoxyglucose was investigated. Ten newborns undergoing clinical positron tomography lung imaging were included in this study. Two consecutive 45-min dynamic scans immediately following intravenous injection of fluorodeoxyglucose were acquired; the first was over the head, and the second was over the chest. Time-activity curves were generated for the brain, heart wall, lungs, and, when visible, the kidneys. The cumulated activity measurements obtained were for the entire organ masses; these masses were much smaller than the corresponding organ masses for the newborn mathematical model. Patient-specific dosimetry yielded average doses of 2.5 x 10(-1) mGy MBq(-1) for the brain, 6.8 x 10(-1) mGy MBq(-1) for the heart wall, 2.2 x 10(-1) mGy MBq(-1) for the kidneys, and 4.4 x 10(-1) mGy MBq(-1) for the lungs. The effective dose was estimated to be 2.1 x 10(-1) mSv MBq(-1), which is half that previously published for newborns but still an order of magnitude higher than that for adults.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Absorption
  • Body Weight
  • Brain / diagnostic imaging
  • Brain / metabolism
  • Computer Simulation
  • Dose-Response Relationship, Radiation
  • Female
  • Fluorodeoxyglucose F18 / administration & dosage*
  • Fluorodeoxyglucose F18 / pharmacokinetics*
  • Half-Life
  • Heart / diagnostic imaging
  • Humans
  • Infant, Newborn
  • Infant, Premature, Diseases / diagnostic imaging
  • Infant, Premature, Diseases / metabolism*
  • Infant, Very Low Birth Weight
  • Injections, Intravenous
  • Kidney / diagnostic imaging
  • Kidney / metabolism
  • Lung / diagnostic imaging
  • Lung / metabolism
  • Male
  • Models, Biological
  • Myocardium / metabolism
  • Organ Specificity
  • Pneumonia / diagnostic imaging
  • Pneumonia / metabolism*
  • Radiation Dosage
  • Radiometry / methods*
  • Radiopharmaceuticals / administration & dosage
  • Radiopharmaceuticals / pharmacokinetics
  • Sensitivity and Specificity
  • Tissue Distribution
  • Tomography, Emission-Computed
  • Urinary Bladder / diagnostic imaging
  • Urinary Bladder / metabolism

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18