Impact of the activity calculation method used in transarterial radioembolization: a dosimetric comparison between 90Y-SIRSphere and 90Y-TheraSphere therapy

Ashish K Jha, Sneha Mithun, Nilendu C Purandare, Sneha A Shah, Archi Agrawal, Suyash S Kulkarni, Nitin Shetty, Venkatesh Rangarajan*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

PURPOSE: Transarterial radioembolization is used to treat primary and secondary liver malignancies. Two commercially available drugs are utilized for the purpose. The aim of our study is to compare the radiation dose delivered to the tumor by these drugs.

MATERIALS AND METHODS: This study included 86 patients (M : F - 7.6 : 1, median age=50.5 years), 46 patients were treated by Y-TheraSphere and 42 patients were treated by Y-SIRSphere. Activity administered in Y-TheraSphere and Y-SIRSphere was calculated using a modified partition model and a modified body surface area model, respectively. The radiation dose delivered by two drugs was calculated and compared in our study.

RESULT: Activity administered in Y-TheraSphere was significantly higher than that of Y-SIRSphere. Hence, the radiation dose delivered to the tumor by Y-SIRSphere was significantly lower (58.4%) than that of Y-TheraSphere (P=0.000).

CONCLUSION: As the radiation dose delivered by Y-SIRSphere was lower than Y-TheraSphere, we believe that the formula for Y-SIRSphere activity calculation needs to be modified so that the optimal dose can be delivered to the tumor.

Original languageEnglish
Pages (from-to)917-23
Number of pages7
JournalNuclear Medicine Communications
Volume37
Issue number9
DOIs
Publication statusPublished - Sept 2016
Externally publishedYes

Keywords

  • Body Surface Area
  • Embolization, Therapeutic/methods
  • Female
  • Hepatic Artery
  • Humans
  • Liver Neoplasms/blood supply
  • Male
  • Microspheres
  • Middle Aged
  • Models, Biological
  • Radiotherapy Dosage
  • Yttrium Radioisotopes/administration & dosage

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