• Title/Summary/Keyword: Radionuclide treatment

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Internal Radiation Dosimetry in Radionuclide Therapy (방사성핵종을 이용한 치료에서 흡수선량의 평가)

  • Kim, Kyeong-Min;Lim, Sang-Moo
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.120-126
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    • 2006
  • Radionuclide therapy has been continued for treatment of incurable diseases for past decades. Relevant evaluation of absorbed dose in radionuclide therapy is important to predict treatment output and essential for making treatment planning to prevent unexpected radiation toxicity. Many scientists in the field related with nuclear medicine have made effort to evolve concept and technique for internal radiation dosimetry in this review, basic concept of internal radiation dosimetry is described and recent progress in method for dosimetry is introduced.

Review of Radionuclide Treatment for Neuroendocrine Tumors (신경내분비종양의 방사성핵종 치료)

  • Jeong, Hwan-Jeong
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.90-95
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    • 2006
  • Neuroendocrine tumors (NETs) consist of a heterogeneous group of tumors that are able to uptake neuroamine and/or specific receptors, such as somatostatin receptors, which can play important roles of the localization and treatment of these tumors. When considering therapy with radionuclides, the best radioligand should be carefully investigated. $^{131}I$-MIBG and beta-particle emitter labeled somatostatin analogs are well established radionuclide therapy modalities for NETs. $^{111}In,\;^{90}Y\;and\;^{177}Lu$ radiolabeled somatostatin analogues have been used for treatment of NETs. Further, radionuclide therapy modalities, for example, radioimmunotherapy, radiolabeled peptides such as minigastrin are currently under development and in different phases of clinical investigation. for all radionuclides used for therapy, long-term and survival statistics are not yet available and only partial tumour responses have been obtained using $^{131}I$-MIBG and $^{111}In$-octreotide. Experimental results using $^{90}Y$-DOTA-lanreotide as well as $^{90}Y-DOTA-D-Phe1-Tyr^3-octreotide$ and/or $^{177}Lu-DOTA-Tyr^3-octreotate$ have indicated the possible clinical potential of radionuclides receptor-targeted radiotherapy it may be hoped that the efficacy of radionuclide therapy will be improved by co-administration of chemotherapeutic drugs whose antitumoral properties may be synergistic with that of irradiation.

Radiation Dosimetry for Radionuclide Therapy (동위원소 치료 관련 방사선 흡수선량평가)

  • Kim, Eun-Hee
    • 대한핵의학회:학술대회논문집
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    • 2001.05a
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    • pp.4-10
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    • 2001
  • The radionuclide therapy is a protocol for tumor control by administering radionuclides as the cytotoxic agents. Radionuclides concentrated at the site of cancerous lesion are expected to kill the cancerous cells with minimal injury to the normal tissue. The efficacy of every radionuclide treatment can be evaluated by examining the toxicity to the lesion differentiated from that to the normal tissue. Radiation dosimetry is the procedure of quantitating the energy absorbed by target volumes of interest. Dosimetric information plays an indicator of the expected radiation damage and thus the therapeutic efficacy. This paper summarizes the dosimetric aspects in radionuclide therapy in terms of radionuclides of use, radiation dosimetry methodology and considerations for each treatment in practical use.

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Regulatory Problems in Radionuclide Therapy and Suggestions for Systematic Improvement (방사성동위원소 치료의 제도적 문제점과 개선)

  • Jeong, Jae-Min
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.53-57
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    • 2006
  • Radionuclide therapy has been used for more than 50 years and proved to be a safe and effective modality. However, the patients' right to have the excellent medical service is seriously disturbed by excessive regulations of government institutions such as Korea Institute of Nuclear Safety (KINS), Health Insurance Review Agency (HIRA) and Korea Food and Drug Administration (KFDA). For example, the patients should wait for more than 6 months to have I-131 treatment in many hospitals it is strongly recommended to mitigate the regulations to resonable levels to solve the problems. If HIRA allow the hospitals to charge reasonable rate for radionuclide therapy room, then more hospitals would invest to build the radionuclide therapy rooms and the patients' waiting time would decrease. The waiting time would also decrease, if KINS allow 2 patients to share a radionuclide therapy room. Finally, it is strongly recommended to lower the threshold for approval of new therapeutic radiopharmaceuticals by KFDA, which would allow new effective therapeutic raoiopharmaceuticals to be introduced to clinical practices more easily.

Therapeutic radionuclides (치료용 방사성동위원소)

  • Choi, Sun-Ju;Hong, Young-Don;Lee, So-Young
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.58-65
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    • 2006
  • Since the development of sophisticated molecular carriers such as octereotides for peptide receptor targeting and monoclonal antibodies against various antigens associated with specific tumor types, radionuclide therapy (RNT) employing open sources of therapeutic agents is promising modality for treatment of tumors. furthermore, the emerging of new therapeutic regimes and new approaches for tumor treatment using radionuclide are anticipated in near future. In targeted radiotherapy using peptides and other receptor based tarrier molecules, the use of radionuclide with high specific activity in formulating the radiopharmaceutical is essential in order to deliver sufficient number of radionuclides to the target site without saturating the target. In order to develop effective radiopharmaceuticals for therapeutic applications, it is crucial to carefully consider the choice of appropriate radionuclides as well as the tarrier moiety with suitable pharmacokinetic properties that could result in good in vivo localization and desired excretion. Up to date, only a limited number of radionuclides have been applied in radiopharmaceutical development due to the constraints in compliance with their physical half-life, decay characteristics, cost and availability in therapeutic applications. In this review article, we intend to provide with the improved understanding of the factors of importance of appropriate radionuclide for therapy with respect to their physical properties and therapeutic applications.

Alpha-emitting Radioisotopes Production for Radioimmunotherapy (방사면역치료를 위한 알파 방출 방사성 동위원소 생산)

  • Chun, Kwon-Soo
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.1
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    • pp.1-8
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    • 2007
  • This review discusses the production of alpha-particle-emitting radionuclides in radioimmunotherapy. Radioimmunotherapy labeled with alpha-particle is expected to be very useful for the treatment of monocellular cancer (e.g. leukemia) and micrometastasis at an early stage, residual tumor remained in tissues after chemotherapy and tumor resection, due to the high linear energy transfer (LET) and the short path length in biological tissue of alpha particle. Despite of the expected effectiveness of alpha-particle in radioimmunotherapy, its clinical research has not been activated by the several reasons, shortage of a suitable a-particle development and a reliable radionuclide production and supply system, appropriate antibody and chelator development. Among them, the establishment of radionuclide development and supply system is a key factor to make an alpha-immunotherapy more popular in clinical trial. Alpha-emitter can be produced by several methods, natural radionuclides, reactor irradiation, cyclotron irradiation, generator system and elution. Due to the sharply increasing demand of $^{213}Bi$, which is a most promising radionuclide in radioimmunotherapy and now has been produced with reactor, the cyclotron production system should be developed urgently to meet the demand.

A novel analytical approach for advection diffusion equation for radionuclide release from an area source

  • Esmail, S.;Agrawal, P.;Aly, Shaban
    • Nuclear Engineering and Technology
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    • v.52 no.4
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    • pp.819-826
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    • 2020
  • The method of the Laplace transform has been used to obtain an analytical solution of the three-dimensional steady state advection diffusion equation for the airborne radionuclide release from any nuclear installation such as the power reactor in an area source. The present treatment takes into account the removal of the pollutants through the nuclear reaction. We assume that the pollutants are emitted as a constant rate from the area source. This physical consideration is achieved by assuming that the vertical eddy diffusivity coefficient should be a constant. The prevailing wind speed is a constant in 𝑥- direction and a linear function of the vertical height z. The present model calculations are compared with the other models and the available data of the atmospheric dispersion experiments that were carried out in the nuclear power plant of Angra dos Reis (Brazil). The results show that the present treatment performs well as the analytical dispersion model and there is a good agreement between the values computed by our model and the observed data.

Internal Radiation Dosimetry using Nuclear Medicine Imaging in Radionuclide Therapy (방사성핵종 이용 치료에서 핵의학영상을 이용한 흡수선량평가)

  • Kim, Kyeong-Min;Byun, Byun-Hyun;Cheon, Gi-Jeong;Lim, Sang-Moo
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.4
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    • pp.265-271
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    • 2007
  • Radionuclide therapy has been an important field in nuclear medicine. In radionuclide therapy, relevant evaluation of Internally absorbed dose is essential for the achievement of efficient and sufficient treatment of incurable disease, and can be accomplish by means of accurate measurement of radioactivity in body and its changes with time. Recently, the advances of nuclear medicine imaging and multi modality imaging processing techniques can provide change of more accurate and easier measurement of the measures commented above, in cooperation of conventional imaging based approaches. in this review, basic concept for internal dosimetry using nuclear medicine imaging is summarized with several check points which should be considered In real practice.

Radioactive iodine analysis in environmental samples around nuclear facilities and sewage treatment plants

  • Lee, UkJae;Kim, Min Ji;Kim, Hee Reyoung
    • Nuclear Engineering and Technology
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    • v.50 no.8
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    • pp.1355-1363
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    • 2018
  • Many radionuclides exist in normal environment and artificial radionuclides also can be detected. The radionuclides ($^{131}I$) are widely used for labeling compounds and radiation therapy. In Korea, the radionuclide ($^{131}I$) is produced at the Radioisotope Production Facility (RIPF) at the Korea Atomic Energy Research Institute in Daejeon. The residents around the RIPF assume that $^{131}I$ detected in environmental samples is produced from RIPF. To ensure the safety of the residents, the radioactive concentration of $^{131}I$ near the RIPF was investigated by monitoring environmental samples along the Gap River. The selected geographical places are near the nuclear installation, another possible location for $^{131}I$ detection, and downstream of the Gap River. The first selected places are the "front gate of KAERI", and the "Donghwa bridge". The second selected place is the sewage treatment plant. Therefore, the Wonchon bridge is selected for the upstream of the plant and the sewage treatment plant is selected for the downstream of the plant. The last selected places are the downstream where the two paths converged, which is Yongshin bridge (in front of the cogeneration plant). In these places, environmental samples, including sediment, fish, surface water, and aquatic plants, were collected. In this study, the radioactive iodine ($^{131}I$) detection along the Gap River will be investigated.