Recombinant human thyroid-stimulating hormone versus thyroid hormone withdrawal in 124I-PET/CT based dosimetry for 131I therapy of metastatic differentiated thyroid cancer. (Record no. 2638)

MARC details
000 -LEADER
fixed length control field 05293nam a22005657a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 170428s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0161-5505
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 28104741
245 ## - TITLE STATEMENT
Title Recombinant human thyroid-stimulating hormone versus thyroid hormone withdrawal in 124I-PET/CT based dosimetry for 131I therapy of metastatic differentiated thyroid cancer.
251 ## - Source
Source Journal of Nuclear Medicine. 58(7):1146-1154, 2017 Jul
252 ## - Abbreviated Source
Abbreviated source J Nucl Med. 58(7):1146-1154, 2017 Jul
253 ## - Journal Name
Journal name Journal of nuclear medicine : official publication, Society of Nuclear Medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2017
266 ## - Date added to catalog
Date added to catalog 2017-05-06
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1964 - present, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: The results suggest a high patient variability in the overall absorbed dose to the normal organs per MBq of <sup>131</sup>I administered, between the two TSH stimulation methods. The tumor to dose-limiting-organ (bone marrow) absorbed dose ratio, i.e. the therapeutic index was higher in the THW-aided compared to rhTSH-aided administrations. Additional comparison for tumor and normal organ absorbed dose in patients prepared using both methods is needed before definitive conclusions may be drawn regarding rhTSH versus THW patient preparation methods for <sup>131</sup>I therapy of metastatic DTC.
520 ## - SUMMARY, ETC.
Abstract Copyright � 2017 by the Society of Nuclear Medicine and Molecular Imaging, Inc.
520 ## - SUMMARY, ETC.
Abstract METHODS: Four DTC patients at MedStar Washington Hospital Center were first prepared using the rhTSH method and imaged by <sup>124</sup>I-PET/CT at 2, 24, 48, 72 and 96 hrs post-administration of approximately 30-63 MBq <sup>124</sup>I. After 5-8 weeks, the same patients were prepared using the THW method and imaged as before. The <sup>124</sup>I-PET/CT images acquired as part of a prospective study were used to perform retrospective dosimetric calculations for <sup>131</sup>I therapy for the normal organs using the dosimetry package 3D-RD. The Ds from <sup>131</sup>I for lungs, liver, heart, kidneys and bone marrow were obtained for each study (rhTSH and THW). A total of 22 lesions in three patients were identified. The contours were drawn on each PET image of each study. Time-integrated activity coefficients were calculated and used as input in OLINDA/EXM sphere dose calculator to obtain the absorbed dose to tumors.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: Patients with metastatic differentiated thyroid cancer (DTC) may be prepared using either thyroid stimulating hormone withdrawal (THW) or recombinant human thyroid-stimulating hormone (rhTSH) injections prior to <sup>131</sup>I administration for treatment. The objective of this study was to compare the absorbed dose (D) to the critical organs and tumors determined by <sup>124</sup>I-Positron Emission Tomography/Computed Tomography (PET/CT) based dosimetry for <sup>131</sup>I therapy of metastatic DTC when the same patient was prepared with and imaged after both THW and rhTSH injections.
520 ## - SUMMARY, ETC.
Abstract RESULTS: The THW-to-rhTSH organ absorbed dose ratio averaged over five organs for the first three patients was 1.5, 2.5 and 0.64, respectively, and averaged over three organs for the fourth patient was 1.1. The absorbed dose per unit administered activity to the bone marrow was 0.13, 0.086, 0.33 and 0.068 mGy/MBq following rhTSH, and 0.11, 0.14, 0.22 and 0.080 mGy/MBq following THW for each patient, respectively. With the exception of three lesions of one patient, the D per unit administered activity of <sup>131</sup>I was higher in the THW study compared to the rhTSH study. The ratio of the average tumor D after stimulation by THW compared to stimulation by rhTSH injections was 3.9, 27 and 1.4, for Pt1, Pt2 and Pt3, respectively. The ratio of mean tumor to bone marrow absorbed dose per unit administered activity of <sup>131</sup>I, after THW and rhTSH was: 232 and 62 (Pt1); 12 and 0.78 (Pt2); 22 and 11 (Pt3), respectively.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Iodine Radioisotopes/tu [Therapeutic Use]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Positron Emission Tomography Computed Tomography/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Thyroid Neoplasms/rt [Radiotherapy]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Thyroid Neoplasms/sc [Secondary]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Thyrotropin/ad [Administration & Dosage]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Whole-Body Counting/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Absorption, Radiation
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Adult
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Premedication/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Radiopharmaceuticals/tu [Therapeutic Use]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Radiotherapy Dosage
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Recombinant Proteins/ad [Administration & Dosage]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Thyroid Neoplasms/dg [Diagnostic Imaging]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Nuclear Medicine
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Atkins, Francis
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Garcia, Carlos
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Van Nostrand, Douglas
790 ## - Authors
All authors Atkins F, Garcia C, Hobbs RF, Huang K, Plyku D, Sgouros G, Van Nostrand D
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.2967/jnumed.116.179366">https://dx.doi.org/10.2967/jnumed.116.179366</a>
Public note https://dx.doi.org/10.2967/jnumed.116.179366
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/06/2017   28104741 28104741 05/06/2017 05/06/2017 Journal Article

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