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Information Journal Paper

Title

Evaluation of Bone Marrow Absorbed Dose of 153 Sm-EDTMP and 223 Ra-Cl2 in Patients with Bone Metastasis Using Monte Carlo Simulation

Pages

  48-54

Abstract

 Background: Targeted radiopharmaceutical therapy is one of the most common methods for relieving pain in patients with bone metastasis. In this type of treatment, the bone marrow absorbed dose, as a critical organ, needs to be considered as a limiting factor. Until now, beta-emitter Radiopharmaceuticals have been considered for this treatment modality, which one of the most commons is samarium-153-ethylene diamine tetramethylene phosphonate ( 153 Sm-EDTMP), but recently the radium-223-dichloride ( 223 Ra-Cl2) alpha emitter radiopharmaceutical has been approved by the US Food and Drug Administration (FDA). The aim of this study was to compare the bone marrow absorbed dose of 153 223 Sm-EDTMP and Ra-Cl2 Radiopharmaceuticals. Methods: In this study, a lumbar vertebral bone phantom was used for simulation. The Radiopharmaceuticals were distributed in the phantom, and the simulation was performed using the GATE Monte Carlo toolkit. After estimating the absorbed dose per decay in different parts of the phantom, the absorbed dose of Radiopharmaceuticals in the bone marrow of a patient with 70 kg weight, was calculated using the Medical Internal Radiation dosimetry (MIRD) method. 153 Findings: For Sm-EDTMP, the bone marrow absorbed dose was equal to 9. 60 Gy for the administered activity of 2590 MBq. For 223 Ra-Cl2, the bone marrow absorbed dose was calculated as 0. 83 Gy for administered activity of 3. 85 MBq. Conclusion: Due to the lower bone marrow absorbed dose by 223 Ra-Cl2 alpha emitter radiopharmaceutical, the use of this radiopharmaceutical as an alternative to 153 Sm-EDTMP beta emitter radiopharmaceutical is recommended for Palliative therapy of patients with bone metastasis.

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    APA: Copy

    Dalvand, Saman, Elmtalab, Soheil, ZAMANI, HAMED, Shahverdi, Ebrahim, & Malekzadeh, Etesam. (2021). Evaluation of Bone Marrow Absorbed Dose of 153 Sm-EDTMP and 223 Ra-Cl2 in Patients with Bone Metastasis Using Monte Carlo Simulation. JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S), 39(611 ), 48-54. SID. https://sid.ir/paper/963960/en

    Vancouver: Copy

    Dalvand Saman, Elmtalab Soheil, ZAMANI HAMED, Shahverdi Ebrahim, Malekzadeh Etesam. Evaluation of Bone Marrow Absorbed Dose of 153 Sm-EDTMP and 223 Ra-Cl2 in Patients with Bone Metastasis Using Monte Carlo Simulation. JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)[Internet]. 2021;39(611 ):48-54. Available from: https://sid.ir/paper/963960/en

    IEEE: Copy

    Saman Dalvand, Soheil Elmtalab, HAMED ZAMANI, Ebrahim Shahverdi, and Etesam Malekzadeh, “Evaluation of Bone Marrow Absorbed Dose of 153 Sm-EDTMP and 223 Ra-Cl2 in Patients with Bone Metastasis Using Monte Carlo Simulation,” JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S), vol. 39, no. 611 , pp. 48–54, 2021, [Online]. Available: https://sid.ir/paper/963960/en

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