177Lu-based radioligand therapy: A retrospective multicenter analysis to calculate the effective half-life and follow-up dose for the public

Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung

Beitragende

  • Christian Schütze - , Georg-August-Universität Göttingen (Autor:in)
  • Markus Borowski - , Städtisches Klinikum Braunschweig gGmbH (Autor:in)
  • Martin Freesmeyer - , Universitätsklinikum Jena (Autor:in)
  • Robert Freudenberg - , Klinik und Poliklinik für Nuklearmedizin, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Heribert Hänscheid - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Jens Kurth - , Universität Rostock (Autor:in)
  • Marc Rudi Linde - , Vivantes Humboldt-Klinikum (Autor:in)
  • Lara Christiane Militzer - , Universitätsklinikum Leipzig (Autor:in)
  • Bernhard Sattler - , Universitätsklinikum Leipzig (Autor:in)
  • Tabea Nikola Schmidt - , Universitätsklinikum Jena (Autor:in)
  • Paul Soubiran - , Vivantes Humboldt-Klinikum (Autor:in)
  • Mathias Steffner - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Lars Stegger - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Carsten Wanke - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Christian Kühnel - , Universitätsklinikum Jena (Autor:in)

Abstract

The study investigated routinely used radiopharmaceuticals containing lutetium-177 (177Lu), providing reference values for their effective half-life (T 1/2,eff). So far, no guidelines regarding discharging this patients exist, are essential to ensure radiation protection of the public. This study contributes to the development of binding discharge criteria regarding 177Lu therapies. This retrospective multicenter study comprised eight nuclear medicine departments. Two commercially available products and two in-house preparations were considered. Radiation measurement methods, in terms of measuring device, setup, and time points were reported, as well as dose rate measurements for T 1/2,effcalculation. The study includes 210 dose rate measurement sets with a mean administered activity of (7149 ± 522) MBq. When only measurements up to 48 h p.i. were taken into account the T 1/2, effwere shorter (Pluvicto 1.30 d, Lutathera 1.40 d, ihPSMA 1.45 d, ihRRT 1.97 d) compared to 168 h (1.60 d, 1.89 d, 2.10 d, and 2.85 d, respectively). Differences were statistically significant for all compounds except Lutathera. The 90 thpercentile of the T 1/2,effobserved in late measurements (Pluvicto 2.0 d, Lutathera 3.0 d, ihPSMA 3.5 d, ihRRT 4.0 d) can be considered conservative values for discharge calculations. The T 1/2,effof 177Lu is considerably shorter than its T 1/2,phy, owing to the pharmacokinetics of the entire molecule. This highlights the need of considering biological clearance mechanisms into calculations of discharge times for patients treated with 177Lu. If direct measurements are not feasible in clinical routine, reference values support inpatient planning while ensuring radiation protection.

Titel in Übersetzung
177Lu-basierte Radioligandentherapie
Eine retrospektive multizentrische Analyse zur Berechnung der effektiven Halbwertszeit und der Folgedosis für Angeh"rige und Dritte

Details

OriginalspracheEnglisch
Seiten (von - bis)60-68
Seitenumfang9
FachzeitschriftNuklearmedizin - NuclearMedicine
Jahrgang65
Ausgabenummer2
PublikationsstatusVeröffentlicht - Apr. 2026
Peer-Review-StatusJa

Externe IDs

PubMed 41610875

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Lu radioligand therapy, Dose rate measurement, effective half-life, PSMA, Radiation protection, RRT