Table 3. Optimal amounts (for 2−213 nmol), pertaining activities, absorbed doses and biologically effective doses (BED).
Individual optimal amounta and individual activity for 10 Gy2.5 kidney BEDb and RM BED < 0.25 Gy15 | Individual optimal amount and individual activity for 7.5 Gy salivary gland Db and RM BED < 0.25 Gy15 | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Injection | Tumor | Salivary glands | Injection | Tumor | Kidneys | ||||||||
Patient | Tumor lesion | Activity[GBq] | Amount [nmol] | D[Gy] | BED[Gy3.9] | D[Gy] | BED[Gy4.5] | Activity[GBq] | Amount [nmol] | D[Gy] | BED[Gy3.9] | D[Gy] | BED [Gy2.5] |
P1 | 1 | 22.5 | 512 | 156 | 234 | 10 | 11 | 16.5 | 512 | 114 | 156 | 5.7 | 6.9 |
2 | 22.5 | 512 | 390c | 850c | 10 | 11 | 16.5 | 512 | 285 | 530 | 5.7 | 6.9 | |
P2 | 1 | 13.9 | 64 | 46 | 52 | 20 | 24 | 4.4 | 2 | 23 | 24 | 4.3 | 4.9 |
2 | 8.0 | 2 | 16 | 17 | 14 | 16 | 4.4 | 2 | 9.0 | 9.2 | 4.3 | 4.9 | |
P3 | 1 | 14.1 | 256 | 171 | 223 | 40 | 53 | 4.3 | 512 | 33 | 35 | 1.6 | 1.6 |
2 | 9.4 | 128 | 46 | 50 | 40 | 54 | 12.3 | 2048 | 8.6 | 8.7 | 1.8 | 1.9 | |
P4 | 1 | 7.9 | 64 | 24 | 26 | 8.9 | 9.7 | 4.9 | 2 | 23 | 24 | 8.3 | 11 |
2 | 7.9 | 64 | 14 | 14 | 8.9 | 9.7 | 4.9 | 2 | 13 | 14 | 8.3 | 11 | |
P5 | 1 | 9.3 | 256 | 29 | 32 | 14 | 15 | 2.4 | 2 | 17 | 18 | 6.0 | 7.4 |
2 | 9.3 | 256 | 42 | 47 | 14 | 15 | 8.2 | 512 | 23 | 25 | 4.4 | 5.1 | |
Mean | 12.5 | 211 | 93 | 154 | 18 | 22 | 7.9 | 411 | 55 | 84 | 5 | 6 | |
SD | 5.8 | 183 | 118 | 258 | 12 | 17 | 5.3 | 629 | 87 | 163 | 2 | 3 | |
Median | 9.3 | 192 | 44 | 48 | 14 | 15 | 4.9 | 257 | 23 | 24 | 5 | 6 | |
Min | 7.9 | 2 | 14 | 14 | 8.9 | 9.7 | 2.4 | 2 | 9 | 9 | 1.6 | 1.6 | |
Max | 22.5 | 512 | 390 | 850 | 40 | 54 | 16.5 | 2048 | 285 | 530 | 8 | 11 |
Abbreviations: D absorbed dose, BED biologically effective dose
a1.66 μg of the ligand corresponds to 1 nmol. For these calculations, radiochemical limitations are not considered.
b Kidney BED of 10 Gy2.5 corresponds to a D of 7.9±0.2 Gy and salivary gland D of 7.5 Gy to a BED of 8.1±0.1 Gy4.5
cThe simulated absorbed dose is high due to high tumor binding site concentration (2412 ± 802 nmol/l) and large injected activity. Therefore, the BED calculated using the linear quadratic model becomes extremely large. The linear quadratic model is probably not applicable for such large doses.