From: Feasibility of simplifying renal dosimetry in 177Lu peptide receptor radionuclide therapy
Treatment planning strategy | Description | Planar imaging | SPECT | Individualized, dosimetry-based treatment (yes/no) |
---|---|---|---|---|
Method P (as per clinical trial protocol) | Hybrid dosimetry in each cycle | Whole-body scintigraphy at 1, 24, 48 or 96 h and 168 h | 1 SPECT at 24 h | Yes |
Method A | 4 cycles to all patients | Whole-body scintigraphy at 1, 24, 48 or 96 h and 168 h | 1 SPECT at 24 h | No |
Method B | Planar-based dosimetry 1st cycle only | Whole-body scintigraphy at 1, 24, 48 or 96 h and 168 h, 1st cycle only | None | Yes |
Method C | Planar-based dosimetry in each cycle | Whole-body scintigraphy at 1, 24, 48 or 96 h and 168 h | None | Yes |
Method D | Hybrid dosimetry 1st cycle only | Whole-body scintigraphy at 1, 24, 48 or 96 h and 168 h, 1st cycle only | 1 SPECT at 24 h, 1st cycle only | Yes |
Method E | Hybrid dosimetry 1st cycle + 1 SPECT/cycle thereafter | Whole-body scintigraphy at 1, 24, 48 or 96 h and 168 h, 1st cycle only | 1 SPECT at 24 h | Yes |
Method F | 1 SPECT/cycle, identical effective halftime (51.6 h) assumed | None | 1 SPECT at 24 h | Yes |
Method G | 1 SPECT/cycle at 96 h | None | 1 SPECT at 96 h | Yes |
Method H | 1 SPECT at 96 h 1st cycle only | None | 1 SPECT at 96 h, 1st cycle only | Yes |
Method I | 1 planar image at 96 h in each cycle | Whole-body scintigraphy at 96 h | None | Yes |