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Table 1 Physical characteristics of MAA and 90Y microspheres

From: EANM dosimetry committee series on standard operational procedures: a unified methodology for 99mTc-MAA pre- and 90Y peri-therapy dosimetry in liver radioembolization with 90Y microspheres

 

99mTc-MAAΔ

Resin spheres♣

Glass spheresâ™ 

Commercial name

 

SIR-Spheres®

TheraSphere®

Manufacturer

 

Sirtex Medical

Boston Scientific

Diameter (μm) ± standard deviation (μm)

31.2; Range (10–100)

non spherical

32.5 ± 2.5; range (20–60)

25 ± 5

Specific gravity

n/a

1.6 g/mL

3.6 g/mL

Vial activity (GBq)

1.5 (α)–3.7 (β)

2.5–10**

From 3* to 20*, with 0.5 step

Activity per particle (Bq)

333 (α)–822 (β)

42–166**

4354*, 1539♦, 544♥

Millions of particle per GBq

3 (α)–1.2 (β)

24–6**

0.23*, 0.65♦, 1.84♥

Millions of particles in a typical administration

0.3–0.7

1.2 GBq

28.8–7.2** millions

2.6 GBq

1.7♦ 4.8♥ millions

Stasis phenomenon (backflow, jammed injection)

Never reported

Reported

Never reported

Material

Human albumin

Resin with 90Y on surface

90Y in glass matrix

Shelf life

6 h from labelling

(− 4, + 1) days

12 days

Handling vial for dispensing

Required

Required

Not required

Vial fractionation in syringe

Required

Required

Not required

Iodinated contrast medium during administration

Not required

Recommended

Not required

  1. (α) 4.5 millions of MAA labelled with 1.5 GBq
  2. (β) 4.5 millions of MAA labelled with 3.7 GBq
  3. * Measured, at the reference date. [18]
  4. **Depending on the injection time. Resin microspheres can be delivered up to 4 days before the calibration date, when vial activity is 10 GBq. This means that the planned activity can be injected with one third of the number of particles with respect to the calibration date (https://www.sirtex.com/eu/clinicians/flexdose-delivery-programme/)
  5. ♦Four days after the reference time.
  6. ♥Eight days after the reference time.
  7. Δwww.nuclearonline.org/PI/mallinckrodt%20MAA.pdf, www.accessdata.fda.gov/drugsatfda_docs/label/2009/017881s010lbl.pdf
  8. ♣https://www.sirtex.com/media/169513/pi-ec-14-spheres-ifu-eu-row.pdf
  9. â™ https://www.bostonscientific.com/en-US/products/cancer-therapies/therasphere-y90-glass-microspheres.html