Estimate of activity discharged into the sewer network in neuroendocrine treatments with 177Lu-DOTA-TATE

Appl Radiat Isot. 2022 Dec:190:110459. doi: 10.1016/j.apradiso.2022.110459. Epub 2022 Sep 24.

Abstract

The urine of patients treated for neuroendocrine tumors with 177Lu is a liquid radioactive waste. The total body activity retained by the patient is quantified with SPECT-CT image 1 day after administration. From the activity of 177Lu in patient after 1 day Apat_Lu177_1d, the activity in urine after 1 day Aurine_Lu177_1d is determined, as well as the activity of 177mLu Aurine_Lu177m_1d that accompanies 177Lu as an impurity. Admitting the patient 24 hours in a dedicated room with storage tanks reduces the discharged activity below the permitted limits.

MeSH terms

  • Humans
  • Neuroendocrine Tumors* / diagnostic imaging
  • Neuroendocrine Tumors* / radiotherapy
  • Octreotide / therapeutic use
  • Organometallic Compounds* / therapeutic use
  • Radiopharmaceuticals / therapeutic use
  • Tomography, Emission-Computed, Single-Photon

Substances

  • 1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic acid
  • Radiopharmaceuticals
  • Octreotide
  • Organometallic Compounds