177Lu新型输注防护系统在转移性去势抵抗性前列腺癌患者治疗中的适应性应用

Adaptive application of a novel 177Lu infusion protection system in the treatment of patients with metastatic castration-resistant prostate cancer

  • 摘要: 笔者报道了1例转移性去势抵抗性前列腺癌患者使用新型输注防护系统接受3个周期177Lu-前列腺特异性膜抗原(PSMA)放射性配体靶向治疗的过程中医务人员的受照剂量,并与采用同等药物活度的传统手动推注、普通注射泵泵入给药方式的过程中医务人员的受照剂量进行比较。新型输注防护系统为临床治疗实测数据,传统手动推注、普通注射泵泵入为模拟操作数据。使用新型输注防护系统的医务人员的总受照剂量较传统手动推注降低约97.28%,较普通注射泵泵入降低约95.65%。新型输注防护系统结合规范化专科护理可显著降低医务人员的职业辐射暴露风险,提升177Lu-PSMA放射性配体靶向治疗的安全性。

     

    Abstract: The authors report the received radiation doses of medical staff during three cycles of 177Lu-prostate-specific membrane antigen (PSMA) radioligand-targeted therapy in one patient with metastatic castration-resistant prostate cancer, using a novel infusion protection system. These doses were compared with those from conventional manual bolus injection and conventional syringe-pump infusion under equivalent radiopharmaceutical activity.The dose data for the novel infusion protection system were obtained from clinical in-situmeasurement, whereas those for conventional manual bolus injection and conventional syringe-pump infusion were derived from simulated operations.With the novel infusion protection system, the total received radiation dose for medical staff was reduced by approximately 97.28% compared with conventional manual bolus injection, and by approximately 95.65% compared with conventional syringe-pump infusion.The novel infusion protection system, combined with standardized specialized nursing, can significantly reduce the risk of occupational radiation exposure for medical staff and enhance the safety of 177Lu-PSMA radioligand-targeted therapy.

     

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