核医学诊断操作中的亚细胞水平吸收剂量及其生物效应

Cellular dosimetry and biological conseuences caused by diagnostic nuclear medicine

  • 摘要: 许多诊断用的放射性核素,在诊断过程中同时伴有俄歇电子发出,这些单能电子引起了亚细胞水平的剂量分布不均,并且当这些俄歇电子参入DNA时引起严重放射生物学毒性,其相对生物效应大于1.为此,根据放射性药物在亚细胞分布提出了恰当的剂量计算模型(细胞型或传统型MIRD),讨论了设计新的放射性诊断药物时核素的选择及其原则。

     

    Abstract: Most radionuclides used for diagnostic imaging emit Auger electrons (technetium-99m, iodine-125,indium-111 and thalliun-201), these emit numerous mono-energetic electrons responsible for dose heterogeneity at the cellular level. Radiobiological experiments show that the biological effects of Auger emitters incorporated into DNA can be severe with relative biological effectiveness greater than 1. This report proposes the most appropriate model for dosimetric computations (cellular or conven tonal) according to the subcellular distribution of radiotracers and discusses the radionuclide of choice and the general strategy used to design new diagnostic radiopharmaceuticals.

     

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