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Pretargeted Radioimmunotherapy Based on the Inverse Electron Demand Diels-Alder Reaction
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Internal radiotherapy using 32P colloid or microsphere for refractory solid tumors.

Wen Gao1, Lu Liu, Gao-Jun Teng

  • 1Nuclear Medicine Technology Institution of Clinical Medical, College of Southeast University, 87 Dinjiaqiao, Nanjing, Jiangsu, 210009, China.

Annals of Nuclear Medicine
|November 5, 2008
PubMed
Summary
This summary is machine-generated.

Radioactive 32P colloids or microspheres effectively treated refractory solid tumors, showing a 93.4% inhibition rate and significant survival benefits. Most patients experienced complete or partial remission with minimal side effects.

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Area of Science:

  • Oncology
  • Radiology
  • Nuclear Medicine

Background:

  • Refractory solid tumors present significant treatment challenges.
  • Palliative and curative treatment options are limited for advanced stages.

Purpose of the Study:

  • To evaluate the efficacy of 32P colloids or microspheres in treating refractory solid tumors.
  • To assess outcomes following arterial interventional administration or stromal injection of 32P agents.

Main Methods:

  • 60 patients with refractory solid tumors received 32P microspheres or radioactive colloid via arterial intervention or stromal injection.
  • Administration guided by imaging (CT, X-ray, ultrasonogram) or direct surgical vision.
  • Tumor inhibition, side effects, and survival were monitored.

Main Results:

  • A 93.4% tumor inhibition rate was observed.
  • Complete remission in 51.7% and partial remission in 41.7% of patients.
  • Average survival was 35 months, with one patient surviving 90 months; minimal side effects reported.

Conclusions:

  • Arterial interventional administration or stromal injection of 32P microspheres/colloid is effective for refractory solid tumors.
  • Safe dosage ranges established for 32P glass microspheres (555-740 MBq) and 32P chromic phosphate (185-370 MBq).