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Updated: Jun 13, 2025

A Whole Body Dosimetry Protocol for Peptide-Receptor Radionuclide Therapy PRRT: 2D Planar Image and Hybrid 2D+3D SPECT/CT Image Methods
Published on: April 24, 2020
Post-Y90 PET Dosimetry
Ali Afrasiabi1, Johannes L du Pisanie1, Bahareh Gholami1
1Department of Radiology, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC 27514, USA.
Abstract:
Transarterial radioembolization with yttrium-90 is widely used to treat unresectable liver cancer by delivering radiation directly to tumors. While post-treatment imaging generally relies on single-photon emission computed tomography (SPECT) and SPECT/computed tomography (CT), lower signal-to-noise ratio and spatial resolution limit its application. PET/CT and PET/MR imaging have proven to provide more effective image quality, yielding clearer images for accurate dose quantification and correlation with treatment response. PET-based imaging is crucial for refining dose-response and dose-toxicity relationships in personalized dosimetry, although its limited availability challenges its widespread use.
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