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Published on: September 20, 2020
Adverse Events in Targeted Radionuclide Therapy
Kip E Guja1, Joy Wu1, Harrison L Agordzo1
1From the Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Stanford University, 300 Pasteur Dr, Stanford, CA 94305 (K.E.G., J.W., H.R.N., E.G., J.S.); Division of Health Physics, Department of Environmental Health and Safety, Stanford University, Stanford, Calif (H.L.A., J.K., D.S.); and Department of Pediatric Radiology, Lucile Packard Children's Hospital at Stanford, Stanford, Calif (H.R.N.).
Targeted radionuclide therapy (TRT) is increasingly used for cancers like thyroid and prostate. Understanding and managing TRT
Area of Science:
- Oncology
- Nuclear Medicine
- Radiopharmaceutical Therapy
Background:
- Targeted radionuclide therapy (TRT) is a cornerstone in managing specific cancers, including thyroid, prostate, and neuroendocrine tumors.
- The utilization and indications for TRT have seen significant expansion, supported by ongoing clinical trials.
Purpose of the Study:
- To provide a comprehensive review of adverse events associated with targeted radionuclide therapy.
- To detail the clinical manifestations, incidence, risk factors, and management strategies for TRT-related adverse events.
- To outline preventive measures for minimizing the risk of adverse events in patients undergoing TRT.
Main Methods:
- Systematic review of literature on adverse events in targeted radionuclide therapy.
- Analysis of clinical manifestations, incidence rates, and identified risk factors.
- Evaluation of current management and prevention strategies for TRT-induced toxicities.
Main Results:
- TRT is associated with a spectrum of potential adverse events that require careful monitoring.
- Risk factors and specific clinical presentations vary depending on the TRT agent and target.
- Effective management and preventive strategies are crucial for optimizing patient outcomes.
Conclusions:
- Physicians must possess adequate knowledge of TRT adverse events for optimal patient care.
- Proactive management and risk mitigation are essential for the safe and effective application of TRT.
- The expanding role of TRT necessitates continued research into its safety profile and management.
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