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Dosimetry of intravenously administered oxygen-15 labelled water in man: a model based on experimental human data from 21 subjects

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Abstract

Models based on uniform distribution of tracer in total body water underestimate the absorbed dose from H2 15O because of the short half-life (2.04 min) of 15O, which leads to non-uniform distribution of absorbed dose and also complicates the direct measurement of organ retention curves. However, organ absorbed doses can be predicted by the present kinetic model based on the convolution technique. The measured time course of arterial H2150 concentration following intravenous administration represents the input function to organs. The impulse response of a given organ is its transit time function determined by blood flow and the partition of water between tissue and blood. Values of these two parameters were taken from the literature. Integrals of the arterial input function and organ transit time functions were used to derive integrals of organ retention functions (organ residence times). The latter were used with absorbed dose calculation software (MIRDOSE-2) to obtain estimates for 24 organs. From the mean values of organ absorbed doses, the effective dose equivalent (EDE) and effective dose (ED) were calculated. From measurements on 21 subjects, the average value for both EDE and ED was calculated to be 1.2 μSv · MBq−1 compared with a value of about 0.5 μSv · MBq−1 predicted by uniform water distribution models. Based on the human data, a method of approximating H2 15O absorbed dose values from body surface area is described.

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References

  1. ICRP Publication 53. Radiation dose to patients from radio-pharmaceuticals. Ann ICRP 1988; 18: 1–4. 2. NCRP Report No. 83. The experimental basis for absorbed-dose calculations in medical uses of radionuclides. Bethesda: National Council on Radiation Protection and Measurements, 1985.

  2. Jones SC, Greenberg JM, Dann R, Robinson GD, Kushner M, Alavi A, Reivich M. Cerebral blood flow with the continuous infusion of oxygen-15-labelled water. J Cereb Blood Flow Metab 1985;5:566–575.

    Google Scholar 

  3. Powell GF, Harper PV, Reft CS, Chen CT, Lathrop KA. Problems in radiation absorbed dose estimation from positron emitters. In: Schlafke-Stelson AT, Watson EE (eds) Proc. 4th Internat. Symp. on Radiopharmaceutical Dosimetry. CONF-851113. Oak Ridge, Tenn.: Oak Ridge Associated Universities; 1986:194–211.

    Google Scholar 

  4. Meyer E, Yamamoto LY, Evans AC, Tyler JL, Diksic M, Feindel W. Radiation dose to upper airways from inhaled oxygen-15 carbon dioxide. J Nucl Med 1987;28:234–239.

    Google Scholar 

  5. Kearfott KJ. Absorbed dose estimates for positron emission tomography (PET): C15O, 11CO and CO15O. J Nucl Med 1982; 23:1031–1037.

    Google Scholar 

  6. Coleman TG, Manning RD, Norman RA, Guyton AC. Dynamics of water-isotope distribution. Am J Physiol 1972;223: 1371–1375.

    Google Scholar 

  7. Powers WJ, Stabin M, Howse D, Eichling JO, Herscovitch P. Radiation absorbed dose estimates for oxygen- 15-radiopharmaceuticals (H2 15O, C15O, O15O) in newborn infants. J Nucl Med 1988;29:1961–1970.

    Google Scholar 

  8. Bigler RE, Kostick JA, Gillespie JR. Compartmental analysis of the steady-state distribution of 15O2 and H2 15O in total body. J Nucl Med 1981;22:959–965.

    Google Scholar 

  9. Bigler RE, Sgouros G. Biological analysis and dosimetry for 15O-labelled O2, CO2 and CO gases administered continuously by inhalation. J Nucl Med 1983;24:431–437.

    Google Scholar 

  10. Jones SC, Greenberg JH, Reivich M. Error analysis for the determination of cerebral blood flow with the continuous inhalation of oxygen-15 labelled carbon dioxide and positron emission tomography. J Comput Assist Tomogr 1982;6:116–124.

    Google Scholar 

  11. Loevinger R, Berman M. A revised schema for calculating the absorbed dose from biologically distributed radionuclides. MIRD pamphlet No. 1, revised. New York: Society of Nuclear Medicine, 1976.

    Google Scholar 

  12. Du Bois D, Du Bois EF. A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med 1916;17:863–871.

    CAS  Google Scholar 

  13. Ranicar ASO, Williams CW, Schnorr L, Clark JC, Rhodes GG, Bloomfield PM, Jones T. The on-line monitoring of continuously withdrawn arterial blood during PET studies using a single BGO/photomultiplier assembly and non-stick tubing. Med Prog Technol 1991;17:259–264.

    Google Scholar 

  14. Williams LR, Leggett RW. Reference values for resting blood flow to organs of man. Clin Phys Physiol Meas 1989;10: 187–217.

    Google Scholar 

  15. Cowles AL, Borgstedt HH, Gillies AJ. Tissue weights and rates of blood flow in man for the prediction of anesthetic uptake and distribution. Anesthesiology 1971;35: 523–525.

    Google Scholar 

  16. Wilson CBJH, Lammertsma AA, McKenzie CG, Sikora K, Jones T. Measurements of blood flow and exchanging water space in breast tumors using positron emission tomography: a rapid and noninvasive dynamic method. Cancer Res 1992;52: 1592–1597.

    Google Scholar 

  17. ICRP Publication 23. Report of the task group on reference man. International Commission on Radiological Protection. Oxford: Pergamon, 1975.

  18. Lammertsma AA, Cunningham VJ, Deiber MP, Heather JD, Bloomfield PM, Nutt J, Frackowiak RSJ, Jones T. Combination of dynamic and integral methods for generating reproducible functional CBF images. J Cereb Blood Flow Metab 1990; 10:675–686.

    Google Scholar 

  19. Coffey JL, Cristy M, Warner GG. Specific absorbed fractions for photon sources uniformly distributed in the heart chambers and heart wall of a heterogeneous phantom. MIRD Pamphlet No. 13. J Nucl Med 1981;22:65–71.

    Google Scholar 

  20. ICRP Publication 38. Radionuclide transformations: energy and intensity of emissions. Ann ICRP 1983; 11–13:11, 13.

  21. ICRP Publication 26. Recommendation of the International Commission on Radiological Protection. Ann ICRP 1977; 1: 3.

    Google Scholar 

  22. ICRP Publication 60. 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 1991; 21: 1–3.

    Google Scholar 

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Correspondence to: T. Smith

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Smith, T., Tong, C., Lammertsma, A.A. et al. Dosimetry of intravenously administered oxygen-15 labelled water in man: a model based on experimental human data from 21 subjects. Eur J Nucl Med 21, 1126–1134 (1994). https://doi.org/10.1007/BF00181069

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  • DOI: https://doi.org/10.1007/BF00181069

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