Published in:
Open Access
01-05-2018 | Guidelines
EANM guidelines for radionuclide therapy of bone metastases with beta-emitting radionuclides
Authors:
Daria Handkiewicz-Junak, Thorsten D. Poeppel, Lisa Bodei, Cumali Aktolun, Samer Ezziddin, Francesco Giammarile, Roberto C. Delgado-Bolton, Michael Gabriel
Published in:
European Journal of Nuclear Medicine and Molecular Imaging
|
Issue 5/2018
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Abstract
The skeleton is the most common metastatic site in patients with advanced cancer. Pain is a major healthcare problem in patients with bone metastases. Bone-seeking radionuclides that selectively accumulate in the bone are used to treat cancer-induced bone pain and to prolong survival in selected groups of cancer patients. The goals of these guidelines are to assist nuclear medicine practitioners in: (a) evaluating patients who might be candidates for radionuclide treatment of bone metastases using beta-emitting radionuclides such as strontium-89 (89Sr), samarium-153 (153Sm) lexidronam (153Sm-EDTMP), and phosphorus-32 (32P) sodium phosphate; (b) performing the treatments; and ©) understanding and evaluating the treatment outcome and side effects.