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Selective internal radiation therapy: review of the standard operating procedure for selective internal radiation therapy using SIR-Spheres microspheres labelled with Yttrium 90

datacite.subject.fosCiências Médicaspt_PT
dc.contributor.advisorAbrunhosa, Antero
dc.contributor.authorCatarino, Ana Rita
dc.date.accessioned2018-05-03T10:15:56Z
dc.date.available2018-05-03T10:15:56Z
dc.date.issued2017-12-28
dc.date.submitted2016
dc.description.abstractAim: Selective Internal Radiation Therapy (SIRT), also known as radioembolization, is a liver-directed therapy for inoperable primary and secondary liver tumours. The aim of this study is to review the Standard Operating Procedure (SOP) used in the Radiopharmacy Department of the Oxford University Hospital NHS Foundation Trust to prepare 90Y labelled SIR-Spheres microspheres, in order to improve the dispensing procedure for delivering the intended patient treatment doses. The specification is: the activity prescribed ±10%. Methods: Eleven tests were carried out according to the current SOP. Radioactivity was diluted in up to 3 or 5 ml of water for injection and inserted into a V-vial. Following this, the used syringes and needles were measured using a Capintec Radionuclide Calibrator to check for any remaining activity. Results: One of the doses dispensed (11th) was below the specification. This, is in, turn triggered the review of the SOP. The operator must dilute the dose up to 3 ml with water for injection and inject it in the V-vial. According to the new procedure, using the same syringe and needle the operator must draw up an additional 1 ml of water for injection and inject this volume again into the V-vial. This washes the syringe and needle and removes any remaining activity. Conclusions: The reviewed SOP to prepare 90Y labelled SIR-spheres microspheres has shown to improve the dispensing procedure in terms of dose delivered to the patient. The collected data has been accepted and the reviewed SOP implemented in the Radiopharmacy Department at Oxford University Hospitals NHS Foundation Trust.pt_PT
dc.identifier.tid202173089
dc.identifier.urihttp://hdl.handle.net/10400.26/22708
dc.language.isoengpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectRadioterapia seletiva internapt_PT
dc.subjectNeoplasias hepáticaspt_PT
dc.subjectProcedimento operacional padrãopt_PT
dc.subjectMicroesferas SIR - Spherept_PT
dc.titleSelective internal radiation therapy: review of the standard operating procedure for selective internal radiation therapy using SIR-Spheres microspheres labelled with Yttrium 90pt_PT
dc.typemaster thesis
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typemasterThesispt_PT
thesis.degree.nameMestrado em Ciências Nucleares Aplicadas na Saúdept_PT

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