A revision of the organ radiation doses from 2-fluoro-2-deoxy-D-glucose with reference to tumour presence

Radiat Prot Dosimetry. 2012 Aug;151(1):43-50. doi: 10.1093/rpd/ncr471. Epub 2012 Jan 13.

Abstract

Absorbed radiation doses to major human organs after intravenous bolus administration of 2-[(18)F]fluoro-2-deoxy-d-glucose (FDG) were reviewed. Absorbed doses were calculated using the medical internal radiation dose (MIRD) formalism from experimental activity-time curves. Thirty patients (22 with macroscopic lung tumour and 8 without observable disease) were investigated using a state-of-the-art combined positron emission tomography/computer tomography system (Siemens Biograph 64). Each patient underwent a series of 10 consecutive whole-body PET scans during the first 60-min post-FDG administration. Differences were observed between organ radiation doses in this work and those reported in International Commission for Radiation Protection 106 (21 % in effective dose). The presence of tumour did not affect the FDG biodistribution. Large inter-individual variations in organ-absorbed doses were observed. This in combination with the lack of a model for bladder voiding suitable for all patients suggests the need for a more precise estimate of normal-organ radiation doses. This will be beneficial in optimising FDG administration in clinical routine.

MeSH terms

  • Aged
  • Female
  • Fluorodeoxyglucose F18* / pharmacokinetics
  • Humans
  • Lung Neoplasms / diagnosis*
  • Male
  • Middle Aged
  • Phantoms, Imaging
  • Positron-Emission Tomography*
  • Radiation Dosage*
  • Radiation Protection
  • Radiopharmaceuticals* / pharmacokinetics
  • Tissue Distribution
  • Tomography, Emission-Computed
  • Whole Body Imaging

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18