M. Bieńkiewicz, J. Liniecki, J. Białobrzeski, J. Kapuściński
Department of Nuclear Medicine, Medical Academy, Łódz 92-216, Czechosłowacka 8/10 St., Poland
169Yb-cisdichlordimethionine platinum (PtCl2Meth2) is an oncophilic
radiopharmaceutical, particulary useful in staging and monitoring the therapy of malignant lymphomas.
The paper estimates the risk related to application of the compound, by calculating the organ doses
delivered per unit administered activity and the resulting effective dose. The knowledge of the kinetics
of retention of the radioactive substance in individual organs and its excretion from the body, is based
on data obtained from controlled experiments with serial sacrifice of rats and comparison with the data
obtained from comparative measurements in man (whole body retention and excretion rate via the dominant
excretory route). Such procedure makes interspecies extrapolation from animals to man less insecure than
direct application of the kinetics in the animals studied to the behaviour of the substance in man.
The biokinetics of 169Yb-PtCl2Meth2 seems to be different from that
of other compounds of the lanthanide and actinide elements. The main difference consists in much higher
urinary elimination of the radiopharmaceutical, that leads to much lower whole body retention.
The estimated value of the effective dose per unit injected activity, E = 0.20 ± 0.02 mSv, and per
diagnostic procedure in man, E = 37.4 ± 2.7 mSv, is acceptable in oncological diagnostics.