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24 - Special Procedures (SIRT)

24 - Special Procedures (SIRT) - Lecture 24 Special...

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Special Procedures Tarun K. Podder, PhD, DABR Department of Radiation Oncology Brody School of Medicine Leo Jenkins Cancer Center East Carolina University March 14, 2011 Lecture # 24
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2 Strontium-90 is produced by nuclear fission, Strontium-90 decays to yttrium-90 by emitting a beta particle, Yttrium-90 decays to zirconium-90 by emitting a more energetic beta particle with a half-life of 64 hours . Selective Internal Radiation Therapy (SIRT) with Y 90 Microspheres
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3 SIRT with Y 90 microspheres 1. Introduction 2. Patient evaluation Candidate for 90 Y microspheres Lung shunt fraction Tumor-normal liver uptake ratio Tumor volume Liver volume 3. Dose calculation 4. Written directive 5. Ordering SIR-sphere source 6. Source delivery & storage 7. Dose preparation & transportation to CVIR 8. Administration of SIR-spheres in CVIR 9. Patient discharge 10. Radiation safety 11. Disposal of radioactive waste 12. Lessons learned
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