2•Strontium-90 is produced by nuclear fission, •Strontium-90 decays to yttrium-90 by emitting a beta particle,•Yttrium-90decays to zirconium-90 by emitting a more energetic beta particle with a half-life of 64 hours.Selective Internal Radiation Therapy (SIRT) with Y90Microspheres
3SIRT with Y90microspheres1.Introduction 2.Patient evaluation•Candidate for 90Y microspheres•Lung shunt fraction •Tumor-normal liver uptake ratio•Tumor volume•Liver volume3.Dose calculation4.Written directive5.Ordering SIR-sphere source6.Source delivery & storage7.Dose preparation & transportation to CVIR8.Administration of SIR-spheres in CVIR9.Patient discharge10. Radiation safety11. Disposal of radioactive waste12. Lessons learned
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