Læknablaðið : fylgirit - 01.05.1978, Page 89

Læknablaðið : fylgirit - 01.05.1978, Page 89
Ti/2 = 9.3d Eg (max) = 340 keV (mean) = 97 keV di/2 (eff) = 0.1 mm ERBIUM CITRATE particle size ^ 10 nm 169 Er 9.3d DOSKS OUTSIDE THE SYNOVIAL CAVITY ^°Y (rad/%) 1í^Er (rad/jí) LYMPH HODKS 4SO (inquinal; 20g) 35 (axillary; 5g) (TYriCALLY) (?OOrad) (200rad) TOTAL 30DY 0.13 0.0025 (TYPICALLY) (2.5rad) (0.05rad) and here we can see that yttrium is a pure beta omitter (gamma component is minimal;; only 0.017% of all deeoys). The second slide shows corresponding charac- teristics of l69Er. We can see that the beta radiation energy is considerably lower than that of 90Y. The half value layer is therefore lower, too only 0.1 mm. The decoy scheme shows that beta radiation is dominant; a weak 8 keV gamma component has no significance. The retention of yttrium is more than 9C% when after the treatment, the patient is immobilized for three days. If there is no immobilization the leakage is substantially higher. Less than 1% of the leaked radionuclide is accumulated in the inquinal lymp nodes and the rest is probably distributed evenly - in the whole body. The lymph node accumulation causes a radiation dose about 450 rad/% the typical valve being 300 rad. Corresponding whole body dose is 2.5 rad. In treating finger joints with erbium a considerably proportion is also leaked. The accumulation in axillay nodes varies between 3 and 14%. The radiation dose in lymph nodes 87
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