AMA Clinical Examples in Radiology - 2024 Issue 1 (Winter)
Nuclear Medicine Lutetium (Lu) 177 Vipivotide Tetraxetan (Lu-177 PSMA-617) Therapy
Winter 2024 pages 4-12
CLINICAL EXAMPLE 1:
Nuclear Medicine Lutetium (Lu) 177 Vipivotide Tetraxetan (Lu-177 PSMA-617) Therapy
CLINICAL INDICATION
A 72-year-old male with a history of metastatic castration-resistant prostate cancer (mCRPC), with a recent prostate-specific
membrane antigen (PSMA) positron emission tomography/computed tomography (PET/CT) scan showing diffuse, intensely PSMA-avid
osseous metastases.
PROCEDURE
Lutetium 177 (Lu-177) vipivotide tetraxetan (PSMA-617) nuclear medicine prostate cancer therapy
TECHNIQUE
Intravenous infusion of 205 mCi of Lu-177 PSMA-617 for the treatment of metastatic prostate cancer without any immediate complications
FINDINGS
Pre-Procedure
Pre-therapy laboratory values were reviewed and were within an acceptable range for treatment. The patient’s PSMA...
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