MIRD Pamphlet No. 30: MIRDfit—A Tool for Fitting of Biodistribution Time–Activity Data for Internal Dosimetry

Lukas M. Carter, Juan Camilo Ocampo Ramos, Seval Beykan Schuerrle, Harry Marquis, Michael Lassmann, Wesley E. Bolch, Adam L. Kesner
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Abstract

In nuclear medicine, estimating the number of radioactive decays that occur in a source organ per unit administered activity of a radiopharmaceutical (i.e., the time-integrated activity coefficient [TIAC]) is an essential task within the internal dosimetry workflow. TIAC estimation is commonly derived by least-squares fitting of various exponential models to organ time–activity data (radiopharmaceutical biodistribution). Rarely, however, are methods used to objectively determine the model that best characterizes the data. Additionally, the uncertainty associated with the resultant TIAC is generally not evaluated. As part of the MIRDsoft initiative, MIRDfit has been developed to offer a biodistribution fitting software solution that provides the following essential features and advantages for internal dose assessment: nuclear medicine–appropriate fit functions; objective metrics for guiding best-fit selection; TIAC uncertainty calculation; quality control and data archiving; integration with MIRDcalc software for dose calculation; and a user-friendly Excel-based interface. For demonstration and comparative validation of MIRDfit’s performance, TIACs were derived from serial imaging studies involving 18F-FDG and 177Lu-DOTATATE using MIRDfit. These TIACs were then compared with TIAC estimates obtained using other software. In most cases, the TIACs agreed within approximately 10% between MIRDfit and the other software. MIRDfit has been endorsed by the MIRD Committee of the Society of Nuclear Medicine and Molecular Imaging and has been integrated into the MIRDsoft suite of free dosimetry software; it is available for download at no user cost (https://mirdsoft.org/).

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MIRD 小册子第 30 号:MIRDfit--用于内部剂量测定的生物分布时间-活性数据拟合工具
在核医学中,估算放射性药物每单位给药活度在源器官中发生的放射性衰变次数(即时间积分活度系数[TIAC])是内部剂量测定工作流程中的一项重要任务。TIAC 的估算通常是通过将各种指数模型与器官时间活性数据(放射性药物生物分布)进行最小二乘法拟合得出的。然而,很少有方法能客观地确定最能描述数据特征的模型。此外,通常也不会对与 TIAC 结果相关的不确定性进行评估。作为 MIRDsoft 计划的一部分,MIRDfit 的开发旨在提供一种生物分布拟合软件解决方案,为内部剂量评估提供以下基本功能和优势:适合核医学的拟合函数;指导最佳拟合选择的客观指标;TIAC 不确定性计算;质量控制和数据存档;与 MIRDcalc 软件的剂量计算集成;以及基于 Excel 的用户友好界面。为了演示和比较验证 MIRDfit 的性能,使用 MIRDfit 从 18F-FDG 和 177Lu-DOTATATE 的连续成像研究中得出了 TIAC。然后将这些 TIAC 与使用其他软件获得的 TIAC 估计值进行比较。在大多数情况下,MIRDfit 与其他软件的 TIAC 值相差约 10%。MIRDfit 已获得核医学与分子成像学会 MIRD 委员会的认可,并已集成到免费剂量测定软件 MIRDsoft 套件中;用户可免费下载 (https://mirdsoft.org/)。
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