[Therapy of bone metastases with radium-223. German guidelines].

Abstract

This document describes the guideline for therapy of bone metastases with radium-223 ((223)Ra) published by the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften in Germany (AWMF) under the auspices of the Deutsche Gesellschaft für Nuklearmedizin (DGN), Östereichische Gesellschaft für Nuklearmedizin (OGN), and Schweizerische Gesellschaft für Nuklearmedizin (SGNM). This guidance is based on an interdisciplinary consensus. These recommendations are a prerequisite for the quality management in the treatment of patients with bone metastases from prostate cancer using (223)Ra. They are aimed at guiding nuclear medicine specialists in selecting candidates to receive therapy and to deliver the treatment in a safe and effective manner. The document contains background information and definitions. It covers the rationale, indications and contraindications for therapy with (223)Ra. Essential topics are the requirements for institutions performing the therapy, which patient data have to be available prior to performance of therapy, and how treatment has to be carried out technically and organisationally. Moreover, essential elements of follow-up and aftercare are specified. As a matter of principle, the treatment inclusive aftercare has to be realised in close cooperation with the involved medical disciplines.

• Authors: Thorsten D Pöppel, Michael Andreeff, Alexander Becherer, Andreas Bockisch, Eva Fricke, Lilli Geworski, Alexander Heinzel, Bernd J Krause, Thomas Krause, Markus Mitterhauser, Klemens Scheidhauer, Marcus Schenck, Wilfried Sonnenschein, Michael Gabriel
• Journal: Nuklearmedizin. Nuclear medicine (Nuklearmedizin) Vol. 55 Issue 5 Pg. 177-86 (Sep 26 2016) ISSN: 2567-6407 [Electronic] Germany
• Vernacular Title: Radionuklidtherapie von Knochenmetastasen mittels Radium-223. DGN-Handlungsempfehlung.
• PMID: 27417067 (Publication Type: Journal Article)

Chemical References

• Radiopharmaceuticals
• Radium

Topics

• Bone Neoplasms (radiotherapy, secondary)
• Evidence-Based Medicine
• Germany
• Nuclear Medicine (standards)
• Practice Guidelines as Topic
• Radiopharmaceuticals (standards, therapeutic use)
• Radiotherapy (standards)
• Radium (standards, therapeutic use)
• Treatment Outcome