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State-of-the-art yttrium-90 selective internal  radiation therapy: Technical aspects of  artery-specific SPECT/CT partition model dosimetry Yung Hsiang  KAO  (1), Andrew EH  TAN  (1), Richard HG  LO  (2),  Kiang Hiong  TAY  (2),  Mark C  BURGMANS  (2), Farah G  IRANI  (2),  Li Ser  KHOO  (2), Bien Soo  TAN  (2), Pierce KH  CHOW  (3, 4), David CE  NG  (1), Anthony SW  GOH  (1) (1) Department of Nuclear Medicine and PET, Singapore General Hospital (2) Department of Diagnostic Radiology, Singapore General Hospital (3) Department of General Surgery, Singapore General Hospital (4) Duke-NUS Graduate Medical School, Singapore First author contact:  Dr Yung Hsiang  KAO MBBS, MRCP(UK), FAMS(Nuclear Medicine) [email_address] Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com November 2011 J Nucl Med. 2011; 52 (Supplement 1):1084
State-of-the-art yttrium-90 selective internal  radiation therapy: Technical aspects of  artery-specific SPECT/CT partition model dosimetry Note:  This PDF file is best viewed in  ‘ full screen’ mode i.e. ‘Ctrl+L’. © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com J Nucl Med. 2011; 52 (Supplement 1):1084
Necrotic tumor (excluded from  dosimetry) Untargeted tumor supplied by right inferior phrenic artery (excluded from dosimetry) Tumor implanted with Tc-99m-MAA within planning target volume Non-tumorous liver within planning target volume State-of-the-art yttrium-90 selective internal  radiation therapy: Technical aspects of  artery-specific SPECT/CT partition model dosimetry Figure orientation: Tc-99m-MAA SPECT/CT J Nucl Med. 2011; 52 (Supplement 1):1084
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
Digital subtraction angiogram of proper hepatic artery Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al.  State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry.  J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 :  Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
 
 
 
 
© Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. www.facebook.com/radioembolization SNM 2011 poster exhibit, dosimetric worksheet  and more worked examples are available for download at: www.sgh.com.sg/Clinical-Departments-Centers/Nuclear-Medicine-PET

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Supplemental Figure 1

  • 1. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry Yung Hsiang KAO (1), Andrew EH TAN (1), Richard HG LO (2), Kiang Hiong TAY (2), Mark C BURGMANS (2), Farah G IRANI (2), Li Ser KHOO (2), Bien Soo TAN (2), Pierce KH CHOW (3, 4), David CE NG (1), Anthony SW GOH (1) (1) Department of Nuclear Medicine and PET, Singapore General Hospital (2) Department of Diagnostic Radiology, Singapore General Hospital (3) Department of General Surgery, Singapore General Hospital (4) Duke-NUS Graduate Medical School, Singapore First author contact: Dr Yung Hsiang KAO MBBS, MRCP(UK), FAMS(Nuclear Medicine) [email_address] Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com November 2011 J Nucl Med. 2011; 52 (Supplement 1):1084
  • 2. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry Note: This PDF file is best viewed in ‘ full screen’ mode i.e. ‘Ctrl+L’. © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com J Nucl Med. 2011; 52 (Supplement 1):1084
  • 3. Necrotic tumor (excluded from dosimetry) Untargeted tumor supplied by right inferior phrenic artery (excluded from dosimetry) Tumor implanted with Tc-99m-MAA within planning target volume Non-tumorous liver within planning target volume State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry Figure orientation: Tc-99m-MAA SPECT/CT J Nucl Med. 2011; 52 (Supplement 1):1084
  • 4. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com
  • 5. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 6. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 7. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 8. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 9. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 10. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 11. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 12. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 13. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 14. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 15. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 16. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 17. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 18. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 19. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 20. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 21. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 22. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 23. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 24. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 25. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 26. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 27. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 28. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 29. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 30. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 31. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 32. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 33. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 34. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 35. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 36. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 37. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 38. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 39. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 40. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 41. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 42. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 43. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 44. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 45. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 46. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 47. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 48. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 49. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 50. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 51. Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery Digital subtraction angiogram of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
  • 52. Digital subtraction angiogram of proper hepatic artery Catheter-directed CT hepatic angiogram of proper hepatic artery Tc-99m-MAA SPECT/CT of proper hepatic artery © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. Supplemental Figure 1 : Worked example of artery-specific SPECT/CT partition modeling of a single arterial territory
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  • 57. © Department of Nuclear Medicine and PET Dr Yung H Kao, Email: yung.h.kao@gmail.com Kao et al. State-of-the-art yttrium-90 selective internal radiation therapy: Technical aspects of artery-specific SPECT/CT partition model dosimetry. J Nucl Med. 2011; 52 (Supplement 1):1084. www.facebook.com/radioembolization SNM 2011 poster exhibit, dosimetric worksheet and more worked examples are available for download at: www.sgh.com.sg/Clinical-Departments-Centers/Nuclear-Medicine-PET