TY - JOUR
T1 - The EANM guideline for radiosynoviorthesis
AU - Kampen, W U
AU - Boddenberg-Pätzold, B
AU - Fischer, M
AU - Gabriel, M
AU - Klett, R
AU - Konijnenberg, M
AU - Kresnik, E
AU - Lellouche, H
AU - Paycha, F
AU - Terslev, L
AU - Turkmen, C
AU - van der Zant, F
AU - Antunovic, L
AU - Panagiotidis, E
AU - Gnanasegaran, G
AU - Kuwert, T
AU - Van den Wyngaert, T
AU - EANM Bone & Joint Committee, the Dosimetry Committee, the Oncology & Theranostics Committee
N1 - © 2021. The Author(s).
COPECARE
PY - 2022/1
Y1 - 2022/1
N2 - PURPOSE: Radiosynoviorthesis (RSO) using the intraarticular application of beta-particle emitting radiocolloids has for decades been used for the local treatment of inflammatory joint diseases. The injected radiopharmaceuticals are phagocytized by the superficial macrophages of the synovial membrane, resulting in sclerosis and fibrosis of the formerly inflamed tissue, finally leading to reduced joint effusion and alleviation of joint pain.METHODS: The European Association of Nuclear Medicine (EANM) has written and approved these guidelines in tight collaboration with an international team of clinical experts, including rheumatologists. Besides clinical and procedural aspects, different national legislative issues, dosimetric considerations, possible complications, and side effects are addressed.CONCLUSION: These guidelines will assist nuclear medicine physicians in performing radiosynoviorthesis. Since there are differences regarding the radiopharmaceuticals approved for RSO and the official indications between several European countries, this guideline can only give a framework that must be adopted individually.
AB - PURPOSE: Radiosynoviorthesis (RSO) using the intraarticular application of beta-particle emitting radiocolloids has for decades been used for the local treatment of inflammatory joint diseases. The injected radiopharmaceuticals are phagocytized by the superficial macrophages of the synovial membrane, resulting in sclerosis and fibrosis of the formerly inflamed tissue, finally leading to reduced joint effusion and alleviation of joint pain.METHODS: The European Association of Nuclear Medicine (EANM) has written and approved these guidelines in tight collaboration with an international team of clinical experts, including rheumatologists. Besides clinical and procedural aspects, different national legislative issues, dosimetric considerations, possible complications, and side effects are addressed.CONCLUSION: These guidelines will assist nuclear medicine physicians in performing radiosynoviorthesis. Since there are differences regarding the radiopharmaceuticals approved for RSO and the official indications between several European countries, this guideline can only give a framework that must be adopted individually.
KW - Arthritis
KW - Radiosynoviorthesis
KW - Synovitis
UR - https://www.scopus.com/pages/publications/85118183639
U2 - 10.1007/s00259-021-05541-7
DO - 10.1007/s00259-021-05541-7
M3 - Journal article
C2 - 34671820
SN - 1619-7070
VL - 49
SP - 681
EP - 708
JO - European Journal of Nuclear Medicine and Molecular Imaging
JF - European Journal of Nuclear Medicine and Molecular Imaging
IS - 2
ER -