radium

The clinical success of [223 Ra]RaCl2 (Xofigo®) for the palliative treatment of bone metastases in patients with prostate cancer has highlighted the therapeutic potential of α-particle emission. Expanding the applicability of radium-223 in Targeted Alpha Therapy of non-osseous tumors is followed up with significant interest, as it holds the potential to unveil novel treatment options in the comprehensive management of cancer. Moreover, the use of barium radionuclides, like barium-131 and -135m, is still unfamiliar in nuclear medicine applications, although they can be considered as radium-223 surrogates for imaging purposes...

This study determined natural and artificial radionuclide concentrations to evaluate natural radioactivity and health risk levels of nine travertines in the Yaprakhisar and Balkayası regions in Turkey. The samples coded B1-M, B2, B5, B7, B8, and B10 represent waste derived from the Yaprakhisar travertines, as well as samples T5-M, T12, and Z1 travertines derived from Balkayası. The levels of natural and artificial radionuclide concentrations (232 Th, 40 K, and 137 Cs) were measured using a high-purity germanium (HpGe) detector system...

Seawater intrusion has been a globally significant environmental issue. This paper comprehensively reviews and highlights the research methods of seawater intrusion in China, recommending the potential application of novel radioactive radium-radon isotopes. Geochemical and geophysical techniques have been extensively utilized in studying seawater intrusion in China, including methods such as hydrochemical analysis, groundwater level observations, geophysical survey techniques, and isotope tracing. The former three methodologies boast a lengthier historical application in seawater intrusion field, while the radium-radon tools in isotope tracing, as newcomers, can specifically indicate crucial scientific questions such as seawater intrusion rates, salt groundwater age, water-rock reactions, and preferential flow dynamics...

This study used gamma ray spectrometry to determine the radiological safety of construction soil sampled randomly from Mbeere North region, Kenya. The mean activity concentration of 232Th, 238U, and 40K was 149.7 ± 2.8 Bqkg-1, 88.3 ± 2.4 Bqkg-1, and 490 ± 35 Bqkg-1, respectively. These averages exceed the world average for all the radionuclides. The radionuclides were non-uniformly distributed, with higher concentrations along the slopes and on the feet of the hills...

Targeted radionuclide therapy (TRT) has significantly evolved from its beginnings with iodine-131 to employing carrier molecules with beta emitting isotopes like lutetium-177. With the success of Lu-177-DOTATATE for neuroendocrine tumors and Lu-177-PSMA-617 for prostate cancer, several other beta emitting radioisotopes, such as Cu-67 and Tb-161, are being explored for TRT. The field has also expanded into targeted alpha therapy (TAT) with agents like radium-223 for bone metastases in prostate cancer, and several other alpha emitter radioisotopes with carrier molecules, such as Ac-225, and Pb-212 under clinical trials...

OBJECTIVE: This study aimed to evaluate the relative efficacy and safety of first-line treatment options for metastatic castration-resistant prostate cancer (mCRPC). METHODS: We systematically searched electronic databases, including PubMed and Web of Science, for studies published from their inception to April 3rd, 2023. Inclusion criteria were: 1) Completed Phase III or IV randomized controlled trials (RCTs) registered on ClinicalTrials.gov; 2) Patients with a confirmed diagnosis of mCRPC who had not previously received chemotherapy or novel endocrine therapies...

Radium-223 (223 Ra) and Lutetium-177-labelled-PSMA-617 (177 Lu-PSMA) are currently the only radiopharmaceutical treatments to prolong survival for patients with metastatic-castration-resistant prostate cancer (mCRPC); however, mCRPC remains an aggressive disease. Recent clinical evidence suggests patients with mutations in DNA repair genes associated with homologous recombination have a greater clinical benefit from 223 Ra. In this study, we aimed to determine the utility of combining DNA damage response (DDR) inhibitors to increase the therapeutic efficacy of X-rays, or 223 Ra...

The most significant source of human exposure to ionizing radiation is the radioactive gas radon (basically 222 Rn) and its daughter decay products, creating more than half of the effective dose from all natural sources. Radon enters buildings mainly from dense rocks, which are below building foundations at depths of 1 m and more. In this paper long-term measurements of radon flux density are analyzed, with radon exhalation from the surface of the most common rocks-loams, sandy loams, clays, clay shales, several types of sandy-gravel-pebble deposits, clay and rocky limestone...

(Ra,Ba)SO4 solid solutions are commonly encountered as problematic scales in subsurface energy-related applications, e.g., geothermal systems, hydraulic fracturing, conventional oil and gas, etc. Despite its relevance, its crystallization kinetics were never determined because of radium (226), high radioactivity (3.7 × 1010 Bq g-1 ), and utilization in contemporary research, therefore constrained to trace amounts (< 10-8 M) with the composition of Bax Ra1-x SO4 commonly restricted to x > 0...

OBJECTIVE: Radium-223 (Ra-223) is an important treatment modality for bone-dominant metastatic castration-resistant prostate cancer (mCRPC). However, there is currently a lack of effective markers to monitor treatment response during treatment. We aim to investigate the response in prostate-specific antigen doubling time (PSADT) as a potential marker for assessing Ra-223 treatment in mCRPC patients. METHODS: We retrospectively collected data from mCRPC patients who underwent radium treatment at our institution between August 2020 and June 2023...

BACKGROUND: Racial disparities in oncological outcomes resulting from differences in social determinants of health (SDOH) and tumour biology are well described in prostate cancer (PCa) but similar inequities exist in bladder (BCa) and renal cancers (RCCs). Precision medicine (PM) aims to provide personalized treatment based on individual patient characteristics and has the potential to reduce these inequities in GU cancers. OBJECTIVE: This article aims to review the current evidence outlining racial disparities in GU cancers and explore studies demonstrating improved oncological outcomes when PM is applied to racially diverse patient populations...

Prostate cancer remains one of the leading causes of cancer-related death in the world. There have been significant advances in chemotherapy, hormonal therapy and targeted therapy options for patients with castrate-resistant disease. However, these systemic treatments are often associated with unwanted toxicities. Targeted therapy with radiopharmaceuticals has become of key interest to limit systemic toxicity and provides a more precision oncology approach to treatment. Strontium-89, Samarium-153 EDTMP and Radium-223 have been trialled with mixed results...

IMPORTANCE: The treatment of locally advanced non-small cell lung cancer (LA-NSCLC) has been informed by more than 5 decades of clinical trials and other relevant literature. However, controversies remain regarding the application of various radiation and systemic therapies in commonly encountered clinical scenarios. OBJECTIVE: To develop case-referenced consensus and evidence-based guidelines to inform clinical practice in unresectable LA-NSCLC. EVIDENCE REVIEW: The American Radium Society (ARS) Appropriate Use Criteria (AUC) Thoracic Committee guideline is an evidence-based consensus document assessing various clinical scenarios associated with LA-NSCLC...

SPECT can enable the quantification of activity uptake in lesions and at-risk organs in {\alpha}-particle-emitting radiopharmaceutical therapies ({\alpha}-RPTs). But this quantification is challenged by the low photon counts, complicated isotope physics, and the image-degrading effects in {\alpha}-RPT SPECT. Thus, strategies to optimize the SPECT system and protocol designs for the task of regional uptake quantification are needed. Objectively performing this task-based optimization requires a reliable (accurate and precise) regional uptake quantification method...

We previously demonstrated the anti-tumor effectiveness of transiently TCR redirected T cells recognizing a frameshift mutation in TGFβRII. We here describe a clinical protocol using mRNA TCR modified T cells to treat a patient with progressive, treatment-resistant metastatic MSI-H colorectal cancer. Following 12 escalating doses of autologous T cells electroporated with in vitro transcribed Radium-1 TCR mRNA we assessed T cell cytotoxicity, phenotype and cytokine production. Tumor markers and growth on CT scans were evaluated and immune cell tumor infiltrate at diagnosis assessed...

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Legacy disposal of oil and gas produced water (OGPW) to surface water has led to radium contamination in streambed sediment creating a long-term radium source. Increased radium activities pose a potential health hazard to benthic organisms, such as freshwater mussels, as radium is capable of bioaccumulation. This project quantifies the impact of OGPW disposal on adult freshwater mussels, Eurynia dilatata, which were examined along the Allegheny River adjacent to a centralized waste treatment facility (CWT) that historically treated and then discharged OGPW...

The process to arrive at the radiation protection practices of today to protect workers, patients, and the public, including sensitive populations, has been a long and deliberative one. This paper presents an overview of the US Environmental Protection Agency's (US EPA) responsibility in protecting human health and the environment from unnecessary exposure to radiation. The origins of this responsibility can be traced back to early efforts, a century ago, to protect workers from x rays and radium. The system of radiation protection we employ today is robust and informed by the latest scientific consensus...

Radioactivity of Ra isotopes in natural waters is of serious concern. Control of 226 Ra concentrations in tailings ponds, which store waste from U ore extraction processes, is an important issue in mill tailings management. In this study, we tested microbially formed Mn(IV) oxide as an adsorbent for removal of Ra in water treatment. Biogenic Mn(IV) oxide (BMO) was prepared using a Mn(II)-oxidizing fungus, Coprinopsis urticicola strain Mn-2. First, adsorption experiments of Sr and Ba, as surrogates for Ra, onto BMO were conducted in aqueous NaCl solution at pH 7...

IMPORTANCE: Innovative nuclear medicine services offer substantial clinical value to patients. However, these advancements often come with high costs. Traditional payment strategies do not incentivize medical institutes to provide new services nor determine the fair price for payers. A shift towards a value-based pricing strategy is imperative to address these challenges. Such a strategy would reconcile the cost of innovation with incentives, foster transparent allocation of healthcare resources, and expedite the accessibility of essential medical services...