DETERMINATION OF THE RADIATION DOSE LEVEL TO WHICH THE LUNG AND LIVER ARE EXPOSED IN THE TREATMENT OF LIVER CANCER WITH THE Yttrium-90 RADIOEMBOLIZATION METHOD


Tezin Türü: Yüksek Lisans

Tezin Yürütüldüğü Kurum: Yıldız Teknik Üniversitesi, Elektrik-Elektronik Fakültesi, Biyomedikal Mühendisliği, Türkiye

Tezin Onay Tarihi: 2024

Tezin Dili: Türkçe

Öğrenci: Kaan Selçukhan SAKMAK

Danışman: Osman Günay

Özet:

Liver tumors are examined in two groups, primary and metastatic, and the primary treatment methods are resection. When liver tumors are examined, it is seen that the most common liver tumor is hepatocellular carcinoma. The fact that resection cannot be applied to all patients with liver cancer causes alternative methods to be used in the treatment of the disease. One of these methods, the Y-90 Radioembolization method, is based on the principle of shrinking or destroying the existing tumor by injecting Yttrium-90, which is used as a radionuclide in the treatment of liver tumors and produces β radiation, through the hepatic arteries that largely feed the liver tumor. In this study, a hepatopulmonary shunt model, previously designed in 3D and in which radioembolization treatment, with a hepatopulmonary shunt rate of 10%, can be easily simulated, was used as a phantom. Two tumors, large and small, were simulated in the liver section of the model used and Yttrium-90 was injected into this area. After the radionuclide substance was kept in the relevant tumor cavities for 14 days, radiation dose xi measurements were made on the lung and liver with the help of thermoluminescence dosimeters. As a result, the highest dose level to which the lung was exposed was measured between 1.4091 Sv and 1.845 Sv, while the dose to which the liver was exposed was measured as 19.79 Sv to 25.077 Sv. When the half-life of the radionuclide used was evaluated, it showed that the dose levels obtained at the end of the 14th day could be evaluated as the dose levels used in current treatment methods, and although the injected radionuclide did not show a homogeneous distribution, it gave information about the dose level to which the surrounding tissues were exposed.