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Prostate Cancer Treatment with Lutetium-177 PSMA (688399) | University Hospital Mainz - BookingHealth
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After that, you will undergo any necessary additional tests, such as an assessment of your liver and kidney function, a scintigraphy of your skeleton and salivary glands, a PSMA PET\/CT (additional cost). This will allow the doctor to calculate your individual dosage of the radionuclide.<\/p>\n\n<p style=\"text-align:justify\"><strong>PSMA therapy with Lutetium-177<\/strong>&nbsp;is carried out via intravenous administration of a solution containing the radioactive isotope, Lutetium-177. The solution is injected through a catheter. This is a short procedure, as the infusion usually takes no more than 20 minutes.<\/p>\n\n<p style=\"text-align:justify\">During the procedure, you will need to apply cooling bags to your salivary glands, as Lutetium-177 partially accumulates in the salivary glands, affecting their function and causing a dry mouth. You will also receive intravenous saline solutions to protect your kidneys.<\/p>\n\n<p style=\"text-align:justify\">After the infusion of Lutetium-177, you will stay in a specially equipped (radiation-shielded) ward for 48 hours. The drug is quickly excreted by the kidneys, and after 48 hours you will no longer be dangerous to others. During these 48 hours, you can read, use a mobile phone, tablet or computer &ndash; none of these devices will be a source of radiation in the future.<\/p>\n\n<p style=\"text-align:justify\"><strong>Follow-up examinations<\/strong>&nbsp;include whole-body scintigraphy and computed tomography in 24 hours, and then again 48 hours after the procedure.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>history taking<\/li>\n\t<li>general clinical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>urinalysis<\/li>\n\t\t<li>TSH-basal, fT3, fT4<\/li>\n\t\t<li>PSA blood test<\/li>\n\t\t<li>tests for urogenital infections<\/li>\n\t\t<li>indicators of inflammation<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>ultrasound scan of the urogenital system<\/li>\n\t<li>renal scintigraphy<\/li>\n\t<li>PSMA PET-CT (if indicated)<\/li>\n\t<li>PSMA treatment<\/li>\n\t<li>full body scintigraphy after 24 hours<\/li>\n\t<li>full body scintigraphy after 48&nbsp;hours<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>cost of essential medicines<\/li>\n\t<li>nursing services<\/li>\n\t<li>elaboration of further recommendations<\/li>\n\t<li>stay in the hospital with full board&nbsp;<\/li>\n\t<li>accommodation in a room with 2 beds<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>During the first visit<\/strong>,&nbsp;the doctor will carry out a general physical examination and go through the results of your previous laboratory and instrumental tests. After that, you will undergo any necessary additional tests, such as an assessment of your liver and kidney function, a scintigraphy of your skeleton and salivary glands, a PSMA PET\/CT (additional cost). This will allow the doctor to calculate your individual dosage of the radionuclide.<\/p>\n\n<p style=\"text-align:justify\"><strong>PSMA therapy with Lutetium-177<\/strong>&nbsp;is carried out via intravenous administration of a solution containing the radioactive isotope, Lutetium-177. The solution is injected through a catheter. This is a short procedure, as the infusion usually takes no more than 20 minutes.<\/p>\n\n<p style=\"text-align:justify\">During the procedure, you will need to apply cooling bags to your salivary glands, as Lutetium-177 partially accumulates in the salivary glands, affecting their function and causing a dry mouth. 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Prostate Cancer Treatment with Lutetium-177 PSMA in University Hospital Mainz

University Hospital Mainz

Mainz, Germany
Program id # 688399
Doctor photo
Prof. Dr. med. Mathias Schreckenberger
Department of Nuclear Medicine
Specialized in: nuclear medicine

The program includes:

  • Initial presentation in the clinic
  • history taking
  • general clinical examination
  • laboratory tests:
    • complete blood count
    • biochemical analysis of blood
    • urinalysis
    • TSH-basal, fT3, fT4
    • PSA blood test
    • tests for urogenital infections
    • indicators of inflammation
    • indicators of blood coagulation
  • ultrasound scan of the urogenital system
  • renal scintigraphy
  • PSMA PET-CT (if indicated)
  • PSMA treatment
  • full body scintigraphy after 24 hours
  • full body scintigraphy after 48 hours
  • symptomatic treatment
  • cost of essential medicines
  • nursing services
  • elaboration of further recommendations
  • stay in the hospital with full board 
  • accommodation in a room with 2 beds

How program is carried out

During the first visit, the doctor will carry out a general physical examination and go through the results of your previous laboratory and instrumental tests. After that, you will undergo any necessary additional tests, such as an assessment of your liver and kidney function, a scintigraphy of your skeleton and salivary glands, a PSMA PET/CT (additional cost). This will allow the doctor to calculate your individual dosage of the radionuclide.

PSMA therapy with Lutetium-177 is carried out via intravenous administration of a solution containing the radioactive isotope, Lutetium-177. The solution is injected through a catheter. This is a short procedure, as the infusion usually takes no more than 20 minutes.

During the procedure, you will need to apply cooling bags to your salivary glands, as Lutetium-177 partially accumulates in the salivary glands, affecting their function and causing a dry mouth. You will also receive intravenous saline solutions to protect your kidneys.

After the infusion of Lutetium-177, you will stay in a specially equipped (radiation-shielded) ward for 48 hours. The drug is quickly excreted by the kidneys, and after 48 hours you will no longer be dangerous to others. During these 48 hours, you can read, use a mobile phone, tablet or computer – none of these devices will be a source of radiation in the future.

Follow-up examinations include whole-body scintigraphy and computed tomography in 24 hours, and then again 48 hours after the procedure.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Nuclear Medicine at the University Hospital Mainz offers the full range of services in this field. The department specializes in the diagnostics and treatment of various diseases with the help of radioactive substances. Of particular interest is the treatment of benign and malignant thyroid diseases with radioiodine therapy. The department employs highly qualified doctors who take care of the individual approach to each patient, the selection of the optimal form of therapy with minimal side effects. The department is headed by Prof. Dr. med. Mathias Schreckenberger.

The service range of the department includes the following diagnostic and therapeutic options:

Diagnostics

  • PET-CT
    • Diagnostics of oncological diseases
      • Non-small-cell lung carcinoma
      • Colorectal cancer
      • Breast cancer
      • Skin cancer (malignant melanoma)
      • Malignant lymphoma
      • Esophageal carcinoma
      • Thyroid cancer
      • Pancreatic cancer
      • Ovarian cancer
      • Head and neck tumors
      • Bone and soft tissue tumors
      • Brain tumors
    • Diagnostics of brain diseases
      • Early diagnostics of dementia with F18 deoxyglucose
      • Early diagnostics of Parkinson's disease with F18-DOPA, F18DMFP (D2 receptor)
      • Diagnostics of brain tumors using F18-FET (amino acid metabolism)
      • Diagnosis of epilepsy with F18-deoxyglucose
    • Diagnostics of heart diseases
    • Diagnostics of inflammatory processes of limited localization
  • Ultasound exainations
  • Scintigraphy
  • Other diagnostic methods

Therapy

  • Radioiodine therapy in
    • Overactive thyroid (hyperthyroidism)
    • Enlarged thyroid gland
    • Thyroid cancer
  • 90Yttrium-DOTATOC therapy in patients with metastatic neuroendocrine tumors
  • 186Rhenium-HEDP therapy in patients with painful bone metastases
  • 131I-MIBG therapy in patients with metastatic pheochromocytoma, neuroblastoma or paraganglioma
  • Selective internal radiation therapy (SIRT) in patients with liver cancer and liver metastases
  • Other types of therapy

Curriculum vitae

Prof. Dr. med. Mathias Schreckenberger studied Human Medicine at the Johannes Gutenberg University Mainz (1984 - 1990) after the end of military service. After receiving his doctoral degree, he worked as a Research Assistant at the University Hospital Erlangen-Nuremberg, Mainz and Aachen in the field of Anatomy of the Nervous System, Ophthalmology, Neurology and Nuclear Medicine. In 1999, the professor received the title of a Medical Specialist in Nuclear Medicine. In the same year, Dr. Schreckenberger took the position of a Senior Physician in the Department of Nuclear Medicine at the University Hospital Aachen. In 2007, he was habilitated and took the position of the Leading Senior Physician in the Department of Nuclear Medicine at the University Hospital Mainz. In 2003, the doctor was offered the position of C3 Professor in Nuclear Medicine, and in 2006 he was appointed to the post of an Acting Head of the Department of Nuclear Medicine at the University Hospital Mainz. Also, Dr. Schreckenberger declined the offer to take a position at the Department of RWTH Aachen (2007). In May 2008, he became the Professor and Head of the Department of Nuclear Medicine at the University Hospital Mainz.

Photo of the doctor: (c) Universitätsmedizin der Johannes Gutenberg-Universität Mainz


About hospital

The University Hospital Mainz is one of the best maximum care medical facilities in Germany and an internationally recognized scientific center. There are more than 60 departments and institutes, which represent all fields of modern medicine. The hospital serves more than 68,000 inpatients and more than 273,000 outpatients annually, which testifies to the excellent reputation of this medical institution.

The key to the successful clinical practice is also a highly qualified medical staff, which consists of 7.800 employees from various fields. The doctors of the hospital are convinced that each clinical case requires an individual approach, therefore, they devote much time to consultations and communication with patients. The main goal of all hospital employees is to provide an optimal medical care based on the use of the state-of-art diagnostic and therapeutic measures, as well as the introduction of the latest scientific achievements into the medical practice.

The best interns and assistant physicians are trained here. The world-famous leading physicians of the hospital share their long experience and professional skills. Naturally, an integral part of the university hospital work is research, thanks to which many innovative possibilities in the field of diagnostics and therapy have been developed.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Mainz live in bright, spacious and comfortable rooms. The patient rooms are equipped with modern electronically adjustable beds, which at the touch of a button automatically assume a specified position. Also, there is a TV and a telephone in the patient rooms. To use them, it is necessary to get a prepaid card (in vending machines at the entrance to the hospital). The use of a TV is free, but the patient will need headphones. Telephone calls are made for a fixed fee, which will be withdrawn from the prepaid card at discharge from the hospital. Also, each patient room is equipped with an ensuite bathroom with shower, washbasin and toilet.

Meals and Menus

The patients of the hospital are offered a tasty and balanced three meals a day: breakfast, lunch and dinner. The menu also includes vegetarian and dietary dishes. In addition, for both patients and their visitors there are available cafeterias and bakeries, where one can buy baked goods, snacks, hot and cold drinks.

Further details

Standard rooms include:

Shower
Toilet
TV