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Inter-institutional variability in kidney dosimetry during $$^{177}$$Lu-DOTATATE therapy in Japan

Miyaji, Noriaki*; Miwa, Kenta*; Sato, Tatsuhiko   ; 25 of others*

This study evaluated inter-institutional variability in kidney dosimetry using common $$^{177}$$Lu-SPECT/CT datasets from the SNMMI Dosimetry Challenge. Ten Japanese centers calculated kidney volumes and absorbed doses with various organ- and voxel-based software. Manual VOI contouring caused large variability (CV up to 16.9%), reduced to 7.4% using common VOIs. Voxel-based dosimetry yielded higher doses but reduced variability, highlighting the need for algorithm standardization to ensure reliable $$^{177}$$Lu-DOTATATE kidney dosimetry in Japan.

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