Radiopharmaceuticals

[jcradonc]

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Since the radiopharmaceutical industry is expanding and many new drugs are in the pipeline for oncologic care, will radiation oncologist manage this aspect of care? On my rotation I saw use of samarium and yttrium 90, but was wondering whether monoclonal antibodies, usually prescribed by med onc would now fall under rad onc because of the conjugated isotope?

 

[RadOncDoc21]

Since the radiopharmaceutical industry is expanding and many new drugs are in the pipeline for oncologic care, will radiation oncologist manage this aspect of care? On my rotation I saw use of samarium and yttrium 90, but was wondering whether monoclonal antibodies, usually prescribed by med onc would now fall under rad onc because of the conjugated isotope?

Right now, it varies from institution to individuals and the market is pretty open. At our hospital, the Nuc medicine docs do that.

 

[medgator]

Since the radiopharmaceutical industry is expanding and many new drugs are in the pipeline for oncologic care, will radiation oncologist manage this aspect of care? On my rotation I saw use of samarium and yttrium 90, but was wondering whether monoclonal antibodies, usually prescribed by med onc would now fall under rad onc because of the conjugated isotope?

Med oncs can't give them as they lack the proper licensing and training

in residency, nuc med did it. In private practice where I am, we do it

 

[Seldon1985]

What is reimbursement like for radiopharmaceutical administration? Nuc meds at my program run that show...

 

[deleted4401]

Literally nothing for rad-oncs in Maryland. We do it rarely, because med oncs like to really waste the marrow before we try it, at which point we can't.

What is reimbursement like for radiopharmaceutical administration? Nuc meds at my program run that show...

 

[medgator]

What is reimbursement like for radiopharmaceutical administration? Nuc meds at my program run that show...

As SimulD said, nothing to write home about. We don't do much Zevalin/bexaar, but do a moderate amount of samarium-153 and Iodine for thyroid ablation/CA

 

[Winged Scapula]

What is reimbursement like for radiopharmaceutical administration? Nuc meds at my program run that show...

This might give you an idea (keep in mind that the procedure codes don't include the imaging, if any, used to administer radiopharmaceuticle).