{"id":1350,"date":"2026-05-23T11:00:00","date_gmt":"2026-05-23T14:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1350"},"modified":"2026-05-23T11:00:00","modified_gmt":"2026-05-23T14:00:00","slug":"pgrss-centro-teranostico-lu-177-psma-y-90-microsferas-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-centro-teranostico-lu-177-psma-y-90-microsferas-rss\/","title":{"rendered":"PGRSS centro teran\u00f3stico \u2014 Lu-177 PSMA + Y-90"},"content":{"rendered":"<h2>Por que centro teran\u00f3stico tem perfil \u00fanico<\/h2>\n<p>Teran\u00f3stica = <strong>terapia + diagn\u00f3stico<\/strong> com mesmo radiof\u00e1rmaco em par (Ga-68 PSMA imagem + Lu-177 PSMA terapia \/ Tc-99m diagn\u00f3stico + Re-188 terapia). Centro teran\u00f3stico avan\u00e7ado realiza: <strong>Lu-177 PSMA (pr\u00f3stata metast\u00e1tico)<\/strong> + <strong>Y-90 microsfera (HCC, mama, colorretal)<\/strong> + <strong>Lu-177 DOTATATE (NET)<\/strong> + <strong>Ac-225 alfa-emissor (pr\u00f3stata refrat\u00e1rio)<\/strong> + <strong>Ho-166 (HCC)<\/strong> + <strong>Re-188 (sinovial)<\/strong>. Alta complexidade radiol\u00f3gica + RSS Grupo C decaimento longo. Opera sob RDC 222 + CNEN-NN-3.05 + CNEN-NN-6.05 + CNEN-NN-7.06 + RDC 38\/2008 + Resolu\u00e7\u00e3o CFM 2.219\/2018 + Portaria 2.022 ANVISA.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Tempo decaimento (10\u00d7 T\u00bd)<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Frasco Lu-177 PSMA vencido (T\u00bd 6,7d)<\/td>\n<td>C \u2192 A1<\/td>\n<td>67 dias<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Microsfera Y-90 cateter p\u00f3s-uso (T\u00bd 64h)<\/td>\n<td>C \u2192 A1<\/td>\n<td>27 dias<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco Ac-225 (T\u00bd 9,9d)<\/td>\n<td>C alfa-emissor<\/td>\n<td>99 dias<\/td>\n<td>0,1-0,3 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco Ho-166 (T\u00bd 26,8h)<\/td>\n<td>C \u2192 A1<\/td>\n<td>11 dias<\/td>\n<td>0,2-0,8 kg<\/td>\n<\/tr>\n<tr>\n<td>Material aplica\u00e7\u00e3o (cateter, EPI completo)<\/td>\n<td>A1 risco aumentado + dos\u00edmetro<\/td>\n<td>3-10 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>5-15 kg\/m\u00eas<\/strong> + cofre decaimento dedicado.<\/p>\n<h2>Cap\u00edtulo Lu-177 PSMA + cofre + paciente<\/h2>\n<p>Protocolo Lu-177 PSMA exige rigor m\u00e1ximo:<\/p>\n<ul>\n<li>Quarto blindado paciente isolamento 24-48h p\u00f3s-aplica\u00e7\u00e3o<\/li>\n<li>Excretas (urina + fezes) Grupo C \u2192 tanque decaimento subterr\u00e2neo 30-60d<\/li>\n<li>Cofre Pb 5cm para frascos vencidos pr\u00e9-decaimento<\/li>\n<li>Dos\u00edmetro pessoal + ambiental + Geiger sa\u00edda<\/li>\n<li>Comunica\u00e7\u00e3o CNEN di\u00e1ria (logo evento)<\/li>\n<li>Auditoria SPR semanal + CNEN trimestral<\/li>\n<li>ART CFM 2.219 + RT f\u00edsico m\u00e9dico + supervisor radioprote\u00e7\u00e3o<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Centro com 1 modalidade (Lu-177 PSMA, 5-15\/m\u00eas):<\/strong> R$ 4-9k\/m\u00eas. Setup R$ 95-180k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com 2-3 modalidades (Lu-177 + Y-90):<\/strong> R$ 9-18k\/m\u00eas. Setup R$ 180-350k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (Lu-177 + Y-90 + Ac-225 + Ho-166):<\/strong> R$ 18-35k\/m\u00eas. Setup R$ 350-650k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco Lu-177 pr\u00e9-decaimento descartado \u2014 auto CNEN R$ 100-500k + crime ambiental<\/li>\n<li>Excreta paciente vaso comum 48h \u2014 contamina\u00e7\u00e3o esgoto + CNEN + IBAMA<\/li>\n<li>Sem dos\u00edmetro sa\u00edda paciente \u2014 auto CNEN + cassa\u00e7\u00e3o licen\u00e7a<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o centro teran\u00f3stico<\/a><\/strong> \u2014 cap\u00edtulo CNEN + cofre + tanque decaimento + dos\u00edmetro.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de centro teran\u00f3stico avan\u00e7ado: Lu-177 PSMA, Y-90 microsfera, Ac-225, alvo molecular oncol\u00f3gico.<\/p>\n","protected":false},"author":3,"featured_media":1349,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2275,22,2274,2276],"class_list":["post-1350","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-lu-177-psma","tag-rdc-222","tag-teranostico","tag-y-90"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1350"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1350\/revisions"}],"predecessor-version":[{"id":3916,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1350\/revisions\/3916"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1349"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}