Strontium sr-89 chloride, therapeutic, per millicurie
HCPCS code
Name of the Procedure:
Common name: Strontium-89 Therapy Medical term: Strontium Sr-89 Chloride Therapy
Summary
Strontium Sr-89 Chloride Therapy is a medical treatment used for pain relief in patients with cancer that has spread to the bones. It involves the injection of a radioactive substance called strontium-89, which targets and helps alleviate bone pain caused by cancer.
Purpose
Medical Conditions:
- Bone metastases (cancer that has spread to the bones)
Goals and Expected Outcomes:
- Pain relief in affected bone areas
- Improve the quality of life for patients with advanced cancer
Indications
Specific Symptoms:
- Severe bone pain due to metastatic cancer
Patient Criteria:
- Diagnosed with cancer that has metastasized to the bones
- Experiencing significant pain unmanageable by other medications
Preparation
Pre-procedure Instructions:
- No specific fasting required
- Discontinue certain medications if advised by your doctor
Diagnostic Tests:
- Blood tests to check overall health and bone marrow function
Procedure Description
- The patient receives an intravenous (IV) injection of strontium-89 chloride.
- Strontium-89 circulates through the bloodstream and localizes in the bone tissue.
It emits radiation directly to the bone tumors, alleviating pain.
Tools and Equipment:
- IV injection equipment
- Radiopharmaceutical (Strontium-89)
Anesthesia or Sedation:
- Not required
Duration
- The actual injection takes about 5-10 minutes.
- Pain relief may begin within 1 to 2 weeks after the injection.
Setting
- Performed in a hospital or an outpatient clinic with facilities to handle radioactive materials.
Personnel
- Oncologist
- Nuclear medicine specialist
- Registered nurse
Risks and Complications
Common Risks:
- Mild reactions at the injection site
- Temporary increase in bone pain (flare reaction)
Rare Complications:
- Lowered blood cell counts, potentially leading to increased risk of infection or bleeding
- Potential bone marrow suppression
Benefits
- Significant pain relief in bone metastases
- Improved mobility and quality of life
- Relief can last for several months
Recovery
Post-procedure Care:
- Hydration is encouraged
- Regular monitoring of blood counts
Expected Recovery Time:
- Minimal downtime required, most patients can continue with daily activities
- Follow-up appointments as recommended by the healthcare provider
Alternatives
Other Treatment Options:
- Oral or intravenous pain medications
- Radiation therapy
- Bisphosphonates (bone-strengthening drugs)
Pros and Cons of Alternatives:
- Pain medications may not provide long-lasting relief
- External radiation therapy can target specific bone areas but may not cover all painful sites
- Bisphosphonates can strengthen bones but may not offer immediate pain relief
Patient Experience
During the Procedure:
- Minor discomfort at the injection site
- Generally, no pain during the injection
After the Procedure:
- Potential slight increase in pain initially (flare reaction)
- Pain relief usually felt within 1-2 weeks and can last for several months
- Routine blood tests to monitor for side effects