Palliation of Pain with Radiopharmaceuticals

This tutorial provides 1.0 CEUs and is ideal for:

  1. Nuclear Medicine and Radiology Technologists. The VOICE program of the Society of Nuclear Medicine and Molecular Imaging (SNMMI) has reviewed this program and approved it for a maximum of 81 continuing education hours. Because these tutorials have been approved by the VOICE Program, they are accepted for CE credit in all 50 states and by ARRT and NMTCB, even if you are not a VOICE/SNMMI member.
  2. Physicians requiring CME Credits to maintain IAC Accreditation. All or a portion of this educational activity may meet the CME requirement for IAC Nuclear/PET Accreditation. Our website is listed on the resources page of the IAC website.

Proceed to the Tutorial: Palliation of Pain Tutorial

Proceed to the Quiz: Palliation of Pain Quiz

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This tutorial gives a comprehensive overview of Radionuclide Therapy for the purpose of palliating pain caused by bony metastases. This is a very valuable, but highly under-utilized procedure that renders pain relief (sometimes complete) in ~80% of all patients treated with the available therapeutic radiopharmaceuticals.

This tutorial covers

  • A historical overview of palliation of pain with therapeutic radiopharmaceuticals
  • A description of these radiopharmaceuticals and the physical properties of the associated alpha and β- emitting radionuclide as well as typical recommended doses
  • The epidemiology of cancer resulting in pain from metastases, especially breast and prostate cancer
  • All the therapeutic approaches utilized for palliating bone pain, with special emphasis on radiopharmaceuticals
  • Eligibility criteria for undergoing the study  Internal radiation dosimetry of each available drug
  • Typical clinical outcomes
  • Very detailed information about clinical use of each of the three available drugs.

OBJECTIVES: At the conclusion of this presentation, attendees should be able to:

  • List the three therapeutic radiopharmaceuticals available for palliation of pain from bony metastases and give their typical administered doses and the mode of decay and half-life of each of the radiopharmaceuticals
  • Discuss the demographics of breast and prostate cancer and the expected clinical outcomes following administration of each of these drugs
  • List other therapeutic approaches for palliation of pain that do not involve use of radioactivity and the limitations of each
  • List at least three eligibility criteria for undergoing this type of radionuclide therapy
  • Compare the whole body and bone marrow internal radiation doses for each of the three available radiopharmaceuticals.

If you have taken one of the tutorials, received a score of 80% or above, and wish to receive CE credit: Make sure you submit all of the requested information when taking the test. It’s not necessary to send us the score sheets since we receive them electronically when you submit your answers for scoring.

Within 24 hours of receipt of your submitted score sheets and payment for the tutorial(s), we will do all of the following:

1. Send a certificate to you via e-mail
2. Send a certificate to you via US Mail
3. All members of the SNMMI will have to self-report their CE Credits on the SNMMI Website ( We will automatically send detailed self-reporting instructions to you along with your CE Credit Certificate.
If you have any problems with the self-reporting system, please contact the VOICE Coordinator directly at 703 708-9000. ).

If paying by check, please make payable to Consultants in Nuclear Medicine and mail your payment to:   Consultants in Nuclear Medicine 2910 W. Estes Avenue  Chicago, IL 60645-2394

To make sure your check is in the appropriate amount, please note the following:
If a tutorial awards 1 CEU, the cost is $20.00
If a tutorial awards 2 CEU, the cost is $30.00
If a tutorial awards 3 CEU, the cost is $40.00

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Simply click the appropriate link for the tutorial for which you wish to receive CE credit.   Check your “shopping cart” order carefully- adding or deleting items before you proceed to check out.   “PayPal” credit card payments are available for anyone although you will need to submit more information if you are a new user without an established “PayPal” account.   Please use the PayPal links on the website to submit your payment.   If your credit card information does not match your score page information, please include a copy of your PayPal payment statement so we can match transactions correctly.

All of our tutorials are available for your use in reviewing for your Board Certification Examination.   There is no charge to use these tutorials unless you wish to obtain CE Credit.

Please feel free to review the tutorials as often as you wish; the test may be taken once.  If a score <80% is obtained, then the test may be retaken once.
If the score is still <80%, please contact Dr. Karesh, Tutorials Coordinator, by e-mail at for further instructions.