2009 Volume 58 Issue 8 Pages 557-576
Radioimmunotherapy with unsealed source 90Y-ibritumomab tiuxetan requires physicians and paramedics who have adequate knowledge and experience as to anti-cancer chemotherapy, radiation therapy, handling of radioactive materials, etc. as well as adequate facilities, equipments and safety management system. The Japanese Society of Nuclear Medicine and the Japanese Society for Therapeutic Radiology and Oncology recently conducted an economic evaluation about radioimmunotherapy using 90Y-ibritumomab tiuxetan based on the medical technology assessment at the 16 medical facilities. As a result of this survey, the necessity to improve the current reimbursement system under national health insurance has been suggested, so that the cost(4 450 ten for five times)for this therapy at the medical facility can be appropriately reimbursed for the proper dissemination of this therapy.