Arrangements prior to treatmentOnce the decision to proceed has been taken the team should:
download the protocol in clinic and file in the patient's notes.
download the QoL questionnaire and complete at baseline and at each assessment vist before the next treatment cycle
Eligibility for therapy for all patients will be discussed in a multidisciplinary setting.
* In patients where this may be a concern, particularly those with metastatic carcinoid syndrome, a baseline echocardiogram should be performed pre-treatment prior to discussion about patient eligibility for Lu-177 treatment.
Patients attend M30 clinic 2 weeks before each treatment cycle to ensure that they meet the criteria for subsequent treatment. Treatment cycles are approximately every 12-16 weeks for 3 - 4 cycles.