Abstract: Objective To assess the therapeutic efficacy of Iodine-131-1abeled chimeric tumor necrosis treatment radioimmunotherapy(131 I-chTNT) in patients with advanced lung cancer. Methods 15 patients con-firmed diagnosis of advanced lung cancer were treated with intravenous injections of 131I-chTNT, and radionu-clide imaging was performed at 1,3,5,7,9,15 day after therapy ,the objective response rate(ORR) was used to assess the therapeutic efficacy. Results The results showed an ORR of 40% (complete response, 1 case; partial response,5 cases; no change,7 cases; and progressive disease,2 cases); radionuclide imaging study demon-strated that 131I-chTNT had a long and stable retention in lung tumor. The most obvious adverse side effect was mild and reversible bone marrow suppression. Conclusion The short-term effect of 131I-chTNT in patients with advanced lung cancer is good, radionuclide imaging after therapy can objectively show localization of the radioac-tivity in tumors