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Preclinical Single Photon Emission Computed Tomography of Alpha Particle-Emitting Radium-223

Abou, Diane S. ; Rittenbach, Andrew ; Tomlinson, Ryan E. ; Finley, Paige A. ; Tsui, Benjamin ; Simons, Brian W. ; Jha, Abhinav K. ; Ulmert, David LU ; Riddle, Ryan C. and Thorek, Daniel L.J. (2020) In Cancer Biotherapy and Radiopharmaceuticals 35(7). p.520-529
Abstract

Objective: Dose optimization and pharmacokinetic evaluation of α-particle emitting radium-223 dichloride (223RaCl2) by planar γ-camera or single photon emission computed tomography (SPECT) imaging are hampered by the low photon abundance and injected activities. In this study, we demonstrate SPECT of 223Ra using phantoms and small animal in vivo models. Methods: Line phantoms and mice bearing 223Ra were imaged using a dedicated small animal SPECT by detecting the low-energy photon emissions from 223Ra. Localization of the therapeutic agent was verified by whole-body and whole-limb autoradiography and its radiobiological effect confirmed by immunofluorescence. Results: A state-of-the-art commercial small animal SPECT system equipped with... (More)

Objective: Dose optimization and pharmacokinetic evaluation of α-particle emitting radium-223 dichloride (223RaCl2) by planar γ-camera or single photon emission computed tomography (SPECT) imaging are hampered by the low photon abundance and injected activities. In this study, we demonstrate SPECT of 223Ra using phantoms and small animal in vivo models. Methods: Line phantoms and mice bearing 223Ra were imaged using a dedicated small animal SPECT by detecting the low-energy photon emissions from 223Ra. Localization of the therapeutic agent was verified by whole-body and whole-limb autoradiography and its radiobiological effect confirmed by immunofluorescence. Results: A state-of-the-art commercial small animal SPECT system equipped with a highly sensitive collimator enables collection of sufficient counts for three-dimensional reconstruction at reasonable administered activities and acquisition times. Line sources of 223Ra in both air and in a water scattering phantom gave a line spread function with a full-width-at-half-maximum of 1.45 mm. Early and late-phase imaging of the pharmacokinetics of the radiopharmaceutical were captured. Uptake at sites of active bone remodeling was correlated with DNA damage from the α particle emissions. Conclusions: This work demonstrates the capability to noninvasively define the distribution of 223RaCl2, a recently approved α-particle-emitting radionuclide. This approach allows quantitative assessment of 223Ra distribution and may assist radiation-dose optimization strategies to improve therapeutic response and ultimately to enable personalized treatment planning.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
molecular imaging, pharmacokinetics, theranostics, α-particle radiotherapy
in
Cancer Biotherapy and Radiopharmaceuticals
volume
35
issue
7
pages
10 pages
publisher
Mary Ann Liebert, Inc.
external identifiers
  • pmid:32182119
  • scopus:85086781230
ISSN
1084-9785
DOI
10.1089/cbr.2019.3308
language
English
LU publication?
yes
id
7489223b-0d6e-4e5f-ac49-dcdafd61a734
date added to LUP
2021-01-08 12:59:06
date last changed
2024-05-17 01:00:22
@article{7489223b-0d6e-4e5f-ac49-dcdafd61a734,
  abstract     = {{<p>Objective: Dose optimization and pharmacokinetic evaluation of α-particle emitting radium-223 dichloride (223RaCl2) by planar γ-camera or single photon emission computed tomography (SPECT) imaging are hampered by the low photon abundance and injected activities. In this study, we demonstrate SPECT of 223Ra using phantoms and small animal in vivo models. Methods: Line phantoms and mice bearing 223Ra were imaged using a dedicated small animal SPECT by detecting the low-energy photon emissions from 223Ra. Localization of the therapeutic agent was verified by whole-body and whole-limb autoradiography and its radiobiological effect confirmed by immunofluorescence. Results: A state-of-the-art commercial small animal SPECT system equipped with a highly sensitive collimator enables collection of sufficient counts for three-dimensional reconstruction at reasonable administered activities and acquisition times. Line sources of 223Ra in both air and in a water scattering phantom gave a line spread function with a full-width-at-half-maximum of 1.45 mm. Early and late-phase imaging of the pharmacokinetics of the radiopharmaceutical were captured. Uptake at sites of active bone remodeling was correlated with DNA damage from the α particle emissions. Conclusions: This work demonstrates the capability to noninvasively define the distribution of 223RaCl2, a recently approved α-particle-emitting radionuclide. This approach allows quantitative assessment of 223Ra distribution and may assist radiation-dose optimization strategies to improve therapeutic response and ultimately to enable personalized treatment planning. </p>}},
  author       = {{Abou, Diane S. and Rittenbach, Andrew and Tomlinson, Ryan E. and Finley, Paige A. and Tsui, Benjamin and Simons, Brian W. and Jha, Abhinav K. and Ulmert, David and Riddle, Ryan C. and Thorek, Daniel L.J.}},
  issn         = {{1084-9785}},
  keywords     = {{molecular imaging; pharmacokinetics; theranostics; α-particle radiotherapy}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{520--529}},
  publisher    = {{Mary Ann Liebert, Inc.}},
  series       = {{Cancer Biotherapy and Radiopharmaceuticals}},
  title        = {{Preclinical Single Photon Emission Computed Tomography of Alpha Particle-Emitting Radium-223}},
  url          = {{http://dx.doi.org/10.1089/cbr.2019.3308}},
  doi          = {{10.1089/cbr.2019.3308}},
  volume       = {{35}},
  year         = {{2020}},
}