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Aurora Kinase A inhibition enhances DNA damage and tumor cell death with 131I-MIBG therapy in high-risk neuroblastoma. 抑制极光激酶 A 可增强高危神经母细胞瘤患者接受 131I-MIBG 治疗时的 DNA 损伤和肿瘤细胞死亡。
IF 3.1 3区 医学
EJNMMI Research Pub Date : 2024-06-13 DOI: 10.1186/s13550-024-01112-7
Prerna Kumar, Jessica Koach, Erin Nekritz, Sucheta Mukherjee, Benjamin S Braun, Steven G DuBois, Nicole Nasholm, Daphne Haas-Kogan, Katherine K Matthay, William A Weiss, Clay Gustafson, Youngho Seo
{"title":"Aurora Kinase A inhibition enhances DNA damage and tumor cell death with <sup>131</sup>I-MIBG therapy in high-risk neuroblastoma.","authors":"Prerna Kumar, Jessica Koach, Erin Nekritz, Sucheta Mukherjee, Benjamin S Braun, Steven G DuBois, Nicole Nasholm, Daphne Haas-Kogan, Katherine K Matthay, William A Weiss, Clay Gustafson, Youngho Seo","doi":"10.1186/s13550-024-01112-7","DOIUrl":"10.1186/s13550-024-01112-7","url":null,"abstract":"<p><strong>Background: </strong>Neuroblastoma is the most common extra-cranial pediatric solid tumor. <sup>131</sup>I-metaiodobenzylguanidine (MIBG) is a targeted radiopharmaceutical highly specific for neuroblastoma tumors, providing potent radiotherapy to widely metastatic disease. Aurora kinase A (AURKA) plays a role in mitosis and stabilization of the MYCN protein in neuroblastoma. We aimed to study the impact of AURKA inhibitors on DNA damage and tumor cell death in combination with <sup>131</sup>I-MIBG therapy in a pre-clinical model of high-risk neuroblastoma.</p><p><strong>Results: </strong>Using an in vivo model of high-risk neuroblastoma, we demonstrated a marked combinatorial effect of <sup>131</sup>I-MIBG and alisertib on tumor growth. In MYCN amplified cell lines, the combination of radiation and an AURKA A inhibitor increased DNA damage and apoptosis and decreased MYCN protein levels.</p><p><strong>Conclusion: </strong>The combination of AURKA inhibition with <sup>131</sup>I-MIBG treatment is active in resistant neuroblastoma models.</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distribution and predictors of F-18-FDG uptake values of non-malignant cervical lymph nodes in pediatric patients. 儿科非恶性颈淋巴结 F-18-FDG 摄取值的分布和预测因素。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-29 DOI: 10.1186/s13550-024-01110-9
Jeremy Godefroy, Raphael Godefroy, Koral Vedder, Yair Altura, Alexandre Chicheportiche, Simona Ben-Haim, Gal Goldstein
{"title":"Distribution and predictors of F-18-FDG uptake values of non-malignant cervical lymph nodes in pediatric patients.","authors":"Jeremy Godefroy, Raphael Godefroy, Koral Vedder, Yair Altura, Alexandre Chicheportiche, Simona Ben-Haim, Gal Goldstein","doi":"10.1186/s13550-024-01110-9","DOIUrl":"10.1186/s13550-024-01110-9","url":null,"abstract":"<p><strong>Background: </strong>F-18-flurodeoxyglucose (FDG) PET/CT is routinely used for staging, evaluation of response to treatment and follow-up of most pediatric malignancies. Cervical lymph nodes can be involved in some pediatric malignancies, but increased uptake in non-malignant cervical lymph nodes is not exceptional in this population. The aim of the present study is to identify predictors of the maximum uptake in non-malignant cervical lymph nodes in the pediatric population.</p><p><strong>Methods: </strong>191 FDG PET/CT studies of pediatric patients without malignant involvement of cervical lymph nodes were retrospectively reviewed. The maximal Standard Uptake Value in the hottest cervical lymph node (SUVmax<sub>CLN</sub>), as well as demographic, technical and imaging variables were recorded. The predictive effect of those variables on SUVmax<sub>CLN</sub> was estimated using linear regression models.</p><p><strong>Results: </strong>Increased FDG activity in cervical nodes was observed in 136/191 studies (71%). The mean SUVmax<sub>CLN</sub> was 2.2 ± 1.3. Ipsilateral palatine tonsil SUVmax, mean liver uptake, and treatment status were all statistically significant predictors of SUVmax<sub>CLN</sub>. However, in multivariate regression analysis, only ipsilateral palatine tonsil SUVmax was found to be significant. In addition, SUVmax<sub>CLN</sub> was greater than the mean liver uptake in 50% of all studies. This proportion was higher in younger children, reaching 77% of studies of children younger than six years.</p><p><strong>Conclusion: </strong>SUVmax in ipsilateral palatine tonsil is a strong predictor of the maximal uptake value of non-malignant cervical lymph nodes in children. The intensity of uptake in non-malignant cervical lymph nodes is frequently higher than liver uptake in children, and this tendency increases for younger patients.</p><p><strong>Trial was registered: </strong>In the internal hospital registry under TRN 0209-22-HMO on date 23.04.2022.</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic value of visual IMPeTUs criteria and metabolic tumor burden at baseline [18F]FDG PET/CT in patients with newly diagnosed multiple myeloma. 新诊断多发性骨髓瘤患者的视觉 IMPeTUs 标准和基线 [18F]FDG PET/CT 代谢肿瘤负荷的预后价值。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-28 DOI: 10.1186/s13550-024-01113-6
Silvano Marchiori, François Cousin, Iraklis Papadopoulos, Claire Bernard, Marie Thys, Bernard De Prijck, Michelle Pirotte, Anne-Françoise Donneau, Roland Hustinx, Jo Caers, Nadia Withofs
{"title":"Prognostic value of visual IMPeTUs criteria and metabolic tumor burden at baseline [<sup>18</sup>F]FDG PET/CT in patients with newly diagnosed multiple myeloma.","authors":"Silvano Marchiori, François Cousin, Iraklis Papadopoulos, Claire Bernard, Marie Thys, Bernard De Prijck, Michelle Pirotte, Anne-Françoise Donneau, Roland Hustinx, Jo Caers, Nadia Withofs","doi":"10.1186/s13550-024-01113-6","DOIUrl":"10.1186/s13550-024-01113-6","url":null,"abstract":"<p><strong>Background: </strong>2-[<sup>18</sup>F]fluoro-2-deoxy-D-glucose ([<sup>18</sup>F]FDG) positron emission tomography combined with low-dose computed tomography (PET/CT) can be used at diagnosis to identify myeloma-defining events and also provides prognostic factors. The aim of this study was to assess the prognostic significance of baseline [<sup>18</sup>F]FDG PET/CT visual IMPeTUs (Italian myeloma criteria for PET Use)-based parameters and/or total metabolic tumor volume (TMTV) in a single-center population of patients with newly diagnosed multiple myeloma (NDMM) eligible for transplantation.</p><p><strong>Methods: </strong>Patients with MM who underwent a baseline [<sup>18</sup>F]FDG PET/CT were retrospectively selected from a large internal database of the University Hospital of Liege (Liege, Belgium). Initially, all PET/CT images were visually analyzed using IMPeTUs criteria, followed by delineation of TMTV using a semi-automatic lesion delineation workflow, including [<sup>18</sup>F]FDG-positive MM focal lesions (FL) with an absolute SUV threshold set at 4.0. In a first step, to ensure PET/CT scans accurate reporting, the agreement between two nuclear medicine physicians with distinct experience was assessed. In the second step, univariable and multivariable analyses were conducted to determine the prognostic significance of [<sup>18</sup>F]FDG PET/CT parameters on progression free survival (PFS) and overall survival (OS), respectively.</p><p><strong>Results: </strong>A total of 40 patients with NDMM were included in the study. The observers agreement in the analysis [18F]FDG PET/CT images was substantial for the presence of spine FL, extra spine FL, at least one fracture and paramedullary disease (Cohen's kappa 0.79, 0.87, 0.75 and 0.64, respectively). For the presence of skull FL and extramedullary disease the agreement was moderate (Cohen's kappa 0.56 and 0.53, respectively). Among [<sup>18</sup>F]FDG PET/CT parameters, a high number of delineated volumes of interest (VOI) using the SUV4.0 threshold was the only independent prognostic factor associated with PFS [HR (95% CI): 1.03 (1.004-1.05), P = 0.019] while a high number of FL (n > 10; F group 4) was the only independent prognostic factor associated with OS [HR (95% CI): 19.10 (1.90-191.95), P = 0.01].</p><p><strong>Conclusion: </strong>Our work confirms the reproducibility IMPeTUs criteria. Furthermore, it demonstrates that a high number of FL (n > 10; IMPeTUs F group 4), reflecting a high [<sup>18</sup>F]FDG-avid tumor burden, is an independent prognostic factor for OS. The prognostic value of the TMTV delineated using a SUV4.0 threshold was not significant. Nevertheless, the count of delineated [<sup>18</sup>F]FDG-avid lesions VOI using a SUV4.0 threshold was an independent prognostic factor for PFS.</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simultaneous assessment of blood flow and myelin content in the brain white matter with dynamic [11 C]PiB PET: a test-retest study in healthy controls. 利用动态[11 C]PiB PET 同时评估脑白质中的血流量和髓鞘含量:对健康对照组的测试-再测试研究。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-27 DOI: 10.1186/s13550-024-01107-4
Arya Yazdan-Panah, Benedetta Bodini, Théodore Soulier, Mattia Veronese, Michel Bottlaender, Matteo Tonietto, Bruno Stankoff
{"title":"Simultaneous assessment of blood flow and myelin content in the brain white matter with dynamic [11 C]PiB PET: a test-retest study in healthy controls.","authors":"Arya Yazdan-Panah, Benedetta Bodini, Théodore Soulier, Mattia Veronese, Michel Bottlaender, Matteo Tonietto, Bruno Stankoff","doi":"10.1186/s13550-024-01107-4","DOIUrl":"10.1186/s13550-024-01107-4","url":null,"abstract":"<p><strong>Background: </strong>Exploring the relationship between oxygen supply and myelin damage would benefit from a simultaneous quantification of myelin and cerebral blood flow (CBF) in the brain's white matter (WM). To validate an analytical method for quantifying both CBF and myelin content in the WM using dynamic [<sup>11</sup>C]PiB positron emission tomography (PET).</p><p><strong>Methods: </strong>A test-retest study was performed on eight healthy subjects who underwent two consecutive dynamic [11 C]PiB-PET scans. Three quantitative approaches were compared: simplified reference tissue model 2 (SRTM2), LOGAN graphical model, and standardized uptake value ratio (SUVR). The sensitivity of methods to the size of the region of interest was explored by simulating lesion masks obtained from 36 subjects with multiple sclerosis. Reproducibility was assessed using the relative difference and interclass correlation coefficient. Repeated measures correlations were used to test for cross-correlations between metrics.</p><p><strong>Results: </strong>Among the CBF measures, the relative delivery (R1) of the simplified reference tissue model 2 (SRTM2) displayed the best reproducibility in the white matter, with a strong influence of the size of regions analyzed, the test-retest variability being below 10% for regions above 68 mm<sup>3</sup> in the supratentorial white matter. [<sup>11</sup>C]PiB PET-derived proxies of CBF demonstrated lower perfusion of white matter compared to grey matter with an overall ratio equal to 1.71 ± 0.09 when the SRTM2-R1 was employed. Tissue binding in the white matter was well estimated by the Logan graphical model through estimation of the distribution volume ratio (LOGAN-DVR) and SRTM2 distribution volume ratio (SRTM2-DVR), with test-retest variability being below 10% for regions exceeding 106 mm<sup>3</sup> for LOGAN-DVR and 300 mm<sup>3</sup> for SRTM2-DVR. SRTM2-DVR provided a better contrast between white matter and grey matter. The interhemispheric variability was also dependent on the size of the region analyzed, being below 10% for regions above 103 mm<sup>3</sup> for SRTM2-R1 and above 110 mm<sup>3</sup> for LOGAN-DVR. Whereas the 1 to 8-minute standardized uptake value ratio (SUVR1-8) showed an intermediary reproducibility for CBF assessment, SUVR0-2 for perfusion or SUVR50-70 for tissue binding showed poor reproducibility and correlated only mildly with SRTM2-R1 and LOGAN-DVR estimations respectively.</p><p><strong>Conclusions: </strong>[<sup>11</sup>C]PiB PET imaging can simultaneously quantify perfusion and myelin content in WM diseases associated with focal lesions. For longitudinal studies, SRTM2-R1 and DVR should be preferred over SUVR for the assessment of regional CBF and myelin content, respectively.</p><p><strong>Trial registration: </strong>European Union Clinical Trials Register EUDRACT; EudraCT Number: 2008-004174-40; Date: 2009-03-06; https//www.clinicaltrialsregister.eu ; number 2008-004174-40.</","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11130116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cerebellum/liver index on baseline 18F-FDG PET/CT to improve prognostication in post-transplant lymphoproliferative disorders: a multicenter retrospective study. 基线18F-FDG PET/CT上的小脑/肝脏指数改善移植后淋巴组织增生性疾病的预后:一项多中心回顾性研究。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-27 DOI: 10.1186/s13550-024-01111-8
David Morland, Lukshe Kanagaratnam, Fabrice Hubelé, Elise Toussaint, Sylvain Choquet, Aurélie Kas, Pierre-Ambroise Caquot, Corinne Haioun, Emmanuel Itti, Stéphane Leprêtre, Pierre Decazes, Fontanet Bijou, Paul Schwartz, Caroline Jacquet, Adrien Chauchet, Julien Matuszak, Nassim Kamar, Pierre Payoux, Eric Durot
{"title":"Cerebellum/liver index on baseline 18F-FDG PET/CT to improve prognostication in post-transplant lymphoproliferative disorders: a multicenter retrospective study.","authors":"David Morland, Lukshe Kanagaratnam, Fabrice Hubelé, Elise Toussaint, Sylvain Choquet, Aurélie Kas, Pierre-Ambroise Caquot, Corinne Haioun, Emmanuel Itti, Stéphane Leprêtre, Pierre Decazes, Fontanet Bijou, Paul Schwartz, Caroline Jacquet, Adrien Chauchet, Julien Matuszak, Nassim Kamar, Pierre Payoux, Eric Durot","doi":"10.1186/s13550-024-01111-8","DOIUrl":"10.1186/s13550-024-01111-8","url":null,"abstract":"<p><strong>Background: </strong>Besides International Prognostic Index (IPI) score, baseline prognostic factors of post-transplant lymphoproliferative disorders (PTLD) are poorly identified due to the rarity of the disease. New indexes derived from healthy organ uptake in baseline 18F-FDG PET/CT have been studied in immunocompetent lymphoma patients. The aim of this study is to evaluate the performances of the cerebellum-to-liver uptake ratio (denoted as CLIP) as a prognostic factor for PFS and OS. This retrospective multicenter study is based on patients with PTLD included in the K-VIROGREF cohort. The previously published threshold of 3.24 was used for CLIP in these analyses.</p><p><strong>Results: </strong>A total of 97 patients was included with a majority of monomorphic diffuse large B-cell lymphoma subtype (78.3%). Both IPI score (≥ 3) and CLIP (< 3.24) were significant risk factors of PFS with corresponding hazard ratios of 2.0 (1.0-4.0) and 2.4 (1.3-4.5) respectively. For OS, CLIP was not significant and resulted in a hazard ratio of 2.6 (p = 0.059). Neither IPI score or Total Metabolic Tumor Volume reached significance for OS.</p><p><strong>Conclusion: </strong>CLIP is a promising predictor of PFS and perhaps OS in PTLD. Further prospective studies are needed to confirm these results.</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11130085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiation dosimetry of para-chloro-2-[18F]fluoroethyl-etomidate: a PET tracer for adrenocortical imaging. 对氯-2-[18F]氟乙基依托咪酯:肾上腺皮质成像 PET 示踪剂的辐射剂量学。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-21 DOI: 10.1186/s13550-024-01109-2
Isabella Silins, Adrian Moreno, Anders Wall, Franklin Aigbirhio, Mark Gurnell, Morris Brown, Sara Roslin, Gunnar Antoni, Per Hellman, Anders Sundin, Mark Lubberink
{"title":"Radiation dosimetry of para-chloro-2-[<sup>18</sup>F]fluoroethyl-etomidate: a PET tracer for adrenocortical imaging.","authors":"Isabella Silins, Adrian Moreno, Anders Wall, Franklin Aigbirhio, Mark Gurnell, Morris Brown, Sara Roslin, Gunnar Antoni, Per Hellman, Anders Sundin, Mark Lubberink","doi":"10.1186/s13550-024-01109-2","DOIUrl":"10.1186/s13550-024-01109-2","url":null,"abstract":"<p><strong>Background: </strong>[<sup>11</sup>C]metomidate, a methyl ester analogue of etomidate, is used for positron emission tomography of adrenocortical cancer, and has been tested in recent clinical trials for lateralization in primary aldosteronism (PA). However, in PA, visualization as well as uptake quantification are hampered by the tracer's rather high non-specific liver uptake, and its overall clinical usefulness is also limited by the short 20-minute half-life of carbon-11. Therefore, we evaluated para-chloro-2-[<sup>18</sup>F]fluoroethyl-etomidate, [<sup>18</sup>F]CETO, a fluorine-18 (T<sub>1/2</sub>=109.8 min) analogue, as a potential new adrenocortical PET tracer. The aim of this study was to assess radiation dosimetry of [<sup>18</sup>F]CETO.</p><p><strong>Results: </strong>[<sup>18</sup>F]CETO showed a high uptake in adrenal glands, still increasing at 5 h post injection. Adrenal glands (absorbed dose coefficients 0.100 ± 0.032 mGy/MBq in males and 0.124 ± 0.013 mGy/MBq in females) received the highest absorbed dose. The effective dose coefficient was 20 µSv/MBq.</p><p><strong>Conclusions: </strong>[<sup>18</sup>F]CETO has a favourable biodistribution in humans for adrenal imaging. The effective dose for a typical clinical PET examination with 200 MBq [<sup>18</sup>F]CETO is 4 mSv.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT05361083 Retrospectively registered 29 April 2022. at, URL: https://clinicaltrials.gov/ct2/show/NCT05361083.</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11109037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of radiation therapy on lymph node fluorescence in head and neck squamous cell carcinoma after intravenous injection of indocyanine green: a prospective evaluation. 静脉注射吲哚菁绿后放疗对头颈部鳞状细胞癌淋巴结荧光的影响:一项前瞻性评估。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-16 DOI: 10.1186/s13550-024-01106-5
Antoine Digonnet, Sophie Vankerkhove, Michel Moreau, Cécile Dekeyser, Marie Quiriny, Esther Willemse, Nicolas de Saint Aubain, Matteo Cappello, Vincent Donckier, Pierre Bourgeois
{"title":"Effect of radiation therapy on lymph node fluorescence in head and neck squamous cell carcinoma after intravenous injection of indocyanine green: a prospective evaluation.","authors":"Antoine Digonnet, Sophie Vankerkhove, Michel Moreau, Cécile Dekeyser, Marie Quiriny, Esther Willemse, Nicolas de Saint Aubain, Matteo Cappello, Vincent Donckier, Pierre Bourgeois","doi":"10.1186/s13550-024-01106-5","DOIUrl":"10.1186/s13550-024-01106-5","url":null,"abstract":"<p><strong>Background: </strong>Indocyanine green (ICG)-guided surgery has proven effective in the identification of neoplastic tissues. The effect of radiation therapy (RT) on lymph node fluorescence after intravenous injection of ICG has not been addressed yet. The objective of this study was to evaluate the influence of RT on node fluorescence during neck dissection in head and neck squamous cell carcinoma (HNSCC).</p><p><strong>Results: </strong>Twenty-four patients with planned neck dissection for HNSCC were prospectively enrolled. Eleven were included without previous radiation therapy and 13 after RT. ICG was intravenously administered in the operating room. The resected specimen was analyzed by the pathology department to determine the status of each resected lymph node (invaded or not). The fluorescence of each resected node was measured in arbitrary units (AU) on paraffin blocs. The surface area (mm<sup>2</sup>) of all metastatic nodes and of the invaded component were measured. The values of these surface areas were correlated to fluorescence values. A total of 707 nodes were harvested, the mean fluorescence of irradiated nodes (n = 253) was 9.2 AU and of non-irradiated nodes (n = 454) was 9.6 AU (p = 0.63). Fifty nodes were invaded, with a mean fluorescence of 22 AU. The mean fluorescence values in the invaded irradiated nodes (n = 20) and the invaded non-irradiated nodes (n = 30) were 19 AU and 28 AU (p = 0.23), respectively. The surface area of metastatic nodes and of the invaded component were correlated to fluorescence values even after previous RT (p = 0.02).</p><p><strong>Conclusion: </strong>No differences were observed between the fluorescence of irradiated and non-irradiated lymph nodes, including invaded nodes. ICG-guided surgery can be performed after failed RT.</p><p><strong>Trial registration: </strong>EudraCT ref. 2013-004498-29, registered 29 November 2013. https://www.clinicaltrialsregister.eu/ctr-search/search?query=2013-004498-29.</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In vivo assessment of safety, biodistribution, and radiation dosimetry of the [18F]Me4FDG PET-radiotracer in adults. 在成人体内评估[18F]Me4FDG PET-放射性示踪剂的安全性、生物分布和辐射剂量。
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-15 DOI: 10.1186/s13550-024-01098-2
Barbara Katharina Geist, Juan Carlos Ramirez, Patrick Binder, Holger Einspieler, Harald Ibeschitz, Werner Langsteger, Lukas Nics, Ivo Rausch, Markus Diemling, Antti Sohlberg, Marcus Hacker, Sazan Rasul
{"title":"In vivo assessment of safety, biodistribution, and radiation dosimetry of the [<sup>18</sup>F]Me4FDG PET-radiotracer in adults.","authors":"Barbara Katharina Geist, Juan Carlos Ramirez, Patrick Binder, Holger Einspieler, Harald Ibeschitz, Werner Langsteger, Lukas Nics, Ivo Rausch, Markus Diemling, Antti Sohlberg, Marcus Hacker, Sazan Rasul","doi":"10.1186/s13550-024-01098-2","DOIUrl":"10.1186/s13550-024-01098-2","url":null,"abstract":"<p><strong>Background: </strong>Approaches targeting the sodium-glucose cotransporter (SGLT) could represent a promising future therapeutic strategy for numerous oncological and metabolic diseases. In this study, we evaluated the safety, biodistribution and radiation dosimetry of the glucose analogue positron emission tomography (PET) agent [<sup>18</sup>F] labeled alpha-methyl-4-deoxy-4-[<sup>18</sup>F]fluoro-D-glucopyranoside ([<sup>18</sup>F]Me4FDG) with high sodium-glucose cotransporter and low glucose transporter (GLUT) affinity. For this purpose, five healthy volunteers (1 man, 4 women) underwent multiple whole-body PET/computed tomography (CT) examinations starting with injection and up to 4 h after injection of averaged (2.4 ± 0.1) MBq/kg (range: 2.3-2.5 MBq/kg) administered activity. The PET/CT scans were conducted in 5 separate sessions, blood pressure and temperature were measured, and blood and urine samples were collected before the scans and one hour after injection to assess toxicity. Measurements of [<sup>18</sup>F]Me4FDG radioactivity in organs of interest were determined from the PET/CT scans at 5 time points. Internal dosimetry was performed on voxel level using a fast Monte Carlo approach.</p><p><strong>Results: </strong>All studied volunteers could well tolerate the [<sup>18</sup>F]Me4FDG and no adverse event was reported. The calculated effective dose was (0.013 ± 0.003) mSv/MBq. The organs with the highest absorbed dose were the kidneys with 0.05 mSv/MBq per kidney. The brain showed almost no uptake. After 60 min, (12 ± 15) % of the administered dose was excreted into the bladder.</p><p><strong>Conclusion: </strong>Featuring an effective dose of only 0.013 ± 0.003 mSv/MBq and no occurrence of side effects, the glucose analogue [<sup>18</sup>F]Me4FDG seems to be a safe radio-tracer with a favorable biodistribution for PET imaging and also within several consecutive scans.</p><p><strong>Trial registration number: </strong>NCT03557138, Registered 22 February 2017, https://ichgcp.net/clinical-trials-registry/NCT03557138 .</p>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11096136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distinguishing thymic cysts from low-risk thymomas via [18F]FDG PET/CT 通过[18F]FDG PET/CT 鉴别胸腺囊肿和低风险胸腺瘤
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-03 DOI: 10.1186/s13550-024-01108-3
Sunju Choi, Yong-il Kim, Sangwon Han, Jae Kwang Yun, Geun Dong Lee, Sehoon Choi, Hyeong Ryul Kim, Yong-Hee Kim, Dong Kwan Kim, Seung-Il Park, Jin-Sook Ryu
{"title":"Distinguishing thymic cysts from low-risk thymomas via [18F]FDG PET/CT","authors":"Sunju Choi, Yong-il Kim, Sangwon Han, Jae Kwang Yun, Geun Dong Lee, Sehoon Choi, Hyeong Ryul Kim, Yong-Hee Kim, Dong Kwan Kim, Seung-Il Park, Jin-Sook Ryu","doi":"10.1186/s13550-024-01108-3","DOIUrl":"https://doi.org/10.1186/s13550-024-01108-3","url":null,"abstract":"Thymic cysts are a rare benign disease that needs to be distinguished from low-risk thymoma. [18F]fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) is a non-invasive imaging technique used in the differential diagnosis of thymic epithelial tumours, but its usefulness for thymic cysts remains unclear. Our study evaluated the utility of visual findings and quantitative parameters of [18F]FDG PET/CT for differentiating between thymic cysts and low-risk thymomas. Patients who underwent preoperative [18F]FDG PET/CT followed by thymectomy for a thymic mass were retrospectively analyzed. The visual [18F]FDG PET/CT findings evaluated were PET visual grade, PET central metabolic defect, and CT shape. The quantitative [18F]FDG PET/CT parameters evaluated were PET maximum standardized uptake value (SUVmax), CT diameter (cm), and CT attenuation in Hounsfield units (HU). Findings and parameters for differentiating thymic cysts from low-risk thymomas were assessed using Pearson’s chi-square test, the Mann-Whitney U-test, and receiver operating characteristics (ROC) curve analysis. Seventy patients (18 thymic cysts and 52 low-risk thymomas) were finally included. Visual findings of PET visual grade (P < 0.001) and PET central metabolic defect (P < 0.001) showed significant differences between thymic cysts and low-risk thymomas, but CT shape did not. Among the quantitative parameters, PET SUVmax (P < 0.001), CT diameter (P < 0.001), and CT HU (P = 0.004) showed significant differences. In ROC analysis, PET SUVmax demonstrated the highest area under the curve (AUC) of 0.996 (P < 0.001), with a cut-off of equal to or less than 2.1 having a sensitivity of 100.0% and specificity of 94.2%. The AUC of PET SUVmax was significantly larger than that of CT diameter (P = 0.009) and CT HU (P = 0.004). Among the [18F]FDG PET/CT parameters examined, low FDG uptake (SUVmax ≤ 2.1, equal to or less than the mediastinum) is a strong diagnostic marker for a thymic cyst. PET visual grade and central metabolic defect are easily accessible findings.","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140831785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Glial reactivity in a mouse model of beta-amyloid deposition assessed by PET imaging of P2X7 receptor and TSPO using [11C]SMW139 and [18F]F-DPA 更正:使用[11C]SMW139和[18F]F-DPA对P2X7受体和TSPO进行PET成像,评估β-淀粉样蛋白沉积小鼠模型的神经胶质反应性
IF 3.2 3区 医学
EJNMMI Research Pub Date : 2024-05-03 DOI: 10.1186/s13550-024-01103-8
Obada M. Alzghool, Richard Aarnio, Jatta S. Helin, Saara Wahlroos, Thomas Keller, Markus Matilainen, Junel Solis, Jonathan J. Danon, Michael Kassiou, Anniina Snellman, Olof Solin, Juha O. Rinne, Merja Haaparanta‑Solin
{"title":"Correction: Glial reactivity in a mouse model of beta-amyloid deposition assessed by PET imaging of P2X7 receptor and TSPO using [11C]SMW139 and [18F]F-DPA","authors":"Obada M. Alzghool, Richard Aarnio, Jatta S. Helin, Saara Wahlroos, Thomas Keller, Markus Matilainen, Junel Solis, Jonathan J. Danon, Michael Kassiou, Anniina Snellman, Olof Solin, Juha O. Rinne, Merja Haaparanta‑Solin","doi":"10.1186/s13550-024-01103-8","DOIUrl":"https://doi.org/10.1186/s13550-024-01103-8","url":null,"abstract":"<p><b>Correction: EJNMMI Research (2024) 14:25</b></p><p><b>https://doi.org/10.1186/s13550-024-01085-7</b>.</p><p>Following publication of the article, the following errors were brought to the attention of the journal: In Figures 5, 6, and 7, white squares had been erroneously included behind the brain section images during production of the article, and the affiliations information of the article was incomplete. The published article has since been corrected.</p><h3>Authors and Affiliations</h3><ol><li><p>PET Preclinical Imaging Laboratory, Turku PET Centre, University of Turku, Tykistökatu 6 A, Turku, 20520, Finland</p><p>Obada M. Alzghool, Richard Aarnio, Jatta S. Helin, Anniina Snellman &amp; Merja Haaparanta‑Solin</p></li><li><p>Medicity Research Laboratory, University of Turku, Tykistökatu 6 A, Turku, 20520, Finland</p><p>Obada M. Alzghool, Richard Aarnio, Jatta S. Helin &amp; Merja Haaparanta‑Solin</p></li><li><p>Drug Research Doctoral Programme, University of Turku, Turku, Finland</p><p>Obada M. Alzghool &amp; Richard Aarnio</p></li><li><p>Turku University Hospital, Turku PET Centre, Kiinamyllynkatu 4-8, 20520, Turku, Finland</p><p>Obada M. Alzghool, Markus Matilainen &amp; Juha O. Rinne</p></li><li><p>Radiopharmaceutical Chemistry Laboratory, Turku PET Centre, University of Turku, Kiinamyllynkatu 4-8, FI-20520, Turku, Finland</p><p>Saara Wahlroos, Thomas Keller &amp; Olof Solin</p></li><li><p>Turku BioImaging, Åbo Akademi University and University of Turku, Turku, Finland</p><p>Junel Solis</p></li><li><p>School of Chemistry, The University of Sydney, Sydney, NSW, 2006, Australia</p><p>Jonathan J. Danon &amp; Michael Kassiou</p></li><li><p>Department of Chemistry, University of Turku, Henrikinkatu 2, Turku, 20500, Finland</p><p>Olof Solin</p></li><li><p>Accelerator Laboratory, Turku PET Centre, Åbo Akademi University, Kiinamyllynkatu, Turku, 4‑8, 20520, Finland</p><p>Olof Solin</p></li><li><p>Department of Neurology, Turku University Hospital, Kiinamyllynkatu 4-8, 20520, Turku, Finland</p><p>Juha O. Rinne</p></li></ol><span>Authors</span><ol><li><span>Obada M. Alzghool</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Richard Aarnio</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Jatta S. Helin</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Saara Wahlroos</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Thomas Keller</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Markus Matilainen</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span>","PeriodicalId":11611,"journal":{"name":"EJNMMI Research","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140831562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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