Sven H Hausner, Ryan A Davis, Tanushree Ganguly, Rebecca Harris, Julie L Sutcliffe
{"title":"Evaluation of [<sup>18</sup>F]AlF NOTA-5G, an Aluminum [<sup>18</sup>F]fluoride Labeled Peptide Targeting the Cell Surface Receptor Integrin Alpha(v)beta(6) for PET Imaging.","authors":"Sven H Hausner, Ryan A Davis, Tanushree Ganguly, Rebecca Harris, Julie L Sutcliffe","doi":"10.1007/s11307-025-01989-3","DOIUrl":"https://doi.org/10.1007/s11307-025-01989-3","url":null,"abstract":"<p><strong>Purpose: </strong>Peptide-based probes targeting integrin α<sub>v</sub>β<sub>6</sub> have shown promise in clinical trials for cancer imaging based on the high over-expression of this epithelial-specific cell surface receptor in many cancerous tissues. Recently, the α<sub>v</sub>β<sub>6</sub>-targeting gallium-68 labeled DOTA-5G peptide, [<sup>68</sup>Ga]Ga DOTA-5G, demonstrated diagnostic value in patients with metastatic pancreatic cancer. To facilitate adoption at sites without access to gallium-68 and take advantage of the characteristics of fluorine-18 through convenient [<sup>18</sup>F]fluoride chelation chemistry, this study evaluated the fluorine-18 labeled analog, [<sup>18</sup>F]AlF NOTA-5G, in vitro and in vivo in a tumor mouse model, and compared it to [<sup>68</sup>Ga]Ga DOTA-5G.</p><p><strong>Procedures: </strong>NOTA-5G was synthesized on solid phase and radiolabeled with aluminum [<sup>18</sup>F]fluoride to generate [<sup>18</sup>F]AlF NOTA-5G. Cell binding and internalization of [<sup>18</sup>F]AlF NOTA-5G were evaluated in paired DX3puroβ6 (α<sub>v</sub>β<sub>6</sub> +) and DX3puro (α<sub>v</sub>β<sub>6</sub> -), and pancreatic BxPC-3 (α<sub>v</sub>β<sub>6</sub> +) cells. Imaging (1-6 h) and biodistribution were performed in BxPC-3 tumor-bearing mice.</p><p><strong>Results: </strong>[<sup>18</sup>F]AlF NOTA-5G was obtained in > 93% radiochemical purity. Cell binding was α<sub>v</sub>β<sub>6</sub>-targeted (1 h: 66% bound to DX3puroβ6, vs 2% to DX3puro), and ≥ 50% of bound activity was internalized; analogous to [<sup>68</sup>Ga]Ga DOTA-5G, PET imaging showed clearly delineated tumors. Excretion remained primarily renal (1 to 4 h: 18.6 to 12.5% ID/g). Tumor uptake remained relatively steady (1 to 4 h: 2.3 ± 0.4 to 1.8 ± 0.6% ID/g - closely matching [<sup>68</sup>Ga]Ga DOTA-5G with 2.6 ± 0.8 and 2.0 ± 0.6% ID/g at 1 and 2 h), resulting in tumor/pancreas, tumor/liver, and tumor/blood ratios of 18/1, 24/1, and 162/1, respectively (4 h); by comparison, for [<sup>68</sup>Ga]Ga DOTA-5G the values were 21/1, 20/1, and 22/1 (2 h).</p><p><strong>Conclusions: </strong>[<sup>18</sup>F]AlF NOTA-5G demonstrated selective α<sub>v</sub>β<sub>6</sub>-targeting and tumor uptake similar to [<sup>68</sup>Ga]Ga DOTA-5G. The tumor-to-background ratio resulted high-contrast PET images, with an extended imaging window compared to [<sup>68</sup>Ga]Ga DOTA-5G. The synthesis of [<sup>18</sup>F]AlF NOTA-5G is currently being optimized for clinical production.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Buvaneswari, M Ramkumar, Prabhu Venkatesan, R Sarath Kumar
{"title":"Leveraging Radiomics and Hybrid Quantum-Classical Convolutional Networks for Non-Invasive Detection of Microsatellite Instability in Colorectal Cancer.","authors":"T Buvaneswari, M Ramkumar, Prabhu Venkatesan, R Sarath Kumar","doi":"10.1007/s11307-025-01990-w","DOIUrl":"https://doi.org/10.1007/s11307-025-01990-w","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this study is to create a novel framework for identifying MSI status in colorectal cancer using advanced radiomics and deep learning strategies, aiming to enhance clinical decision-making and improve patient outcomes in oncology.</p><p><strong>Procedures: </strong>The study utilizes histopathological slide images from the NCT-CRC-HE-100 K and PAIP 2020 databases. Key procedures include self-attentive adversarial stain normalization for data standardization, tumor delineation via a Slimmable Transformer, and radiomics feature extraction using a hybrid quantum-classical neural network.</p><p><strong>Results: </strong>The proposed system reaches 99% accuracy when identifying colorectal cancer MSI status. It shows the model is good at telling the difference between MSI and MSS tumors and can be used in real medical care for cancer.</p><p><strong>Conclusions: </strong>Our research shows that the new system improves colorectal cancer MSI status determination better than previous methods. Our optimized processing technology works better than other methods to divide and analyze tissue features making the system good for improving patient care decisions.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ali Ahmadi, Ran Klein, David Gao, Lisa M Mielniczuk, Jason G E Zelt, Kevin E Boczar, Rob S Beanlands, Paco E Bravo, Yuchi Han, Marcelo F Di Carli, Robert A deKemp
{"title":"Test-retest Assessment of Biventricular Myocardial Oxidative Metabolism and Perfusion in Pulmonary Hypertension Patients Using <sup>11</sup>C-acetate PET Imaging: A Pilot Study.","authors":"Ali Ahmadi, Ran Klein, David Gao, Lisa M Mielniczuk, Jason G E Zelt, Kevin E Boczar, Rob S Beanlands, Paco E Bravo, Yuchi Han, Marcelo F Di Carli, Robert A deKemp","doi":"10.1007/s11307-025-01987-5","DOIUrl":"https://doi.org/10.1007/s11307-025-01987-5","url":null,"abstract":"<p><strong>Purpose: </strong><sup>11</sup>C-acetate PET is used to measure biventricular oxygen myocardial consumption rate (MVO<sub>2</sub>) and myocardial blood flow (MBF) changes associated with right ventricular (RV) remodelling. We studied PET reproducibility and repeatability for such RV assessments.</p><p><strong>Procedures: </strong>10 pulmonary hypertension (PH) patients underwent <sup>11</sup>C-acetate PET. Five of these patients also had a repeat scan after 26 ± 2 weeks. A one-tissue compartment model was used to measure the myocardial tissue-activity washout rate (k2 [1/min] for MVO<sub>2</sub> estimation) and the blood-to-tissue activity flux (K1 [1/min] for MBF calculation). Values were measured by 2 blinded observers and analyzed by ANOVA and Bland-Altman tests. The interquartile ranges (IQR), within-subject coefficients of variation (wCV), and intraclass correlation coefficients (ICC) were reported.</p><p><strong>Results: </strong>All patients had stable PH with the clinical assessments showed comparable biventricular function and size between baseline and follow-up. The k2-derived MVO<sub>2</sub> and K1-derived MBF values were consistently higher in the LV than RV. The high inter- and intra-observer reproducibility (for biventricular MVO<sub>2</sub> and MBF) was indicated by low IQR (≤ 7.6%) and wCV (≤ 8%) as well as high ICC (≥ 95%). The test-retest (baseline to follow-up) repeatability showed larger IQR (≤ 35.4%) and wCV (≤ 29%) but consistently high ICC (= 95%).</p><p><strong>Conclusions: </strong>MVO<sub>2</sub> and MBF values measured in the RV of patients with PH were highly reproducible and repeatable. This can help inform the design of clinical research studies using serial <sup>11</sup>C-acetate PET imaging to evaluate RV metabolism.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiaqian Li, Lishuang Guo, Yuan Feng, Guanghui Li, He Sun, Wei Huang, Jie Tian, Yang Du, Yu An
{"title":"Optical-magnetic Imaging for Optimizing Lymphodepletion-TIL Combination Therapy in Breast Cancer.","authors":"Jiaqian Li, Lishuang Guo, Yuan Feng, Guanghui Li, He Sun, Wei Huang, Jie Tian, Yang Du, Yu An","doi":"10.1007/s11307-025-01985-7","DOIUrl":"https://doi.org/10.1007/s11307-025-01985-7","url":null,"abstract":"<p><strong>Purpose: </strong>Lymphodepletion before tumor-infiltrating lymphocytes (TIL) infusion can activate the immune system, enhance the release of homeostatic cytokines, and decrease the number of immunosuppressive cells. This process is crucial for improving the therapeutic efficacy of TIL therapy. However, the challenge of in vivo assessing TILs targeting tumors limits the optimization of lymphodepleting conditioning regimen (LDC).</p><p><strong>Procedures: </strong>This study aims to employ magnetic particle imaging (MPI) and fluorescence molecular imaging (FMI) to monitor TIL biodistribution in vivo and optimize LDC in triple-negative breast cancer TIL therapy. MPI provides quantitative imaging capabilities without depth limitations, effectively complementing the high sensitivity of FMI. The efficacy of different LDCs in enhancing TIL therapy was assessed using FMI, and MPI quantified the number of TILs accumulated in the 4T1 tumor.</p><p><strong>Results: </strong>TILs preserved viability, phenotypes, and anti-tumor efficacy after being labeled with superparamagnetic iron oxide and fluorescence dye DiR. The dual-modality imaging system effectively discerned variations in LDC treatments that enhanced TIL therapy. Compared to TIL monotherapy, lymphodepletion with TIL therapy improves tumor dual-modality imaging signal intensity, increases the expression of monocyte chemotactic protein-1 in serum and tumor tissue, and enhances the therapeutic effect of TILs.</p><p><strong>Conclusion: </strong>Our results confirm the utility of optical-magnetic dual-modality imaging for tracking the biodistribution of TILs in vivo. With the help of optical-magnetic dual-modality imaging, we successfully optimize TIL combination therapy. Optical-magnetic dual-modality imaging provides a new approach to develop personalized immunotherapy strategies and mine potential therapeutic mechanisms for TIL.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tapas Bhattacharyya, Christiane L Mallett, Jeremy M-L Hix, Erik M Shapiro
{"title":"DCE-MRI Detects OATP-expressing Transplanted Cells Using Clinical Doses of Gadolinium Contrast Agent.","authors":"Tapas Bhattacharyya, Christiane L Mallett, Jeremy M-L Hix, Erik M Shapiro","doi":"10.1007/s11307-025-01986-6","DOIUrl":"https://doi.org/10.1007/s11307-025-01986-6","url":null,"abstract":"<p><strong>Purpose: </strong>Hepatic organic anion transporting polypeptides (OATPs) transport off-the-shelf, FDA-approved, hepatospecific Gd-based MRI contrast agents into cells that express the transporters enhancing signal on T1-weighted MRI. Studies have used MRI to identify OATP-overexpressing tumors and metastases transplanted in mice following the delivery of Gd-EOB-DTPA at 27-67-fold higher than clinical doses. With safety and regulatory concerns over Gd-based contrast agents, translating OATPs as an MRI reporter protein to humans for regenerative medicine will require substantially lower doses of agent.</p><p><strong>Procedures: </strong>We engineered the MyC-CaP mouse tumor cell line to express rat OATP1B2, which influxes both Gd-EOB-DTPA and Gd-BOPTA, resulting in signal enhancement on T1-weighted MRI. We then inoculated mice with rat OATP1B2 and non-expressing cells bilaterally to generate tumors. 3-4 weeks after inoculation, when tumors had formed, in-vivo MRI imaging was performed with delivery of 0.025 mmol/kg or 0.25 mmol/kg of the Gd-based contrast agents. We complemented static T1-weighted MRI and T1-mapping with dynamic contrast enhanced (DCE)-MRI and performed area under the curve (AUC) analysis to discriminate the two tumor types.</p><p><strong>Results: </strong>While all OATP1B2-expressing tumors were easily visible at the high dose of 0.25 mmol/kg on T1-weighted MRI and easy to distinguish from control tumors, OATP1B2-expressing tumors were hard to identify and distinguish from non-expressing tumors at the lower, clinical dose of 0.025 mmol/kg with standard T1-weighted MRI or T1-mapping. However, AUC analyses of the DCE-MRI curves could identify and distinguish these tumors, needing 30 (Gd-EOB-DTPA) or 45 (Gd-BOPTA) minutes acquisition time.</p><p><strong>Conclusions: </strong>By performing AUC analyses of DCE-MRI curves following delivery of clinical concentration of MRI contrast agents, OATP1B2-expressing tumors could be identified and distinguished from control tumors, suggesting this imaging approach as a path to substantially reducing the amount of contrast agent needed to use OATPs as a clinically viable reporter protein for imaging regenerative medicine.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tieci Yi, Difei Lu, Yonggang Cui, Zheng Zhang, Xing Yang, Jianhua Zhang, Lin Qiu, Haoyu Weng, Lin Liu, Xiaojiang Duan, Guangyu Zhao, Wei Ma, Ying Gao, Yan Fan
{"title":"<sup>68</sup>Ga-pentixafor PET/CT Is a Supplementary Method for Primary Aldosteronism Subtyping Compared with Adrenal Vein Sampling.","authors":"Tieci Yi, Difei Lu, Yonggang Cui, Zheng Zhang, Xing Yang, Jianhua Zhang, Lin Qiu, Haoyu Weng, Lin Liu, Xiaojiang Duan, Guangyu Zhao, Wei Ma, Ying Gao, Yan Fan","doi":"10.1007/s11307-024-01976-0","DOIUrl":"10.1007/s11307-024-01976-0","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the diagnostic efficacy of <sup>68</sup>Ga-pentixafor positron emission tomography/computed tomography (PET/CT) in primary aldosteronism (PA) subtyping and lateralization of aldosterone secretion in PA patients.</p><p><strong>Procedures: </strong>37 patients who were diagnosed with PA, were prospectively enrolled in the study, and underwent adrenal vein sampling (AVS) after <sup>68</sup>Ga-pentixafor PET/CT was conducted. Lateralization index (LI), defined as aldosterone/cortisol ratio in the dominant side to the contralateral adrenal vein when bilateral adrenal vein catheterization succeeded, and the aldosterone/cortisol ratio in the left adrenal vein to IVC (LAV/IVC) when the catheterization of right adrenal vein failed, were applied to determine lateralization side. Statistical analysis was performed using SPSS 21.0.</p><p><strong>Results: </strong>The female proportion of all patients with PA was 32.4% (12/37), and the mean age was 51.3 ± 10.9 years. Patients with bilateral adrenal mass accounted for 54.1% (20/37), and 10 of them (27.0%) had adrenal hyperplasia or adrenal nodules ≤ 1.0 cm. In all 37 patients, the sensitivity, specificity and accuracy of <sup>68</sup>Ga-pentixafor PET/CT in distinguishing lateralization by visualization were 89.3%, 77.8% and 86.5%, respectively. The area under the ROC curve for detecting positive lateralization based on the value of <sup>68</sup>Ga-pentixafor SUV<sub>max</sub> was 0.750 (95%CI 0.578-0.922, p = 0.026). The optimum SUV<sub>max</sub> cut-off value was 6.86, with the sensitivity of 78.6%, specificity of 66.7%, and accuracy of 78.4%. Defining SUV ratio as SUV<sub>max</sub>/SUV of contralateral adrenal gland, the area under the ROC curve for identifying lateralization based on the SUV ratio was 0.710 (95%CI 0.500-0.921, p = 0.061). The optimum SUV ratio cut-off was 2.40, with the sensitivity of 60.7%, specificity of 88.9%, and accuracy of 67.6%. The consistency of <sup>68</sup>Ga-pentixafor PET/CT with AVS was of no significant difference between patients with bilateral adrenal lesions (80.0%, 16/20) and unilateral lesion (94.1%, 16/17; p = 0.737), and no significance was revealed in the consistency between patients with adrenal hyperplasia or adrenal lesion of diameter ≤ 1 cm (81.8%, 9/11) and those with adrenal lesions > 1 cm (88.5%, 23/26; p = 0.884).</p><p><strong>Conclusions: </strong><sup>68</sup>Ga-pentixafor PET/CT showed at least 80% consistency for the lateralization in patients with PA compared with AVS, even in those presented with bilateral adrenal hyperplasia. Visual analysis exhibited better diagnostic efficacy compared with SUV<sub>max</sub> or SUV<sub>max</sub>/SUV of the contralateral adrenal gland.( ChiCTR2300073049. Registered 30 June 2023. Retrospectively registered).</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":"142-150"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Min-Jeong Kim, Hari K Akula, Jocelyn Marden, Kaixuan Li, Bao Hu, Paul Vaska, Wenchao Qu
{"title":"The Potential Utility of (2S,4R)-4-[<sup>18</sup>F]fluoroglutamine as a Novel Metabolic Imaging Marker for Inflammation Explored by Rat Models of Arthritis and Paw Edema.","authors":"Min-Jeong Kim, Hari K Akula, Jocelyn Marden, Kaixuan Li, Bao Hu, Paul Vaska, Wenchao Qu","doi":"10.1007/s11307-024-01967-1","DOIUrl":"10.1007/s11307-024-01967-1","url":null,"abstract":"<p><strong>Purpose: </strong>(2S,4R)-4-[<sup>18</sup>F]fluoroglutamine ([<sup>18</sup>F]FGln) is a promising metabolic imaging marker in cancer. Based on the fact that major inflammatory cells are heavily dependent on glutamine metabolism like cancer cells, we explored the potential utility of [<sup>18</sup>F]FGln as a metabolic imaging marker for inflammation in two rat models: carrageenan-induced paw edema (CIPE) and collagen-induced arthritis (CIA).</p><p><strong>Procedures: </strong>The CIPE model (n = 4) was generated by injecting 200 µL of 3% carrageenan solution into the left hind paw three hours before the PET. The CIA model (n = 4) was generated by injecting 200 µg of collagen emulsion subcutaneously at the tail base 3-4 weeks before the PET. A qualitative scoring system was used to assess the severity of paw inflammation. After a CT scan, 15.7 ± 4.9 MBq of [<sup>18</sup>F]FGln was injected via the tail vein, followed by a dynamic micro-PET scan for 90 min under anesthesia with isoflurane. The standard uptake value of [<sup>18</sup>F]FGln was measured by placing a volume of interest in each paw. The non-injected right hind paws of the CIPE model rats served as controls for both models. The paws with CIA were pathologically examined after PET.</p><p><strong>Results: </strong>The CIPE models showed a trend toward higher uptake in the injected paw compared to the non-injected paw (P = 0.068). In CIA models, uptake in the paws with severe inflammation was significantly higher than the controls (P = 0.011), while that with mild and no inflammation was slightly higher (33%) and lower (-7%), respectively. Combined overall, the [<sup>18</sup>F]FGln uptake in CIA showed a significant positive correlation with inflammation severity (r = 0.88, P = 0.009). The pathological findings confirmed profound inflammation in CIA.</p><p><strong>Conclusions: </strong>[<sup>18</sup>F]FGln uptake was increased in both acute and chronic inflammation, and the uptake level was significantly correlated with the severity, suggesting its potential utility as a novel metabolic imaging marker for inflammation.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":"10-16"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Logan M Bateman, Samuel S Streeter, Kendra A Hebert, Dylan J Parker, Kaye Obando, Kiara Sherlin Salas Moreno, George J Zanazzi, Connor W Barth, Lei G Wang, Summer L Gibbs, Eric R Henderson
{"title":"Ex Vivo Human Tissue Functions as a Testing Platform for the Evaluation of a Nerve-Specific Fluorophore.","authors":"Logan M Bateman, Samuel S Streeter, Kendra A Hebert, Dylan J Parker, Kaye Obando, Kiara Sherlin Salas Moreno, George J Zanazzi, Connor W Barth, Lei G Wang, Summer L Gibbs, Eric R Henderson","doi":"10.1007/s11307-024-01968-0","DOIUrl":"10.1007/s11307-024-01968-0","url":null,"abstract":"<p><strong>Significance: </strong>Selecting a nerve-specific lead fluorescent agent for translation in fluorescence-guided surgery is time-consuming and expensive. Preclinical fluorescent agent studies rely primarily on animal models, which are a critical component of preclinical testing, but these models may not predict fluorophore performance in human tissues.</p><p><strong>Aim: </strong>The primary aim of this study was to evaluate and compare two preclinical models to test tissue-specific fluorophores based on discarded human tissues. The secondary aim was to use these models to determine the ability of a molecularly targeted fluorophore, LGW16-03, to label ex vivo human nerve tissues.</p><p><strong>Approach: </strong>Patients undergoing standard-of-care transtibial or transfemoral amputation were consented and randomized to topical or systemic administration of LGW16-03 following amputation. After probe administration, nerves and background tissues were surgically resected and imaged to determine nerve fluorescence signal-to-background tissue ratio (SBR) and signal-to-noise ratio (SNR) metrics. Analysis of variance (ANOVA) determined statistical differences in metric means between administration cohorts and background tissue groups. Receiver operating characteristic (ROC) curve-derived statistics quantified the discriminatory performance of LGW16-03 fluorescence for labeling nerve tissues.</p><p><strong>Results: </strong>Tissue samples from 18 patients were analyzed. Mean nerve-to-adipose SBR was greater than nerve-to-muscle SBR (p = 0.001), but mean nerve-to-adipose SNR was not statistically different from mean nerve-to-muscle SNR (p = 0.069). Neither SBR nor SNR means were statistically different between fluorophore administration cohorts (p ≥ 0.448). When administration cohorts were combined, nerve-to-adipose SBR was greater than nerve-to-muscle SBR (mean ± standard deviation; 4.2 ± 2.9 vs. 1.8 ± 1.9; p < 0.001), but SNRs for nerve-to-adipose and nerve-to-muscle were not significantly different (5.1 ± 4.0 vs. 3.1 ± 3.4; p = 0.055). ROC curve-derived statistics to quantify LGW16-03 nerve labeling performance varied widely between patients, with sensitivities and specificities ranging from 0.2-99.9% and 0.4-100.0%.</p><p><strong>Conclusion: </strong>Systemic and topical administration of LGW16-03 yielded similar fluorescence labeling of nerve tissues. Both administration approaches provided nerve-specific contrast similar to that observed in preclinical animal models. Fluorescence contrast was generally higher for nerve-to-adipose versus nerve-to-muscle. Ex vivo human tissue models provide safe evaluation of fluorophores in the preclinical phase and can aid in the selection of lead agents prior to first-in-human trials.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":"23-31"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jie Gao, Yao Fu, Kuiqiang He, Qinfeng Xu, Feng Wang, Hongqian Guo
{"title":"<sup>68</sup>Ga-PSMA PET/CT-Based Model Predicts Perineural Invasion of Prostate Cancer with Whole-Mount Sections.","authors":"Jie Gao, Yao Fu, Kuiqiang He, Qinfeng Xu, Feng Wang, Hongqian Guo","doi":"10.1007/s11307-024-01974-2","DOIUrl":"10.1007/s11307-024-01974-2","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a novel risk model incorporating <sup>68</sup>Ga-PSMA PET/CT parameters for prediction of perineural invasion (PNI) of prostate cancer (PCa).</p><p><strong>Methods: </strong>The study retrospectively enrolled 192 PCa patients with preoperative multiparametric MRI, <sup>68</sup>Ga-PSMA PET/CT and radical specimen. Imaging parameters were derived from both mpMRI and PET/CT images. S100 immunohistochemistry staining was conducted to evaluate PNI of PCa. Significant predictors were derived with univariate and multivariate logistic regression analyses, and the PNI-risk nomogram was constructed with significant predictors. Internal discrimination validation was performed with receiver operating characteristic analysis. Calibration curves were plotted, decision curve and clinical impact curve analysis were performed for clinical benefit exploration.</p><p><strong>Results: </strong>With the median peritumoral nerve density of 6, patients were stratified as low-PNI group (nerve density < 6, n = 78, 40.6%) and high-PNI group (nerve density ≥ 6, n = 114, 59.4%). Compared with low-PNI PCa, high-PNI PCa harbored significantly larger imaging lesion diameter (P < 0.001), higher PI-RADS score (P = 0.009), higher SUVmax (P < 0.001), larger tumor diameter (P = 0.024) and higher Gleason grade group (P < 0.001). Further, with univariate and multivariate analyses, imaging lesion diameter (OR 2.98, 95% CI 1.73-5.16, P = 0.004) and SUVmax (OR 3.59, 95%CI 2.32-5.55, P < 0.001) and were identified as independent predictors for PNI in PCa, and a PNI-risk nomogram incorporating these two predictors was constructed. The PNI-risk nomogram demonstrated considerable calibration (mean absolute error 0.026) and discrimination (area under the curve = 0.889, sensitivity 73.1%, specificity 97.4%) abilities, harboring net benefits with threshold probabilities range from 0 to 0.80.</p><p><strong>Conclusion: </strong><sup>68</sup>Ga-PSMA PET/CT-based model could effectively predict the perineural invasion of PCa. These results may help with the decision-making on active surveillance, focal therapy and surgery approach. Additionally, patients suspicious of high-density PNI PCa should receive more radical treatment than low-PNI PCa.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":"44-53"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiwei Gu, Ming-Qiang Zheng, Daniel Holden, Krista Fowles, Lin Qiu, Zachary Felchner, Li Zhang, Jim Ropchan, Robert J Gropler, Richard E Carson, Zhude Tu, Yiyun Huang, Ansel T Hillmer
{"title":"PET Imaging of Sphingosine-1-Phosphate Receptor 1 with [<sup>18</sup>F]TZ4877 in Nonhuman Primates.","authors":"Jiwei Gu, Ming-Qiang Zheng, Daniel Holden, Krista Fowles, Lin Qiu, Zachary Felchner, Li Zhang, Jim Ropchan, Robert J Gropler, Richard E Carson, Zhude Tu, Yiyun Huang, Ansel T Hillmer","doi":"10.1007/s11307-024-01979-x","DOIUrl":"10.1007/s11307-024-01979-x","url":null,"abstract":"<p><strong>Purpose: </strong>The sphingosine-1-phosphate receptor-1 (S1PR<sub>1</sub>) is involved in regulating responses to neuroimmune stimuli. There is a need for S1PR<sub>1</sub>-specific radioligands with clinically suitable brain pharmcokinetic properties to complement existing radiotracers. This work evaluated a promising S1PR<sub>1</sub> radiotracer, [<sup>18</sup>F]TZ4877, in nonhuman primates.</p><p><strong>Procedures: </strong>[<sup>18</sup>F]TZ4877 was produced via nucleophilic substitution of tosylate precursor with K[<sup>18</sup>F]/F<sup>-</sup> followed by deprotection. Brain PET imaging data were acquired with a Focus220 scanner in two Macaca mulatta (6, 13 years old) for 120-180 min following bolus injection of 118-163 MBq [<sup>18</sup>F]TZ4877, with arterial blood sampling and metabolite analysis to measure the parent input function and plasma free fraction (f<sub>P</sub>). Each animal was scanned at baseline, 15-18 min after 0.047-0.063 mg/kg of the S1PR<sub>1</sub> inhibitor ponesimod, 33 min after 0.4-0.8 mg/kg of the S1PR<sub>1</sub>-specific compound TZ82112, and 167-195 min after 1 ng/kg of the immune stimulus endotoxin. Kinetic analysis with metabolite-corrected input function was performed to estimate the free fraction corrected total distribution volume (V<sub>T</sub>/f<sub>P</sub>). Whole-body dosimetry scans were acquired in 2 animals (1M, 1F) with a Biograph Vision PET/CT System, and absorbed radiation dose estimates were calculated with OLINDA.</p><p><strong>Results: </strong>[<sup>18</sup>F]TZ4877 exhibited fast kinetics that were described by the reversible 2-tissue compartment model. Baseline [<sup>18</sup>F]TZ4877 f<sub>P</sub> was low (<1%), and [<sup>18</sup>F]TZ4877 V<sub>T</sub>/f<sub>P</sub> values were 233-866 mL/cm<sup>3</sup>. TZ82112 dose-dependently reduced [<sup>18</sup>F]TZ4877 V<sub>T</sub>/f<sub>P</sub>, while ponesimod and endotoxin exhibited negligible effects on V<sub>T</sub>/f<sub>P</sub>, possibly due to scan timing relative to dosing. Dosimetry studies identified the critical organs of gallbladder (0.42 (M) and 0.31 (F) mSv/MBq) for anesthetized nonhuman primate.</p><p><strong>Conclusions: </strong>[<sup>18</sup>F]TZ4877 exhibits reversible kinetic properties, but the low f<sub>P</sub> value limits reproducible quantification with this radiotracer. S1PR<sub>1</sub> is a compelling PET imaging target, and these data support pursuing alternative F-18 labeled radiotracers for potential future human studies.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":"54-63"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142951856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}