使用钪-44放射标记PSMA-617的治疗前剂量测定

E. Eppard
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引用次数: 5

摘要

近年来,正电子发射体钪-44成为研究的热点,为核医学的应用提供了良好的核素性质。用钪-44代替镓-68对PSMA-617进行放射性标记,作为[177 Lu]Lu-PSMA-617的诊断匹配,可以在临床环境中进行治疗前剂量测定。由于钪和镥的化学相似性,[177 Lu]Lu- psma -617的体内外特性更接近于[44 Sc]Sc- psma -617,而不是68 Ga化合物[68 Ga]Ga- psma -617或[68 Ga]Ga- psma -11。[44 Sc]Sc- psma -617显示了其作为前列腺癌PET显像剂的临床潜力,与镓-68标记的示踪剂相比,它具有几个优势。核素较长的半衰期将允许,例如,优化患者管理和治疗,长期或晚时间点成像以及运输到更远的PET中心。然而,特别是临床应用,如个体剂量测定或术中应用仍在研究中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pre-Therapeutic Dosimetry Employing Scandium-44 for Radiolabeling PSMA-617
In recent years, the positron emitter scandium-44 moved into the focus of research pro- viding favorable nuclide properties for an application in nuclear medicine. Radiolabeling of PSMA-617 with scandium-44 as diagnostic match for [ 177 Lu]Lu-PSMA-617 instead of gallium-68 would enable pre-therapeutic dosimetry in clinical setting. Due to the chemical similarities of scandium and lutetium, the in vitro and in vivo characteristics of [ 177 Lu]Lu-PSMA-617 are more similar to [ 44 Sc]Sc-PSMA-617 than to the 68 Ga-compounds [ 68 Ga]Ga-PSMA-617 or [ 68 Ga]Ga-PSMA-11. [ 44 Sc]Sc-PSMA-617 showed its potential in a clinical setting as a PET imaging agent of prostate cancer providing several advan- tages over gallium-68 labeled tracers. The longer half-life of the nuclide would allow, for example, an optimized patient management and treatment, long-term or late time point imaging as well as transportation to more distant PET centers. However, especially clinical applications like individual dosimetry or intraoperative applications are still under investigation.
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