Clinical evaluation of the radiolanthanide terbium-152: first-in-human PET/CT with (152)Tb-DOTATOC.

Details

Serval ID
serval:BIB_9D479621E0AB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinical evaluation of the radiolanthanide terbium-152: first-in-human PET/CT with (152)Tb-DOTATOC.
Journal
Dalton transactions
Author(s)
Baum R.P., Singh A., Benešová M., Vermeulen C., Gnesin S., Köster U., Johnston K., Müller D., Senftleben S., Kulkarni H.R., Türler A., Schibli R., Prior J.O., van der Meulen N.P., Müller C.
ISSN
1477-9234 (Electronic)
ISSN-L
1477-9226
Publication state
Published
Issued date
31/10/2017
Peer-reviewed
Oui
Volume
46
Number
42
Pages
14638-14646
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The existence of theragnostic pairs of radionuclides allows the preparation of radiopharmaceuticals for diagnostic and therapeutic purposes. Radiolanthanides, such as (177)Lu, are successfully used for therapeutic purposes; however, a perfect diagnostic match is currently not available for clinical use. A unique, multi-disciplinary study was performed using (152)Tb (T1/2 = 17.5 h, Eβ(+)average = 1140 keV, Iβ(+) = 20.3%), which resulted in the first-in-human PET/CT images with this promising radionuclide. For this purpose, (152)Tb was produced via a spallation process followed by mass separation at ISOLDE, CERN. The chemical separation and quality control, performed at PSI, resulted in a pure product in sufficient yields. Clinical PET phantom studies revealed an increased image noise level, because of the smaller β(+) branching ratio of (152)Tb as compared to standard PET nuclides at matched activity concentrations; however, the expected recovery would be comparable at matched signal-to-noise ratios in clinical PET. (152)Tb was used for labeling DOTATOC, at Zentralklinik Bad Berka, and administered to a patient for a first-in-human clinical study. PET scans were performed over a period of 24 h, allowing the visualization of even small metastases with increased tumor-to-background contrast over time. Based on the results obtained in this work, it can be deduced that PET/CT imaging with (152)Tb-labeled targeting agents has promise for clinical application and may be particularly interesting for pre-therapeutic dosimetry.

Pubmed
Web of science
Create date
19/09/2017 14:41
Last modification date
04/11/2019 16:21
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