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Nuclear Medicine Program, Life Sciences Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee
Clinic for Nuclear Medicine, University of Bonn, Bonn, Germany
Correspondence: For correspondence or reprints contact: Furn F. Knapp, Jr., PhD, Nuclear Medicine Program, Oak Ridge National Laboratory, Bldg. 4501, Mail Stop 6229, P.O. Box 2008, Oak Ridge, TN 37831-6229.
ABSTRACT
188Re is a useful generator-produced radioisotope currently under evaluation for a variety of therapeutic applications, including bone pain palliation and intravascular radiation therapy. Because the 188W parent is available only in a relatively low specific activity (<0.150.19 GBq/mg) from reactor irradiation of enriched 186W, relatively large volumes of 0.9% saline (>15 mL) are required for elution of the 188Re daughter from traditional alumina-based 188W-188Re generators. Because these large bolus volumes result in solutions with a relatively low specific volume activity of 188Re (<1 GBq/mL for the 18.5-GBq generator), the availability of effective methods for eluent concentration is important. Our new approach is based on the use of 0.3 mol/L ammonium acetate as a representative salt of a weak acid instead of saline for generator elution. Methods: After generator elution, the ammonium acetate generator eluent (1520 mL) is passed through a tandem IC-H Plus cation (Dowex-H)-anion (QMA Light) column system. Exchange of ammonium cations with hydrogen ions on the cation column forms an acetic acid solution containing perrhenate anions from which the macroscopic levels of the acetate anion of the eluent have been effectively removed. Because perrhenic acid is fully dissociated at this pH, the QMA Light column specifically traps the 188Re-perrhenate, which is subsequently eluted with a low volume (<1 mL) of saline. Concentration ratios greater than 20:1 are readily achieved with this method. Results: A typical clinical-scale generator loaded with 19.2 GBq 188W was used to validate the approach. Saline elution provided 188Re in a 75%80% yield. Although elution with 0.15 mol/L NH4OAc gave lower yields (55%60%), use of 0.3 mol/L NH4OAc provided yields comparable with those of saline (70%75%). 188W parent breakthrough was not detected after passage of the bolus through the tandem concentration system. Bolus volumes of 1520 mL, which initially contained as much as 11.114.8 GBq 188Re, were readily concentrated to less than 1 mL saline using QMA Light cartridges. The generator was evaluated for more than 3 mo with no decrease in performance. Conclusion: This approach represents a simple, rapid, and effective method using inexpensive disposable components of concentrating solutions of 188Re for preparation of therapeutic agents.
Key Words: 188Re 188W-18Re generator bolus concentration
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