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Research ArticleClinical Investigations

(S)-4-(3-18F-Fluoropropyl)-l-Glutamic Acid: An 18F-Labeled Tumor-Specific Probe for PET/CT Imaging—Dosimetry

Kamilla Smolarz, Bernd Joachim Krause, Frank-Philipp Graner, Franziska Martina Wagner, Christina Hultsch, Claudia Bacher-Stier, Richard B. Sparks, Susan Ramsay, Lüder M. Fels, Ludger M. Dinkelborg and Markus Schwaiger
Journal of Nuclear Medicine June 2013, 54 (6) 861-866; DOI: https://doi.org/10.2967/jnumed.112.112581
Kamilla Smolarz
1Department of Nuclear Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Bernd Joachim Krause
1Department of Nuclear Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Frank-Philipp Graner
1Department of Nuclear Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Franziska Martina Wagner
1Department of Nuclear Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Christina Hultsch
2Bayer Healthcare, Berlin, Germany
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Claudia Bacher-Stier
2Bayer Healthcare, Berlin, Germany
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Richard B. Sparks
3CDE Dosimetry Services Inc., Knoxville, Tennessee; and
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Susan Ramsay
3CDE Dosimetry Services Inc., Knoxville, Tennessee; and
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Lüder M. Fels
2Bayer Healthcare, Berlin, Germany
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Ludger M. Dinkelborg
2Bayer Healthcare, Berlin, Germany
4Piramal Imaging GmbH, Berlin, Germany
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Markus Schwaiger
1Department of Nuclear Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany
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  • FIGURE 1.
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    FIGURE 1.

    A 64-y-old healthy female volunteer. Maximum-intensity-projection PET images of 7 sequential WB images from 0 to 240 min after injection of 316 MBq of 18F-FSPG.

  • FIGURE 2.
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    FIGURE 2.

    Mean time–activity curves for selected organs (kidneys, liver, pancreas, and stomach wall) (A) and urinary bladder (B) after injection of 18F-FSPG in 5 healthy volunteers. Volunteers emptied their bladders after 0.75 and 3.0 h. Variability represented by error bars.

  • FIGURE 3.
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    FIGURE 3.

    Time–activity curve in whole-blood samples (A) and in plasma samples (B). Measured data in 4 subjects; blood sampling for metabolite analysis was not performed in 1 subject.

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    FIGURE 4.

    Thin-layer chromatography results in plasma (n = 4). Only intact tracer was detected.

Tables

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    TABLE 1

    Subject Details and Injected Radioactivity of 18F-BAY 94-9392

    Subject no.SexAge (y)Specific activity (GBq/μmol)Injected dose (MBq)
    1101F58361283
    1102F64269316
    1103M57199275
    1104F63282330
    1105M51433295
    Mean ± SD58.6 ± 5.2309 ± 90300 ± 22.9
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    TABLE 2

    18F-FSPG Imaging Protocol

    ScanTime (min)Axial extent of scanScan duration
    Low-dose CT−2Total body
     10Total body1 min per bed position
     212WB1 min per bed position
     319WB1 min per bed position
     426WB1 min per bed position
     533WB1 min per bed position
    Ultra-low-dose CT149WB
     6150WB4 min per bed position
    Ultra-low-dose CT239WB
     7240WB4 min per bed position
    • Ultra-low-dose CT was performed when subject was repositioned on scanner after getting up for bladder voiding.

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    TABLE 3

    Absorbed Dose Estimates (in mSv/MBq): Mean Values for 5 Subjects for Bladder-Voiding Time of 3.5 Hours

    OrganMean
    Adrenals0.0094
    Brain0.0030
    Breasts0.0033
    Gallbladder wall0.0089
    Lower large intestine wall0.016
    Small intestine0.0097
    Stomach wall0.017
    Upper large intestine wall0.0087
    Heart wall0.011
    Kidneys0.11
    Liver0.014
    Lungs0.0045
    Muscle0.0069
    Ovaries0.015
    Pancreas0.077
    Red marrow0.0086
    Osteogenic cells0.0081
    Salivary glands0.0064
    Skin0.0040
    Spleen0.015
    Testes0.011
    Thymus0.0043
    Thyroid0.013
    Urinary bladder wall0.40
    Uterus0.030
    Total body0.0076
    ED0.032
    • View popup
    TABLE 4

    Comparison of ED Estimates for Several 18F-Labeled Pharmaceuticals

    TracerED (mSv/MBq)
    18F-FSPG0.032 ± 0.0034
    18F-FDG (15)0.019
    3′-deoxy-3′-18F-fluorothymidine (16)0.028 ± 0.012
    O-(2-18F-fluoroethyl)-l-tyrosine (17)0.016
    18F-fluoromethylcholine (18)0.031 ± 0.007
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Journal of Nuclear Medicine: 54 (6)
Journal of Nuclear Medicine
Vol. 54, Issue 6
June 1, 2013
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(S)-4-(3-18F-Fluoropropyl)-l-Glutamic Acid: An 18F-Labeled Tumor-Specific Probe for PET/CT Imaging—Dosimetry
Kamilla Smolarz, Bernd Joachim Krause, Frank-Philipp Graner, Franziska Martina Wagner, Christina Hultsch, Claudia Bacher-Stier, Richard B. Sparks, Susan Ramsay, Lüder M. Fels, Ludger M. Dinkelborg, Markus Schwaiger
Journal of Nuclear Medicine Jun 2013, 54 (6) 861-866; DOI: 10.2967/jnumed.112.112581

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(S)-4-(3-18F-Fluoropropyl)-l-Glutamic Acid: An 18F-Labeled Tumor-Specific Probe for PET/CT Imaging—Dosimetry
Kamilla Smolarz, Bernd Joachim Krause, Frank-Philipp Graner, Franziska Martina Wagner, Christina Hultsch, Claudia Bacher-Stier, Richard B. Sparks, Susan Ramsay, Lüder M. Fels, Ludger M. Dinkelborg, Markus Schwaiger
Journal of Nuclear Medicine Jun 2013, 54 (6) 861-866; DOI: 10.2967/jnumed.112.112581
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