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Research ArticleClinical Investigations

Toward Radioguided Surgery with β− Decays: Uptake of a Somatostatin Analogue, DOTATOC, in Meningioma and High-Grade Glioma

Francesco Collamati, Alessandra Pepe, Fabio Bellini, Valerio Bocci, Giacomo Chiodi, Marta Cremonesi, Erika De Lucia, Mahila E. Ferrari, Paola M. Frallicciardi, Chiara M. Grana, Michela Marafini, Ilaria Mattei, Silvio Morganti, Vincenzo Patera, Luca Piersanti, Luigi Recchia, Andrea Russomando, Alessio Sarti, Adalberto Sciubba, Martina Senzacqua, Elena Solfaroli Camillocci, Cecilia Voena, Davide Pinci and Riccardo Faccini
Journal of Nuclear Medicine January 2015, 56 (1) 3-8; DOI: https://doi.org/10.2967/jnumed.114.145995
Francesco Collamati
1Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy
2INFN Sezione di Roma, Roma, Italy
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Alessandra Pepe
3Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Roma, Italy
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Fabio Bellini
1Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy
2INFN Sezione di Roma, Roma, Italy
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Valerio Bocci
2INFN Sezione di Roma, Roma, Italy
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Giacomo Chiodi
2INFN Sezione di Roma, Roma, Italy
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Marta Cremonesi
4Istituto Europeo di Oncologia, Milano, Italy
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Erika De Lucia
5Laboratori Nazionali di Frascati dell’INFN, Frascati, Italy
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Mahila E. Ferrari
4Istituto Europeo di Oncologia, Milano, Italy
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Paola M. Frallicciardi
2INFN Sezione di Roma, Roma, Italy
6Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi,” Roma, Italy
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Chiara M. Grana
4Istituto Europeo di Oncologia, Milano, Italy
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Michela Marafini
2INFN Sezione di Roma, Roma, Italy
6Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi,” Roma, Italy
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Ilaria Mattei
5Laboratori Nazionali di Frascati dell’INFN, Frascati, Italy
7Dipartimento di Fisica, Università RomaTre, Roma, Italy; and
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Silvio Morganti
2INFN Sezione di Roma, Roma, Italy
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Vincenzo Patera
2INFN Sezione di Roma, Roma, Italy
3Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Roma, Italy
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Luca Piersanti
2INFN Sezione di Roma, Roma, Italy
3Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Roma, Italy
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Luigi Recchia
2INFN Sezione di Roma, Roma, Italy
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Andrea Russomando
1Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy
2INFN Sezione di Roma, Roma, Italy
8Center for Life Nano Science@Sapienza, Istituto Italiano di Tecnologia, Roma, Italy
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Alessio Sarti
5Laboratori Nazionali di Frascati dell’INFN, Frascati, Italy
3Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Roma, Italy
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Adalberto Sciubba
2INFN Sezione di Roma, Roma, Italy
3Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Roma, Italy
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Martina Senzacqua
1Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy
2INFN Sezione di Roma, Roma, Italy
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Elena Solfaroli Camillocci
8Center for Life Nano Science@Sapienza, Istituto Italiano di Tecnologia, Roma, Italy
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Cecilia Voena
2INFN Sezione di Roma, Roma, Italy
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Davide Pinci
2INFN Sezione di Roma, Roma, Italy
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Riccardo Faccini
1Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy
2INFN Sezione di Roma, Roma, Italy
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Article Figures & Data

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  • FIGURE 1.
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    FIGURE 1.

    Example of ROI definition for meningioma (left), HGG (center), and nontumor (right).

  • FIGURE 2.
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    FIGURE 2.

    Example of ROI definition in several slices of PET scan of meningioma patient.

  • FIGURE 3.
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    FIGURE 3.

    Example of μi estimated in different slices in case of meningioma (left) and glioma (right).

  • FIGURE 4.
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    FIGURE 4.

    Photograph of probe prototype.

  • FIGURE 5.
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    FIGURE 5.

    Measured SUV (left) and TNR (right) on all studied meningioma lesions. Lesions from same patient share same symbols. ID = sequential number identifying a lesion.

  • FIGURE 6.
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    FIGURE 6.

    Measured SUV (left) and TNR (right) on all studied HGG lesions. ID = sequential number identifying a lesion.

Tables

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    TABLE 1

    Results for Meningioma Patients

    Patient no.Nles.Weight (kg)Aadm (MBq)ν*† (Hz)νNT*† (Hz)Embedded Image*† (s)Embedded Image* (MBq/kg)DiagnosisPrevious treatment
    M0116322032.21.90.20.7AtypicalS
    M0218016017.62.60.61.9AtypicalS/RT/PRRT
    M0339530533.73.50.30.9Likely atypicalS/RT
    50.33.50.30.5
    76.83.50.10.3
    M0414820089.44.50.10.2AtypicalS/RT/CT
    M0535713066.74.40.20.3RelapseS/RT/CT/PRRT
    53.24.40.20.5
    57.64.40.20.4
    M06290145107.61.80.10.1UnknownPRRT
    56.11.80.20.4
    M0717423750.23.90.20.5AnaplasticS/RT
    M08310522355.73.60.20.5AtypicalS/RT
    31.23.60.20.9
    29.63.60.40.9
    M0924814513.42.40.92.7AtypicalS/RT
    15.12.40.72.5
    M1017024014.61.20.61.8AtypicalS/RT
    12.61.20.81.9
    M1117522012.73.81.65.0AtypicalUnknown
    • ↵* Data assume 12 h between administration of 90Y and surgery.

    • ↵† Estimations assume that reference activity Aref = 3 MBq/kg is administered.

    • Nles. = number of lesions; Aadm = administered activity; ν = signal rate expected on probe in each lesion; νNT = nontumor rate expected on probe in each lesion; Embedded Image = time needed to identify a 0.1-mL residual; Embedded Image = the minimum activity that needs to be administered to have Embedded Image; S = surgery; RT = radiotherapy; PRRT = peptide receptor radionuclide therapy; CT = chemotherapy.

    • View popup
    TABLE 2

    Results for HGG Patients

    Patient no.Weight (kg)Aadm (MBq)ν*† (Hz)νNT*† (Hz)Embedded Image*† (s)Embedded Image* (MBq/kg)DiagnosisPrevious treatment
    G019724616.51.40.51.5HGGS/RT/CT/PRRT
    G02682235.21.12.68.5HGGRT/CT/B
    G03801529.61.91.44.3HGGS/RT/CT
    G049319822.43.70.61.8HGGS/RT/CT/PRRT
    G05901924.62.07.423.6HGGS/RT/CT/PRRT
    G06601854.41.65.820.0HGGS/RT/CT
    G07631944.81.75.117.6HGGS/RT/CT
    G08702662.10.8—40.0HGGRT/CT
    G09852553.71.15.317.6HGGS/RT/CT
    G10802242.21.6——OligodendrogliomaS/RT/CT/I
    G11702345.12.05.518.8HGGRT/CT
    G1215385.02.05.918.8Pontine gliomaRT/CT/PRRT
    • ↵* Data assume 12 h between administration of 90Y and surgery.

    • ↵† Estimations assume that reference activity Aref = 3 MBq/kg is administered.

    • Nles. = number of lesions; Aadm = administered activity; ν = signal rate expected on probe in each lesion; νNT = nontumor rate expected on probe in each lesion; Embedded Image = time needed to identify a 0.1-mL residual; Embedded Image = the minimum activity that needs to be administered to have Embedded Image; S = surgery; RT = radiotherapy; CT = chemotherapy; PRRT = peptide receptor radionuclide therapy; B = bevacizumab; I = immunotherapy.

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Journal of Nuclear Medicine: 56 (1)
Journal of Nuclear Medicine
Vol. 56, Issue 1
January 1, 2015
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Toward Radioguided Surgery with β− Decays: Uptake of a Somatostatin Analogue, DOTATOC, in Meningioma and High-Grade Glioma
Francesco Collamati, Alessandra Pepe, Fabio Bellini, Valerio Bocci, Giacomo Chiodi, Marta Cremonesi, Erika De Lucia, Mahila E. Ferrari, Paola M. Frallicciardi, Chiara M. Grana, Michela Marafini, Ilaria Mattei, Silvio Morganti, Vincenzo Patera, Luca Piersanti, Luigi Recchia, Andrea Russomando, Alessio Sarti, Adalberto Sciubba, Martina Senzacqua, Elena Solfaroli Camillocci, Cecilia Voena, Davide Pinci, Riccardo Faccini
Journal of Nuclear Medicine Jan 2015, 56 (1) 3-8; DOI: 10.2967/jnumed.114.145995

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Toward Radioguided Surgery with β− Decays: Uptake of a Somatostatin Analogue, DOTATOC, in Meningioma and High-Grade Glioma
Francesco Collamati, Alessandra Pepe, Fabio Bellini, Valerio Bocci, Giacomo Chiodi, Marta Cremonesi, Erika De Lucia, Mahila E. Ferrari, Paola M. Frallicciardi, Chiara M. Grana, Michela Marafini, Ilaria Mattei, Silvio Morganti, Vincenzo Patera, Luca Piersanti, Luigi Recchia, Andrea Russomando, Alessio Sarti, Adalberto Sciubba, Martina Senzacqua, Elena Solfaroli Camillocci, Cecilia Voena, Davide Pinci, Riccardo Faccini
Journal of Nuclear Medicine Jan 2015, 56 (1) 3-8; DOI: 10.2967/jnumed.114.145995
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