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Research ArticleInflammation/Infectious Disease

68Ga-NOTA-Functionalized Ubiquicidin: Cytotoxicity, Biodistribution, Radiation Dosimetry, and First-in-Human PET/CT Imaging of Infections

Thomas Ebenhan, Mike M. Sathekge, Thabo Lengana, Michel Koole, Olivier Gheysens, Thavendran Govender and Jan R. Zeevaart
Journal of Nuclear Medicine February 2018, 59 (2) 334-339; DOI: https://doi.org/10.2967/jnumed.117.200048
Thomas Ebenhan
1Department of Nuclear Medicine, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa
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Mike M. Sathekge
1Department of Nuclear Medicine, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa
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Thabo Lengana
1Department of Nuclear Medicine, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa
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Michel Koole
2Nuclear Medicine and Molecular Imaging, University Hospitals Leuven, Leuven, Belgium
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Olivier Gheysens
2Nuclear Medicine and Molecular Imaging, University Hospitals Leuven, Leuven, Belgium
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Thavendran Govender
3Catalysis and Peptide Research Unit, University of KwaZulu-Natal, Durban, South Africa; and
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Jan R. Zeevaart
4Department of Science and Technology, Preclinical Drug Development Platform, North West University, Potchefstroom, South Africa
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  • FIGURE 1.
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    FIGURE 1.

    Representative 68Ga-NOTA-UBI PET/CT biodistribution in NHPs 60 min after tracer administration (189 MBq).

  • FIGURE 2.
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    FIGURE 2.

    68Ga-NOTA-UBI PET maximum-intensity projection (skull to midthigh) demonstrating physiologic tracer biodistribution in healthy male (A) and female (B) volunteers. Images were acquired 60 min after intravenous injection of 129 and 132 MBq, respectively, of tracer.

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    FIGURE 3.

    68Ga-NOTA-UBI PET/CT images in representative patient with peripheral bone- and soft-tissue infection. (A) Whole-body maximum-intensity projection shows diffusely increased tracer uptake in right lower leg. (B) Detailed images demonstrate focal increased tracer uptake in ankle joint extending to adjacent bone (black and white arrows), as well as diffuse tracer uptake in calf muscles (red arrows); no significant uptake in contralateral leg was noted. Images were obtained 60 min after tracer administration (240 MBq).

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    FIGURE 4.

    Representative MR and 68Ga-NOTA-UBI PET/CT images in patient with suspected spinal infection (spondylodiskitis). (A–C) Coronal T1-weighted MR image (fat suppression) (A), whole-body maximum-intensity-projection PET image (B), and sequential transaxial fused PET/CT (top), PET (middle), and CT (bottom) images (C) showing focally increased uptake (arrowheads) in intervertebral region of L3–L4 corresponding to abnormal findings on MRI. K = kidney.

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    TABLE 1

    Extrapolated Human Radiation Dose Estimates for 68Ga-NOTA-UBI

    OrganDose (μSv/MBq)%CV
    Adrenals6.215.0
    Brain1.169.5
    Breast4.957.4
    Gallbladder wall6.845.5
    Lower left intestine8.5015.5
    Small intestine7.587.0
    Stomach wall6.562.4
    Upper left intestine7.286.9
    Heart wall10.006.8
    Kidneys23.1019.0
    Liver17.7027.9
    Lung11.7013.3
    Muscle3.709.7
    Ovaries7.6010.0
    Pancreas6.1521.0
    Red marrow6.675.6
    Osteogenic cells9.645.8
    Skin4.595.2
    Spleen7.6715.5
    Testes5.0125.6
    Thymus5.356.7
    Thyroid3.554.5
    Urinary bladder wall185.0058.6
    Uterus10.3022.2
    Total body6.840.6
    • %CV = coefficient of variance (%).

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Journal of Nuclear Medicine: 59 (2)
Journal of Nuclear Medicine
Vol. 59, Issue 2
February 1, 2018
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68Ga-NOTA-Functionalized Ubiquicidin: Cytotoxicity, Biodistribution, Radiation Dosimetry, and First-in-Human PET/CT Imaging of Infections
Thomas Ebenhan, Mike M. Sathekge, Thabo Lengana, Michel Koole, Olivier Gheysens, Thavendran Govender, Jan R. Zeevaart
Journal of Nuclear Medicine Feb 2018, 59 (2) 334-339; DOI: 10.2967/jnumed.117.200048

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68Ga-NOTA-Functionalized Ubiquicidin: Cytotoxicity, Biodistribution, Radiation Dosimetry, and First-in-Human PET/CT Imaging of Infections
Thomas Ebenhan, Mike M. Sathekge, Thabo Lengana, Michel Koole, Olivier Gheysens, Thavendran Govender, Jan R. Zeevaart
Journal of Nuclear Medicine Feb 2018, 59 (2) 334-339; DOI: 10.2967/jnumed.117.200048
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Keywords

  • 68Ga
  • ubiquicidin
  • UBI29-41
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  • Infection imaging
  • 68Ga-NOTA-UBI(29-41)
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