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Research ArticleOncology

Biodistribution, Radiation Dosimetry, and Clinical Application of a Melanin-Targeted PET Probe, 18F-P3BZA, in Patients

Xiaowei Ma, Shengjun Wang, Shuailiang Wang, Daliang Liu, Xiaohu Zhao, Hao Chen, Fei Kang, Weidong Yang, Jing Wang and Zhen Cheng
Journal of Nuclear Medicine January 2019, 60 (1) 16-22; DOI: https://doi.org/10.2967/jnumed.118.209643
Xiaowei Ma
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
2Molecular Imaging Program at Stanford (MIPS), Bio-X Program, and Department of Radiology, Canary Center at Stanford for Cancer Early Detection, Stanford University, Stanford, California
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Shengjun Wang
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Shuailiang Wang
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Daliang Liu
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Xiaohu Zhao
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Hao Chen
2Molecular Imaging Program at Stanford (MIPS), Bio-X Program, and Department of Radiology, Canary Center at Stanford for Cancer Early Detection, Stanford University, Stanford, California
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Fei Kang
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Weidong Yang
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Jing Wang
1Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China; and
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Zhen Cheng
2Molecular Imaging Program at Stanford (MIPS), Bio-X Program, and Department of Radiology, Canary Center at Stanford for Cancer Early Detection, Stanford University, Stanford, California
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  • Article
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  • FIGURE 1.
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    FIGURE 1.

    18F-P3BZA synthesis scheme.

  • FIGURE 2.
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    FIGURE 2.

    Timeline of the dosimetry study (upper part) and melanoma (lower part) PET/CT imaging.

  • FIGURE 3.
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    FIGURE 3.

    Maximum-intensity-projection PET images at different time points after 18F-P3BZA injection in female subject (A) and male subject (B).

  • FIGURE 4.
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    FIGURE 4.

    Transverse images of brain (A) and stomach (B) at different time points after 18F-P3BZA injection.

  • FIGURE 5.
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    FIGURE 5.

    Average time–SUVmean curves (n = 6) for 12 major organs (error bars indicate ±SD).

  • FIGURE 6.
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    FIGURE 6.

    Average SUVmean (A) and tumor-to-muscle ratio (B) of melanoma tumors and metastases in patients (n = 5).

  • FIGURE 7.
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    FIGURE 7.

    Sample images of a melanoma patient. (A) Maximum-intensity-projection PET images at 10 and 60 min after 18F-P3BZA injection and at 60 min after 18F-FDG injection. (B) Transverse images of primary melanoma (red arrow), lymph node metastasis (yellow arrow), and bone metastasis (blue arrow). (C) H&E (upper part) and immunohistochemistry (lower part) images of primary melanoma.

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    TABLE 1

    Demographics of Study Subjects

    Patient no.Age (y)SexWeight (kg)Injected dose (MBq)
    155F55187
    261F59210
    342F51204
    449M75229
    563M66214
    657M70226
    Mean54.5 ± 7.8—62.6 ± 9.2211.7 ± 15.4
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    TABLE 2

    Demographics of Patients

    Injected dose (MBq)
    Patient no.Age (y)SexStage*Weight (kg)18F-P3BZA18F-FDG
    149MII72219381
    266FIII52162266
    359MIV66210363
    443MIII75226444
    556FII57177292
    Mean54.6 ± 8.9——64.4 ± 9.8198.8 ± 27.9349.2 ± 71.4
    • ↵* Cancer stages of patients were decided after the pathology examination.

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    TABLE 3

    Estimated Absorbed Radiation Dose for 18F-P3BZA

    OrganDose (mSv/MBq)
    Adrenals0.0150
    Brain0.0147
    Breasts0.0075
    Gallbladder wall0.0158
    Lower large intestine wall0.0134
    Small intestine0.0207
    Stomach wall0.0219
    Upper large intestine wall0.0228
    Heart wall0.0166
    Kidneys0.0218
    Liver0.0407
    Lungs0.0121
    Muscle0.0120
    Ovaries (n = 3)0.0109
    Pancreas0.0224
    Red marrow0.0122
    Osteogenic cells0.0085
    Skin0.0034
    Spleen0.0247
    Testes (n = 3)0.0086
    Thymus0.0051
    Thyroid0.0110
    Urinary bladder wall0.1200
    Uterus0.0141
    Eyes0.0128
    Total body0.0099
    Effective dose0.0193

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Journal of Nuclear Medicine: 60 (1)
Journal of Nuclear Medicine
Vol. 60, Issue 1
January 1, 2019
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Biodistribution, Radiation Dosimetry, and Clinical Application of a Melanin-Targeted PET Probe, 18F-P3BZA, in Patients
Xiaowei Ma, Shengjun Wang, Shuailiang Wang, Daliang Liu, Xiaohu Zhao, Hao Chen, Fei Kang, Weidong Yang, Jing Wang, Zhen Cheng
Journal of Nuclear Medicine Jan 2019, 60 (1) 16-22; DOI: 10.2967/jnumed.118.209643

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Biodistribution, Radiation Dosimetry, and Clinical Application of a Melanin-Targeted PET Probe, 18F-P3BZA, in Patients
Xiaowei Ma, Shengjun Wang, Shuailiang Wang, Daliang Liu, Xiaohu Zhao, Hao Chen, Fei Kang, Weidong Yang, Jing Wang, Zhen Cheng
Journal of Nuclear Medicine Jan 2019, 60 (1) 16-22; DOI: 10.2967/jnumed.118.209643
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Keywords

  • 18F-P3BZA
  • radiation dosimetry
  • melanoma
  • PET/CT imaging
  • clinical transfer
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