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Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

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Page 1: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals
Page 2: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Development and Dosimetry of 46Sc-HEDP as a bone-Seeker

Radiopharmaceutical

Leila Moghaddam Banaem

Page 3: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals are designed for internal radiotherapy, because they accumulate in tumours and eliminate cancerous cells by selective targeting, without harming healthy cells.Bone-seeking radiopharmaceuticals are used for the palliative treatment of bone pain resulting from skeletal metastases.

Radiation Therapy

30%

Nuclear Imaging

70%

Radioisotopes in Medicine

46Sc-HEDP & Dosimetry

Page 4: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Mechanisms of LocalizationCompartmental localization and leakageCell sequestrationPhagocytosisPassive diffusionMetabolismActive transport

46Sc-HEDP & Dosimetry

Page 5: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Localization (cont.)Capillary blockadePerfusionChemotaxisAntibody-antigen complexationReceptor bindingPhysiochemical adsorption

46Sc-HEDP & Dosimetry

Page 6: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Ligand from Latin ligare “to bind” “a molecule or anion with an unshared pair of electrons donating a lone pair to a metal cation to form a coordinate covalent bond”Elements with unshared pairs of electrons capable

of being ligands:C, N, O, S, F. Cl, Br, I

Molecules acting as ligands: :NH3; :OH2

Ions acting as ligands:Cl-, Br-, I-,

46Sc-HEDP & Dosimetry

Page 7: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

46Sc-HEDP & Dosimetry

Ideal RadiopharmaceuticalsLow radiation doseHigh target/nontarget activitySafetyConvenienceCost-effectiveness

Page 8: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Therapy isotopes for bone pain palliation

Isotope t1/2(days)Eβ (max)

(MeV)

γ Emission (keV)

Abundance%

32P 14.3 1.789Sr 50.5 1.46

153Sm 1.9 0.81 103 29186Re 3.8 1.07 137 9

117Snm 13.6 0.13,0.16 158 8747Sc 3.35 .441 159 7

46Sc-HEDP & Dosimetry

Page 9: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Bone Seeker Carrier

46Sc-HEDP & Dosimetry

O

P P

O

O- O-

O-O-

C

R1

R2

Molecular structure of Bisphosphonate

O

P P

O

O- O-

O-O-

C

C

H HH

OH

Molecular structure of HEDP

C2H4Na4O7P2

Page 10: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Scandiumرادیونوکلئید نیمه عمر حالت

واپاشیkeV)انرژی گاما) keV)متوسط انرژی بتا)

اسکاندیوم-46

83/9 روز

بتا منفی (99/98%)889/28 (99/99%)1120/55

(99/99%)112

اسکاندیوم-47

روز3/35 بتا منفی (68%)159 (68%)142(-32%)204

اسکاندیوم-48

روز1/82 بتا منفی (100%)1312-(100%)983( 97%)1037

(100%)157-(89%)226

46Sc-HEDP & Dosimetry

Page 11: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

HPGe spectrum for SC-46 chloride solution used in this study

46Sc-HEDP & Dosimetry

Page 12: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

TLC of ScCl3 by NH4OH:CH3OH:H2O

1 2 3 4 5 6 70

10

20

30

40

50

60

70

80

90

100

46Sc-HEDP & Dosimetry

Page 13: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

TLC of 46Sc-HEDP

1 2 3 4 5 60

10

20

30

40

50

60

70

80

90

%(30min-beta)%(60min-beta)%(24h-beta)%(48h-gama)

46Sc-HEDP & Dosimetry

Page 14: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Biodistribution of 46Sc-HEDP

46Sc-HEDP & Dosimetry

bloo

dhe

artlu

ng

stom

ach

inte

stin

eliv

er

sple

en

kidn

eybo

ne

mus

clebr

ain

skin

skul

Ster

num

0.000

1.000

2.000

3.000

4.000

5.000

6.000

7.000

8.000

%ID/g(4h)%ID/g(24h)%ID/g(48h)%ID/g(144h)%ID/g(216h)

Page 15: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Biodistribution of 186Re-HEDP

liver

kidn

ey sto

inte

s...

lung

bone

sple

en

mus

cle

blad

der

hear

t

bloo

dbr

ain

skul

l0

0.2

0.4

0.6

0.8

1

1.2

4h 24h 48h

ID%

/g

46Sc-HEDP & Dosimetry

Page 16: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Spect of Rat 24h after Re-HEDP injection

46Sc-HEDP & Dosimetry

Page 17: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Spect of Rat 4h after 46Sc-HEDP injection

46Sc-HEDP & Dosimetry

Page 18: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

186Re-HEDP scintigraphy 48 h after the treatment infusion.

46Sc-HEDP & Dosimetry

Page 19: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

46Sc-HEDP & Dosimetry

Dosimetry MethodsTypes of Dosimetry

Marinelli/Quimby

ICRPDose Calculation for Staff and Patients

ICRPII ICRP30

RADARElectronic Source

Software OLINDA/EXM

Dose Calculation for Staff and Patients

MIRD

Page 20: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

46Sc-HEDP & Dosimetry

Dose Calculation-MIRD method

humanTBweight

organanimalTBweightanimalhuman Kg

gKg

g

IDID )()()

%()(%

A(t)=a1e-b1t+a2e-

b2t+….

k

k

r

hkiiihk

hhkhr

m

rrEykrrS

rrSAD

)()(

)(~

ICRP89(International Commission on Radiological Protection)

Page 21: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

46Sc-HEDP & Dosimetry

Estimated human %ID

bloo

dhe

art

lung

stom

ach

inte

stin

eliv

er

sple

en

kidn

eyBon

e0.00

10.00

20.00

30.00

40.00

50.00

Estimated human %ID

4h24h48h144H216h

Page 22: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

46Sc-HEDP & Dosimetry

Estimated Human Absorbed Dose

OrganAccumulated

Acivity (µCi-h)Absorbed Dose

(mGy/MBq)

L-Intestine 4 0.133

H-Intestine 4 0.273

Stomach 7 0.066

Kidney 22 0.109

Liver 241 0.168

Lung 5 0.078

Spleen 11 0.113

Bone-Surface5946

2.25

Red-Marrow 0.758

Total Body 2295 0.254

Page 23: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

Conclusion186Re-HEDP 47Sc-HEDP

Stability 48h in room Temp. 48h in room Temp.

Biodistribution 4 h maximum %2.4in bone

4h maximum & %6.31 in bone

Performing Simple Target preparation

Equal product expense

With impurity

Simple Target preparation

Needs separationEqual product

expenseWithout impurity

46Sc-HEDP & Dosimetry

Page 24: Leila Moghaddam Banaem In diagnosis radiopharmaceuticals produce images that enable the function and living chemistry of the body to be evaluated. Radiopharmaceuticals

46Sc-HEDP & Dosimetry