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Editorial Commentary: Should “heterogeneous response” be considered as new category for assessing treatment response in patients with breast cancer?
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-21 DOI: 10.1007/s00259-024-07042-9
Sofia C. Vaz, David Groheux, Thiemo van Nijnatten, Lidija Antunovic, Fatima Cardoso, Felix Mottaghy, Maria Joao Cardoso, Christopher Riedl, Lioe-Fee de Geus-Oei, Gary A. Ulaner
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引用次数: 0
This union must happen: Radiomics and LAFOV PET/CT as the power couple of nuclear medicine.
IF 8.6 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-21 DOI: 10.1007/s00259-024-07045-6
Luca Filippi, Francesco Bianconi, Orazio Schillaci, Barbara Palumbo
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引用次数: 0
Identifying and navigating bottlenecks in the translation of novel radiopharmaceuticals: a perspective.
IF 8.6 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-20 DOI: 10.1007/s00259-024-07020-1
Margret Schottelius
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引用次数: 0
Influence of dosimetry accuracy on the correlation with treatment outcome in a preliminary PSMA radiopharmaceutical therapy study
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-20 DOI: 10.1007/s00259-024-07010-3
Jiaxi Hu, Robert Seifert, Sofia Karkampouna, Carlos Vinicius Gomes, Song Xue, Ali Afshar-Ormieh, Axel Rominger, Kuangyu Shi

Introduction

Despite the potential of dosimetry in optimizing personalized radiopharmaceutical therapy (RPT), its limited clinical implementation impedes the development of simplified protocols for routine adoption. However, simplifications may introduce errors in dosimetry, prompting questions about their impact on clinical practice.

Materials and methods

In this retrospective study, we analyzed data from 21 patients diagnosed with metastatic castration-resistant prostate cancer (mCRPC) who underwent multiple cycles of 177Lu-PSMA-617 RPT treatment. Cumulative dosimetry of all the treatment cycles was calculated using both the standard multi-time point dosimetry (MTPD) method and the single time-point dosimetry (STPD, Hänscheid approximation) method for the same cohort. Their correlations with treatment outcome (PSA decline rate and overall survival, OS) and complication risk (anaemia grade) were investigated. The Fisher's Z-Transformed test was performed to statistically evaluate the difference between the correlations.

Results

STPD showed a non-significant difference in correlation with PSA decline rate, despite a mean percentage error (MPE) of up to 36.44% in tumor dosimetry compared to MTPD (MTPD: rho = -0.39, p < 0.001; STPD: rho = -0.46, p < 0.001; Z = 0.58, p = 0.56). Both STPDtotal and MTPDtotal demonstrated a significant impact on OS (STPDtotal: Hazard Ratio = 1.05, p < 0.05, log-transformed MTPDtotal: Hazard Ratio = 3.41, p < 0.05, log-transformed STPDtotal: Hazard Ratio = 8.06, p < 0.05). Additionally, despite a MPE of up to -40.26% in bone marrow dosimetry, STPD showed a non-significant difference in correlation with anemia grade (MTPD: rho = 0.35, p < 0.001; STPD: rho = 0.40, p < 0.001; Z = -0.39, p = 0.70).

Conclusion

The preliminary findings from a small cohort indicate that the reduced accuracy of a clinically simplified protocol may not diminish the clinical therapy outcome predictive value of dosimetry. Future thorough systematic investigations may be needed to determine the clinically acceptable level of accuracy for dosimetry.

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引用次数: 0
GD2-targeted theranostics of neuroblastoma with [64Cu]Cu/[177Lu]Lu-hu3F8
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-20 DOI: 10.1007/s00259-024-07033-w
Lingling Zheng, Cuicui Li, Xu Yang, Jun Liu, Guanyun Wang, Ziang Zhou, Xianyu Zhu, Jianhua Gong, Jigang Yang

Purpose

Neuroblastoma (NB) is a malignant embryonic tumour with poor prognosis and high mortality rate. The antigen gisialoganglioside (GD2), which is highly expressed on the surface of NB cells, is an effective target for therapy. This study aims to evaluate the GD2 expression with [64Cu]Cu-NOTA-hu3F8 positron emission tomography (PET) imaging and explore the radioimmunotherapy (RIT) effect of [177Lu]Lu-DOTA-hu3F8 in NB tumour models.

Methods

The in vitro validation of the binding ability of anti-GD2 humanised monoclonal antibody (hu3F8) to GD2 was achieved via flow cytometry, cell immunofluorescence, and cell uptake test. Hu3F8 were conjugated with p-SCN-Bn-NOTA (NOTA) and p-SCN-Bn-DOTA (DOTA) for 64Cu- and 177Lu- radiolabelling. PET imaging and RIT studies were conducted using [64Cu]Cu-NOTA-hu3F8 and [177Lu]Lu-DOTA-hu3F8 in subcutaneous NB tumour models.

Results

The Institute for Medical Research-32 (IMR32) cell line exhibited a specific binding ability of hu3F8. PET imaging demonstrated a specific accumulation of [64Cu]Cu-NOTA-hu3F8 in IMR32 tumour models, with a maximum tumour uptake of 23.73 ± 2.29%ID/g (n = 3) at 72 h post-injection (p.i.), outperforming other groups significantly (P < 0.001). The high dose [177Lu]Lu-DOTA-hu3F8 group (11.1MBq) showed the most potent tumour suppression, with a standardised tumour volume of about 20.47 ± 6.32% at 30 days p.i., significantly smaller than other groups (n = 5, P < 0.05).

Conclusion

This study demonstrated that 64Cu-/177Lu- labelled hu3F8 could noninvasively evaluate the GD2 expression and effectively inhibit tumour growth in NB tumour models. The excellent therapeutic efficacy of [177Lu]Lu-DOTA-hu3F8 may be helpful for the clinical translation of this GD2-targeted theranostics approach in GD2-positive tumours.

目的神经母细胞瘤(NB)是一种预后差、死亡率高的恶性胚胎肿瘤。神经母细胞瘤细胞表面高表达的抗原吉西阿糖苷(GD2)是有效的治疗靶点。本研究旨在通过[64Cu]Cu-NOTA-hu3F8正电子发射断层扫描(PET)成像评估GD2的表达,并探讨[177Lu]Lu-DOTA-hu3F8在NB肿瘤模型中的放射免疫治疗(RIT)效果。方法通过流式细胞术、细胞免疫荧光和细胞摄取试验体外验证抗GD2人源化单克隆抗体(hu3F8)与GD2的结合能力。Hu3F8 与 p-SCN-Bn-NOTA(NOTA)和 p-SCN-Bn-DOTA(DOTA)共轭,用于 64Cu 和 177Lu 放射性标记。在皮下 NB 肿瘤模型中使用[64Cu]Cu-NOTA-hu3F8 和[177Lu]Lu-DOTA-hu3F8 进行了 PET 成像和 RIT 研究。PET 成像显示,[64Cu]Cu-NOTA-hu3F8 在 IMR32 肿瘤模型中具有特异性蓄积,在注射后 72 小时(p.i.),肿瘤的最大摄取量为 23.73 ± 2.29%ID/g(n = 3),明显优于其他组别(P < 0.001)。高剂量[177Lu]Lu-DOTA-hu3F8组(11.1MBq)显示出最强的肿瘤抑制能力,在注射后30天,标准化肿瘤体积约为20.47±6.32%,明显小于其他组(n = 5,P <0.05)。[177Lu]Lu-DOTA-hu3F8的卓越疗效可能有助于这种GD2靶向治疗方法在GD2阳性肿瘤中的临床转化。
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引用次数: 0
A case of cerebral amyloid angiopathy with ipsilateral tau and contralateral amyloid PET uptake related to cadaveric dura mater implanted in childhood.
IF 8.6 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-19 DOI: 10.1007/s00259-024-07030-z
Yuki Hatakeyama, Atsushi Michael Kimura, Shintaro Tsuboguchi, Mikhail Ratanov, Kosei Nakamura, Masahiro Hatakeyama, Yukimi Nakamura, Masaki Watanabe, Yoshihiro Murakami, Yuko Saito, Shigeo Murayama, Kensaku Kasuga, Takeshi Ikeuchi, Hironaka Igarashi, Osamu Onodera, Hitoshi Shimada
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引用次数: 0
Subcortical tau deposition and plasma glial fibrillary acidic protein as predictors of cognitive decline in mild cognitive impairment and Alzheimer’s disease
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-18 DOI: 10.1007/s00259-024-07016-x
Yan Chang, Jiajin Liu, Xiaodan Xu, Shuwei Sun, Jinming Zhang, Xiaojun Zhang, Guangshuang Lu, Shaobo Xiao, Yuanyan Cao, Runze Wu, Jun Wu, Ruozhuo Liu, Ruimin Wang

Purpose

This study aimed to investigate the correlation between subcortical tau-positron emission tomography (Tau-PET) and plasma glial fibrillary acidic protein (GFAP) levels and cognitive function in participants with cognitively unimpaired (CU), mild cognitive impairment (MCI) and Alzheimer’s disease (AD) conditions.

Methods

105 participants with amyloid (Aβ) PET and Tau-PET scans were enrolled. Region of interest (ROI) level and voxel-wise comparisons were performed between those three groups. Correlations between standardized uptake value ratio (SUVR) and cognitive performance were analyzed. The diagnostic performance of Tau-PET, Aβ-PET, and plasma GFAP, both individually and combined, was evaluated by calculating the area under the curve (AUC) from receiver operating characteristic (ROC) analyses.

Results

Plasma GFAP levels in the AD and MCI groups were higher than those in the CU group. The AD and MCI groups showed higher Tau-PET load at the amygdala, accumbens, putamen, pallidum, hippocampus, para-hippocampus and olfactory tubercle than the CU group (p < 0.05). In the MCI group, the mean tau SUVR in the combined subcortical ROI negatively correlated with cognitive scores (r = -0.38, p = 0.02). The combination of Tau-PET, Aβ-PET and plasma GFAP provided optimal diagnostic accuracy for classifying AD from MCI, with an AUC of 0.82, a sensitivity of 0.69 and a specificity of 0.81.

Conclusions

Subcortical tau deposition and increased plasma GFAP levels are associated with cognitive impairment in MCI patients.

目的 本研究旨在探讨认知功能未受损(CU)、轻度认知功能受损(MCI)和阿尔茨海默病(AD)患者皮层下tau正电子发射断层扫描(Tau-PET)和血浆胶质纤维酸性蛋白(GFAP)水平与认知功能之间的相关性。对这三类患者进行感兴趣区(ROI)水平和体素比较。分析了标准化摄取值比(SUVR)与认知能力之间的相关性。结果AD组和MCI组的血浆GFAP水平高于CU组。AD组和MCI组的杏仁核、延脑、普坦门、苍白球、海马、副海马和嗅结节的Tau-PET负荷量高于CU组(P <0.05)。在 MCI 组中,皮层下 ROI 组合中的平均 tau SUVR 与认知评分呈负相关(r = -0.38,p = 0.02)。Tau-PET、Aβ-PET 和血浆 GFAP 的组合为将 AD 从 MCI 分类提供了最佳的诊断准确性,其 AUC 为 0.82,灵敏度为 0.69,特异性为 0.81。
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引用次数: 0
First-in-human SPECT/CT imaging of [211At]PSMA-5: targeted alpha therapy in a patient with refractory prostate cancer 首次对人体进行[211At]PSMA-5的SPECT/CT成像:对一名难治性前列腺癌患者进行α靶向治疗
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-17 DOI: 10.1007/s00259-024-07017-w
Tadashi Watabe, Koji Hatano, Sadahiro Naka, Hidetaka Sasaki, Takashi Kamiya, Yoshifumi Shirakami, Atsushi Toyoshima, Jens Cardinale, Frederik L. Giesel, Kayako Isohashi, Norio Nonomura, Noriyuki Tomiyama
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引用次数: 0
18F-FDG PET/CT: The turning point in eosinophilic fasciitis diagnosis in a pediatric patient
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-17 DOI: 10.1007/s00259-024-07026-9
Elizabeth Katherine Anna Triumbari, Milena Pizzoferro, Maria Felicia Villani, Claudio Altini, Saadi Sollaku, Emanuele Casciani, Maria Luisa D’Andrea, Antonella Insalaco, Maria Carmen Garganese
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引用次数: 0
A deep learning method for total-body dynamic PET imaging with dual-time-window protocols 采用双时间窗协议的全身动态 PET 成像深度学习方法
IF 9.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-17 DOI: 10.1007/s00259-024-07012-1
Wenxiang Ding, Hanzhong Wang, Xiaoya Qiao, Biao Li, Qiu Huang

Purpose

Prolonged scanning durations are one of the primary barriers to the widespread clinical adoption of dynamic Positron Emission Tomography (PET). In this paper, we developed a deep learning algorithm that capable of predicting dynamic images from dual-time-window protocols, thereby shortening the scanning time.

Methods

This study includes 70 patients (mean age ± standard deviation, 53.61 ± 13.53 years; 32 males) diagnosed with pulmonary nodules or breast nodules between 2022 to 2024. Each patient underwent a 65-min dynamic total-body [18F]FDG PET/CT scan. Acquisitions using early-stop protocols and dual-time-window protocols were simulated to reduce the scanning time. To predict the missing frames, we developed a bidirectional sequence-to-sequence model with attention mechanism (Bi-AT-Seq2Seq); and then compared the model with unidirectional or non-attentional models in terms of Mean Absolute Error (MAE), Bias, Peak Signal-to-Noise Ratio (PSNR), and Structural Similarity (SSIM) of predicted frames. Furthermore, we reported the comparison of concordance correlation coefficient (CCC) of the kinetic parameters between the proposed method and traditional methods.

Results

The Bi-AT-Seq2Seq significantly outperform unidirectional or non-attentional models in terms of MAE, Bias, PSNR, and SSIM. Using a dual-time-window protocol, which includes a 10-min early scan followed by a 5-min late scan, improves the four metrics of predicted dynamic images by 37.31%, 36.24%, 7.10%, and 0.014% respectively, compared to the early-stop protocol with a 15-min acquisition. The CCCs of tumor’ kinetic parameters estimated with recovered full time-activity-curves (TACs) is higher than those with abbreviated TACs.

Conclusion

The proposed algorithm can accurately generate a complete dynamic acquisition (65 min) from dual-time-window protocols (10 + 5 min).

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引用次数: 0
期刊
European Journal of Nuclear Medicine and Molecular Imaging
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