DOCSLIB.ORG

Amyvid, INN-Florbetapir [18F]

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Amyvid, INN-Florbetapir [18F] 17 January 2013 EMA/30808/2013 Committee for Medicinal Products for Human Use (CHMP) Assessment report Amyvid International non-proprietary name: florbetapir (18F) Procedure No. EMEA/H/C/002422 Note Assessment report as adopted by the CHMP with all information of a commercially confidential nature deleted. 7 Westferry Circus ● Canary Wharf ● London E14 4HB ● United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7418 8416 E-mail [email protected] Website www.ema.europa.eu An agency of the European Union © European Medicines Agency, 2013. Reproduction is authorised provided the source is acknowledged. TABLE OF CONTENTS 1. Background information on the procedure...............................................5 1.1. Submission of the dossier ..................................................................................... 5 1.2. Manufacturers ..................................................................................................... 6 1.3. Steps taken for the assessment of the product ........................................................ 7 2. Scientific discussion.................................................................................7 2.1. Introduction ........................................................................................................ 7 2.2. Quality aspects .................................................................................................... 9 2.2.1. Introduction ..................................................................................................... 9 2.2.2. Active Substance............................................................................................... 9 2.2.3. Finished Medicinal Product................................................................................ 10 2.2.4. Discussion on chemical, and pharmaceutical aspects ........................................... 12 2.2.5. Conclusions on the chemical, pharmaceutical and biological aspects ...................... 12 2.2.6. Recommendations for future quality development ............................................... 12 2.3. Non-clinical aspects............................................................................................ 12 2.3.1. Pharmacology................................................................................................. 12 2.3.2. Pharmacokinetics ............................................................................................ 13 2.3.3. Toxicology...................................................................................................... 13 2.3.4. Ecotoxicity/environmental risk assessment......................................................... 15 2.3.5. Discussion on non-clinical aspects ..................................................................... 17 2.3.6. Conclusion on the non-clinical aspects ............................................................... 17 2.4. Clinical aspects .................................................................................................. 17 2.4.1. Introduction ................................................................................................... 17 2.4.2. Pharmacokinetics ............................................................................................ 20 2.4.3. Pharmacodynamics.......................................................................................... 21 2.4.4. Discussion on clinical pharmacology .................................................................. 25 2.4.5. Conclusions on clinical pharmacology................................................................. 26 2.5. Clinical efficacy.................................................................................................. 26 2.5.1. Dose response study ....................................................................................... 26 2.5.2. Main studies ................................................................................................... 26 2.5.3. Discussion on clinical efficacy ........................................................................... 49 2.5.4. Conclusions on the clinical efficacy .................................................................... 61 2.6. Clinical safety .................................................................................................... 63 2.6.1. Discussion on clinical safety.............................................................................. 68 2.6.2. Conclusions on Clinical Safety........................................................................... 70 2.7. Pharmacovigilance ............................................................................................. 70 2.8. User consultation ............................................................................................... 72 3. Benefit-Risk Balance ..............................................................................73 4. Recommendations .................................................................................76 Amyvid Assessment report EMA/30808/2013 Page 2/78 LIST OF ABBREVIATIONS Acronym Definition AB β-amyloid AChE-I Acetylcholinesterase inhibitor ACRIN American College of Radiology Imaging Network AD Alzheimer’s Disease ADAS Alzheimer’s Disease Assessment Scale ADCS Alzheimer’s Disease Cooperative Study ADL Activities of Daily Living ADNI Alzheimer’s Disease Neuroimaging Initiative ADNI-GO Alzheimer’s Disease Neuroimaging Initiative-Grand Opportunity AE Adverse Event ALARA As Low As Reasonably Achievable BP Binding Potential CAA Cerebral Amyloid Angiopathy CDR Clinical Dementia Rating CERAD Consortium to Establish a Registry for Alzheimer’s Disease CHMP Committee for Medicinal Products for Human Use CI Confidence Interval CIOMS Council for International Organizations of Medical Sciences CN Cognitively Normal CSF Cerebrospinal Fluid CSR Clinical Study Report CT Computed Tomography DAT Dementia of the Alzheimer Type DICOM Digital Imaging and Communications in Medecine DLB Dementia with Lewy Bodies DVD Digital Versatile Device DVR Distribution Volume Ratio ECG Electrocardiogram EMA European Medicines Agency EU European Union FDA Food and Drug Administration FDG Fludeoxyglucose (18F) FTD Frontotemporal Dementia GE General Electric GI Gastrointestinal HC Healthy Control HPLC High-Performance Liquid Chromatography ID Identity Document IHC Immunohistochemistry IL Illinois IRB Institutional Review Board IV Intravenous KD Dissociation Constant LBD Lewy Body Dementia LC/MS Liquid Chromatography-Mass Spectrometry MAA Marketing Authorization Application MBq Mega Becquerel MCI Mild Cognitive Impairment MedDRA Medical Dictionary for Regulatory Activities MID Multi-infarct Dementia MMSE Mini-mental State Examination MRI Magnetic Resonance Imaging NAC Non-attenuation Corrected NC Normal Controls Amyvid Assessment report EMA/30808/2013 Page 3/78 Acronym Definition NIA National Institute on Aging NINCDS-ADRDA National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association NMDA N-methyl-D-aspartic acid NOAEL No Observed Adverse Event Level NP Neuritic Plaques NPV Negative Predictive Value ODD Other Dementing Disorders OHC Old Healthy Control PD Parkinson’s Disease PET Positron Emission Tomography PIB Pittsburgh Compound B PIL Product Information Leaflet RAMLA Row-Action Maximum-Likelihood algorithm ROI Region of Interest SAE Serious Adverse Event SAP Statistical Analysis Plan SD Standard Deviation SHRI Sun Health Research Institute SmPC Summary of Product Characteristics SPC Summary of Product Characteristics SPECT Single-photon emission computed tomography SUV Standard Uptake Value SUVR Standard Uptake Value Ratio UK United Kingdom US United States YHC Young Healthy Controls Amyvid Assessment report EMA/30808/2013 Page 4/78 1. Background information on the procedure 1.1. Submission of the dossier The applicant Eli Lilly Nederland B.V. submitted on 4 January 2012 an application for Marketing Authorisation to the European Medicines Agency (EMA) for Amyvid, through the centralised procedure under Article 3 (2)(a) of Regulation (EC) No 726/2004. The eligibility to the centralised procedure was agreed upon by the EMA/CHMP on 28 September 2010. The applicant applied for the following indication: radiopharmaceutical indicated for Positron Emission Tomography (PET) imaging of β-amyloid neuritic plaques in the brains of adult patients with cognitive impairment being evaluated for suspected Alzheimer’s Disease (AD). The legal basis for this application refers to: Article 8.3 of Directive 2001/83/EC - complete and independent application. The application submitted is composed of administrative information, complete quality data, non-clinical and clinical data based on applicants’ own tests and studies and/or bibliographic literature substituting/supporting certain tests or studies. Information on Paediatric requirements Pursuant to Article 8 of Regulation (EC) No 1901/2006, the application included an EMA Decision EMEA-001060-PIP01-10 on the granting of a product-specific waiver. The EMA Paediatric Committee granted a waiver for (E)-4-(2-(6-(2-(2-(2-[18F] fluoroethoxy)ethoxy)ethoxy)pyridin-3-yl)vinyl)-N-methylbenzenamine on 14 January 2011 (EMEA- 001060-PIP01-10) as there is no intended use in the paediatric population. New active Substance status The applicant requested the active substance florbetapir 18F contained in the above medicinal product to be considered as a new active substance in itself. Scientific Advice The applicant
Load more

Recommended publications
  • Brain Imaging
    Publications · Brochures Brain Imaging A Technologist’s Guide Produced with the kind Support of Editors Fragoso Costa, Pedro (Oldenburg) Santos, Andrea (Lisbon) Vidovič, Borut (Munich) Contributors Arbizu Lostao, Javier Pagani, Marco Barthel, Henryk Payoux, Pierre Boehm, Torsten Pepe, Giovanna Calapaquí-Terán, Adriana Peștean, Claudiu Delgado-Bolton, Roberto Sabri, Osama Garibotto, Valentina Sočan, Aljaž Grmek, Marko Sousa, Eva Hackett, Elizabeth Testanera, Giorgio Hoffmann, Karl Titus Tiepolt, Solveig Law, Ian van de Giessen, Elsmarieke Lucena, Filipa Vaz, Tânia Morbelli, Silvia Werner, Peter Contents Foreword 4 Introduction 5 Andrea Santos, Pedro Fragoso Costa Chapter 1 Anatomy, Physiology and Pathology 6 Elsmarieke van de Giessen, Silvia Morbelli and Pierre Payoux Chapter 2 Tracers for Brain Imaging 12 Aljaz Socan Chapter 3 SPECT and SPECT/CT in Oncological Brain Imaging (*) 26 Elizabeth C. Hackett Chapter 4 Imaging in Oncological Brain Diseases: PET/CT 33 EANM Giorgio Testanera and Giovanna Pepe Chapter 5 Imaging in Neurological and Vascular Brain Diseases (SPECT and SPECT/CT) 54 Filipa Lucena, Eva Sousa and Tânia F. Vaz Chapter 6 Imaging in Neurological and Vascular Brain Diseases (PET/CT) 72 Ian Law, Valentina Garibotto and Marco Pagani Chapter 7 PET/CT in Radiotherapy Planning of Brain Tumours 92 Roberto Delgado-Bolton, Adriana K. Calapaquí-Terán and Javier Arbizu Chapter 8 PET/MRI for Brain Imaging 100 Peter Werner, Torsten Boehm, Solveig Tiepolt, Henryk Barthel, Karl T. Hoffmann and Osama Sabri Chapter 9 Brain Death 110 Marko Grmek Chapter 10 Health Care in Patients with Neurological Disorders 116 Claudiu Peștean Imprint 126 n accordance with the Austrian Eco-Label for printed matters.
    [Show full text]
  • Vizamyl, INN-Flutemetamol (18F)
    26 June 2014 EMA/546752/2014 Committee for Medicinal Products for Human Use (CHMP) Vizamyl flutemetamol (18F) Procedure No. EMEA/H/C/002553 Marketing authorisation holder: GE HEALTHCARE LIMITED Assessment report for an initial marketing authorisation application Assessment report as adopted by the CHMP with all commercially confidential information deleted 30 Churchill Place ● Canary Wharf ● London E14 5EU ● United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact An agency of the European Union © European Medicines Agency, 2014. Reproduction is authorised provided the source is acknowledged. Table of contents 1. Background information on the procedure .............................................. 7 1.1. Submission of the dossier ...................................................................................... 7 1.2. Manufacturers ...................................................................................................... 8 1.3. Steps taken for the assessment of the product ......................................................... 8 2. Scientific discussion ................................................................................ 9 2.1. Introduction......................................................................................................... 9 2.2. Quality aspects .................................................................................................. 11 2.2.1. Introduction ...................................................................................................
    [Show full text]
  • Radiopharmaceuticals and Contrast Media – Oxford Clinical Policy
    UnitedHealthcare® Oxford Clinical Policy Radiopharmaceuticals and Contrast Media Policy Number: RADIOLOGY 034.19 T0 Effective Date: January 1, 2021 Instructions for Use Table of Contents Page Related Policies Coverage Rationale ....................................................................... 1 • Cardiology Procedures Requiring Prior Definitions .................................................................................... 10 Authorization for eviCore Healthcare Arrangement Prior Authorization Requirements .............................................. 10 • Radiation Therapy Procedures Requiring Prior Applicable Codes ........................................................................ 10 Authorization for eviCore Healthcare Arrangement Description of Services ............................................................... 13 • Radiology Procedures Requiring Prior Authorization References ................................................................................... 13 for eviCore Healthcare Arrangement Policy History/Revision Information ........................................... 14 Instructions for Use ..................................................................... 14 Coverage Rationale eviCore healthcare administers claims on behalf of Oxford Health Plans for the following services that may be billed in conjunction with radiopharmaceuticals and/or contrast media: • Radiology Services: Refer to Radiology Procedures Requiring Prior Authorization for eviCore Healthcare Arrangement for additional information.
    [Show full text]
  • Initial Clinical Comparison of 18F-Florbetapir and 18F-FDG PET in Patients with Alzheimer Disease and Controls
    Journal of Nuclear Medicine, published on May 10, 2012 as doi:10.2967/jnumed.111.099606 Initial Clinical Comparison of 18F-Florbetapir and 18F-FDG PET in Patients with Alzheimer Disease and Controls Andrew B. Newberg1, Steven E. Arnold2, Nancy Wintering1, Barry W. Rovner1, and Abass Alavi2 1Thomas Jefferson University and Hospital, Philadelphia, Pennsylvania; and 2University of Pennsylvania, Philadelphia, Pennsylvania The purpose of this study was to determine how clinical inter- Alzheimer disease (AD) is a brain disorder of older pretations of the 18F-amyloid tracer florbetapir compares diagnos- adults, with symptoms of progressive decline in memory 18 tically with F-FDG PET when evaluating patients with Alzheimer and other cognitive functions. A definitive diagnosis of AD disease (AD) and controls. Methods: Nineteen patients with a clin- ical diagnosis of AD and 21 elderly controls were evaluated with can be established only by demonstrating the presence of both 18F-florbetapir and 18F-FDG PET scans. Scans were inter- abundant senile plaques and neurofibrillary tangles in post- preted together by 2 expert readers masked to any case informa- mortem brain sections (1,2). During life, most patients are tion and were assessed for tracer binding patterns consistent with diagnosed by clinical criteria that imperfectly track with AD. The criteria for interpreting the 18F-florbetapir scan as positive postmortem pathologic findings. The criteria for the diagno- for AD was the presence of binding in the cortical regions relative to sis of AD were defined by the Working Group of the Na- the cerebellum. 18F-FDG PET scans were interpreted as positive if they displayed the classic pattern of hypometabolism in the tem- tional Institute of Neurologic and Communicative Disorders poroparietal regions.
    [Show full text]
  • Download Final Programme As
    LETTER OF INVITATION LETTER OF INVITATION WELCOME WORDS by the EANM Congress Chair EANM’20 EANM’20 On behalf of the European Association of Nuclear Medicine, it is my great honour to invite you to the 33rd Annual EANM WORLD LEADING MEETING LEADING WORLD Congress, which will take place virtually from 22 to 30 MEETING LEADING WORLD October 2020. Nuclear Medicine keeps on growing in many number of newer features are also being planned clinical areas, from diagnostic imaging to and we will have a new format for the plenary therapy: our procedures are increasingly being sessions, new top-rated oral presentation sessions incorporated into clinical practice, in a variety of and a new ‘Top Trials’ session. settings and diseases. This success is mostly related to a peculiar characteristic of our specialty, namely A further characteristic of our Congress is its the functional approach to medicine. PET imaging multidisciplinarity, and this will be emphasised works so well because of the unique functional in 2020, with a number of sessions bringing information provided to clinicians, and this feature together physicians from many specialties as well is the key to the ongoing rapid diffusion of Nuclear as specialists in radiochemistry and pharmacy, Medicine. physicists and other professionals. In addition, a dedicated track for technologists will be provided. In recent years, the status of the EANM Congress as the world-leading meeting in Nuclear Medicine If all of this still isn’t enough to motivate you to has been firmly established. The number of attend the EANM’20 Congress virtually, we are attendees in 2019 exceeded that in any previous working on providing some extra entertainment to year, with more than 6950 participants, but we make your virtual experience even more fun.
    [Show full text]
  • Northern Ireland Nuclear Medicine Equipment Survey, 2017
    Northern Ireland nuclear medicine equipment survey 2017 Northern Ireland nuclear medicine equipment survey 2017 About Public Health England Public Health England exists to protect and improve the nation’s health and wellbeing and reduce health inequalities. We do this through world-leading science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. We are an executive agency of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy. We provide government, local government, the NHS, Parliament, industry and the public with evidence-based professional, scientific and delivery expertise and support. Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG Tel: 020 7654 8000 www.gov.uk/phe Twitter: @PHE_uk Facebook: www.facebook.com/PublicHealthEngland © Crown copyright 2019 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit OGL. Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. Published January 2019 PHE publications PHE supports the UN Sustainable Development Goals 2 Northern Ireland nuclear medicine equipment survey 2017 Contents Executive summary 4 Introduction 5 Methodology 6 Number of procedures performed 7 Procedures per scanner 8 Age of Scanners 9 Procedures reported for each organ or system 10 Procedures reported
    [Show full text]
  • October 2019 Rates Medicare Hospital Outpatient Prospective Payment System HOPPS (APC) Medicine Procedures, Radiopharmaceuticals, and Drugs
    WWW.SNMMI.ORG Final Rule 2020 Compared to October 2019 Rates Medicare Hospital Outpatient Prospective Payment System HOPPS (APC) Medicine Procedures, Radiopharmaceuticals, and Drugs October 2019 Rates CY 2020 Final Rule Updated April 2, 2020 Status Item/Code/Service OPPS Payment Status Indicator Services furnished to a hospital outpatient that are paid under a fee schedule or Not paid under OPPS. Paid by MACs under a fee schedule or payment system other than OPPS. payment system other than OPPS,* for example: A ● Separately Payable Clinical Diagnostic Laboratory Services (Not subject to Services are subject to deductible or coinsurance unless indicated otherwise. deductible or coinsurance.) D Discontinued Codes Not paid under OPPS or any other Medicare payment system. Items and Services: ● Not covered by any Medicare outpatient benefit category Not paid by Medicare when submitted on outpatient claims (any outpatient bill E1 ● Statutorily excluded by Medicare type). ● Not reasonable and necessary Items and Services: Not paid by Medicare when submitted on outpatient claims (any outpatient bill ● for which pricing information and claims data are not E2 type). available G Pass-Through Drug/ Biologicals Paid under OPPS; separate APC payment NonPass-Through Drugs and nonimplantable Biologicals, including Therapeutic Paid under OPPS; separate APC payment K Radiopharmaceuticals Paid under OPPS; payment is packaged into payment for other services. Items and Services packaged into APC rate N Therefore, there is no separate APC payment. Paid under OPPS; Addendum B displays APC assignments when services are separately payable. (1) Packaged APC payment if billed on the same claim as a HCPCS code STV-Packaged assigned status indicator “S,” “T,” or “V.” Q1 Codes (2) Composite APC payment if billed with specific combinations of services based on OPPS composite-specific payment criteria.
    [Show full text]
  • Mechanisms of Radiopharmaceutical Localization
    .::VOLUME 16, LESSON 4::. Mechanisms of Radiopharmaceutical Localization Continuing Education for Nuclear Pharmacists And Nuclear Medicine Professionals By James A. Ponto, MS, RPh, BCNP Chief Nuclear Pharmacists, University of Iowa Hospitals and Clinics and Professor (Clinical), University of Iowa Hospitals and Clinics The University of New Mexico Health Sciences Center, College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Program No. 0039-000-12-164- H04-P 2.5 Contact Hours or .25 CEUs. Initial release date: 7/19/2012 -- Intentionally left blank -- Mechanisms of Radiopharmaceutical Localization By James A. Ponto, MS, RPh, BCNP Editor, CENP Jeffrey Norenberg, MS, PharmD, BCNP, FASHP, FAPhA UNM College of Pharmacy Editorial Board Stephen Dragotakes, RPh, BCNP, FAPhA Michael Mosley, RPh, BCNP Neil Petry, RPh, MS, BCNP, FAPhA James Ponto, MS, RPh, BCNP, FAPhA Tim Quinton, PharmD, BCNP, FAPhA S. Duann Vanderslice, RPh, BCNP, FAPhA John Yuen, PharmD, BCNP Advisory Board Dave Engstrom, PharmD, BCNP Vivian Loveless, PharmD, BCNP, FAPhA Brigette Nelson, MS, PharmD, BCNP Brantley Strickland, BCNP Susan Lardner, BCNP Christine Brown, BCNP Director, CENP Administrator, CE & Web Publisher Kristina Wittstrom, MS, RPh, BCNP, FAPhA Christina Muñoz, M.A. UNM College of Pharmacy UNM College of Pharmacy While the advice and information in this publication are believed to be true and accurate at the time of press, the author(s), editors, or the publisher cannot accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, expressed or implied, with respect to the material contained herein.
    [Show full text]
  • SNMMI Fact Sheet Amyloid.Indd
    Amyloid PET Imaging INDICATION: • Amyloid imaging radiopharmaceuticals are indicated for Positron Emission Tomography (PET) imaging of the brain to estimate β-amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease (AD) and other causes of cognitive decline. RADIOPHARMACEUTICALS (FDA APPROVED): • 18F-Florbetapir (Amyvid™, Eli Lilly) • 18F-Florbetaben (NeuraCeq™, Piramal Life Sciences) • 18F-Flutemetamol (Vizamyl™, GE Healthcare) CONTRAINDICATIONS: • Inability to cooperate with PET brain imaging. • Amyloid PET imaging should be performed on a pregnant woman only if there is a clear clinical benefi t. • Previous reaction to the radiopharmaceutical or any excipient. ADVERSE REACTIONS (SEE INDIVIDUAL PACKAGE INSERT FOR COMPLETE LISTINGS): • 18-F Florbetapir (Amyvid™) - headache (<2%), dizziness, nausea (<1%), fatigue (<1%), injection site reaction (<1%). • 18F-Florbetaben (NeuraCeq™) - injection site reactions (<2%) consisting of erythema, irritation and pain. • 18F-Flutemetamol (Vizamyl™) - fl ushing (2%), blood pressure increase (2%), headache (1%), nausea (1%), dizziness (1%) STORAGE: • Store radiopharmaceutical at room temperature. • Radiopharmaceutical is provided in unit dose syringe and must not be diluted. PATIENT PREPARATION: • It is not necessary for patients to be NPO prior to imaging. • It is not necessary to control the post injection conditions (e.g. ambient light, temperature, noise). • It is not necessary to discontinue any medications. • Patient should wear comfortable clothing, with no metal on head (hair clips, earrings, etc.) • If patient is breast feeding, recommend discontinuation of breast feeding for 24 hours after administration of radiopharmaceutical. • It is often useful to engage a family member or caregiver in the process of explaining the scan procedure and assessing the patient’s ability to follow instructions.
    [Show full text]
  • Slides Report on Recent Factors Related to the T&E Report, and Are Not That of the Convened Subcommittee
    Overview: 2019-2020 ACMUI Activities Darlene Metter, M.D. ACMUI Chair/Diagnostic Radiologist November 18, 2020 Today’s Agenda • A. Robert Schleipman, Ph.D. (ACMUI Vice-Chair) – ACMUI’s Comments on the Staff’s Evaluation of Training and Experience for Radiopharmaceuticals Requiring a Written Directive • Ms. Melissa Martin (ACMUI Nuclear Medicine Physicist) – ACMUI’s Comments on Extravasations 2 Today’s Agenda cont’d • Mr. Michael Sheetz (ACMUI Radiation Safety Officer) – ACMUI’s Comments on Patient Intervention and Other Actions Exclusive of Medical Events • Hossein Jadvar, M.D., Ph.D. (ACMUI Nuclear Medicine Physician) – Trending Radiopharmaceuticals 3 Overview of the ACMUI • ACMUI Role • Membership • 2019-2020 Topics • Current Subcommittees • Future 4 Role of the ACMUI • Advise the U.S. Nuclear Regulatory Commission (NRC) staff on policy & technical issues that arise in the regulation of the medical use of radioactive material in diagnosis & therapy. • Comment on changes to NRC regulations & guidance. • Evaluate certain non-routine uses of radioactive material. 5 Role of the ACMUI (cont’d) • Provide technical assistance in licensing, inspection & enforcement cases. • Bring key issues to the attention of the Commission for appropriate action. 6 ACMUI Membership (12 members) • Healthcare Administrator (Dr. Arthur Schleipman) • Nuclear Medicine Physician (Dr. Hossein Jadvar) • 2 Radiation Oncologists (Drs. Ronald Ennis & Harvey Wolkov) • Nuclear Cardiologist (Dr. Vasken Dilsizian) • Diagnostic Radiologist (Dr. Darlene Metter) • Nuclear Pharmacist (Mr. Richard Green) 7 7 ACMUI Membership (12 members) • 2 Medical Physicists Nuclear Medicine (Ms. Melissa Martin) Radiation Therapy (Mr. Zoubir Ouhib) • Radiation Safety Officer (Mr. Michael Sheetz) • Patients’ Rights Advocate (Mr. Gary Bloom*) • FDA Representative (Dr. Michael O’Hara) • Agreement State Representative (Ms.
    [Show full text]
  • Radiopharmaceuticals in Neurological and Psychiatric Disorders
    International Conference on Clinical PET-CT and Molecular Imaging (IPET 2015 ): PET-CT in the era of multimodality imaging and image-guided therapy October, 05-09, 2015, Vienna Radiopharmaceuticals in Neurological and Psychiatric Disorders Emilia Janevik Faculty of Medical Sciences Goce Delcev – Stip, Republic of Macedonia Everything that healthcare providers do has a real, meaningful impact on human life Nuclear medicine is the only imaging modality that depend of the injected radiopharmaceutical Every radiopharmaceutical that is administrated holds far more than just a radionuclide Radiopharmaceuticals want it to deliver confidence, efficiency and a higher standard of excellence. And above all, renewed hope for each patient’s future Radiopharmaceuticals for planar imaging, (SPECT), (PET), PET-CT or SPECT-CT fusion imaging PET-MRI is currently being developed for clinical application Understanding the utilization of radiopharmaceuticals for neurological and psychiatric disorders First contact…Projects related to International Atomic Energy Agency - IAEA: 1.(technical cooperation) 1995-1997 Preparation and QC od Technetium 99m Radiopharmaceuticals 99mTc - HMPAO DIAGNOSTIC APPLICATION OF SPECT RADIOPHARMACEUTICALS IN NEUROLOGY AND PSYCHIATRY The principal application areas for brain imaging include: - evaluation of brain death - brain imaging to assess the absence of cerebral blood flow - epilepsy - cerebrovascular disease - neuronal function - cerebrospinal fluid (CSF) dynamics - brain tumours Primarily technetium agents, including - nondiffusible tracers 99mTc-pertechnetate, 99mTc pentetate (Tc- DTPA) and 99mTc-gluceptate (Tc-GH) - diffusible tracers 99mTc-exametazime, hexamethylpropyleneamine oxime - (Tc-HMPAO) and 99mTc-bicisate, ethylcysteinate dimer (Tc-ECD) - Evaluation of brain death - brain imaging to assess the absence of cerebral blood flow Cerebral delivery of radiotracer Major arteries that distribute Major veins that drain blood to the brain after i.v.
    [Show full text]
  • First European Congress on Hereditary ATTR Amyloidosis Paris, France
    Orphanet Journal of Rare Diseases 2015, Volume 10 Suppl 1 http://www.ojrd.com/content/10/S1/I1 MEETING ABSTRACTS Open Access First European Congress on Hereditary ATTR amyloidosis Paris, France. 2-3 November 2015 Published: 2 November 2015 These abstracts are available online at http://www.ojrd.com/supplements/10/S1 INVITED SPEAKER PRESENTATIONS Rice ASC, Rowbotham M, Sena E, Siddall P, Smith B, Wallace M: Pharmacotherapy for neuropathic pain in adults: systematic review, meta- Lancet Neurol I1 analysis and NeuPSIG recommendations. 2015, 14:162-73. Symptomatic therapy in ATTR amyloidosis: pain killers in TTR-FAP Nadine Attal I2 INSERM U-987, Centre dÂ’’Evaluation et de Traitement de la Douleur, CHU Neuropathic phenotypes and natural history of FAP Ambroise Parc APHP, F-92100 Boulogne-Billancourt, France and University David Adams Versailles Saint-Quentin, Versailles, F-78035, France Centre Paris-Sud, APHP, Hopital de Bicetre and Centre de Reference National E-mail: [email protected] des Neuropathies Amyloides Familiales, 94275 Le Kremlin-Bicetre, France Orphanet Journal of Rare Diseases 2015, 10(Suppl 1):I1 Orphanet Journal of Rare Diseases 2015, 10(Suppl 1):I2 Familial amyloidosis typically causes a nerve length-dependent small fiber TTR-FAP have been described more than 60 years ago by Corino Andrade polyneuropathy that starts in the feet with loss of temperature and pain in Porto (Brain, 1952). This peculiar disease affected many families with an sensations, associated with autonomic dysfunction, which can be extremely autosomal dominant transmission, in the third decade of life, characterized severe and life threatening. Neuropathic pain is commonly associated with by a progressive peripheral neuropathy starting in the lower extremities amyloid neuropathy.
    [Show full text]