Nuclear Medicine in the Context of Personalized Medicine

Total Page:16

File Type:pdf, Size:1020Kb

Nuclear Medicine in the Context of Personalized Medicine NUCLEAR MEDICINE IN THE CONTEXT OF PERSONALIZED MEDICINE EDITED BY : Françoise Kraeber-Bodéré, Francesco Cicone, Pierre Payoux and Myriam Bernaudin PUBLISHED IN : Frontiers in Medicine Frontiers eBook Copyright Statement About Frontiers The copyright in the text of individual articles in this eBook is the Frontiers is more than just an open-access publisher of scholarly articles: it is a property of their respective authors or their respective institutions or pioneering approach to the world of academia, radically improving the way scholarly funders. The copyright in graphics research is managed. The grand vision of Frontiers is a world where all people have and images within each article may be subject to copyright of other an equal opportunity to seek, share and generate knowledge. Frontiers provides parties. In both cases this is subject immediate and permanent online open access to all its publications, but this alone to a license granted to Frontiers. is not enough to realize our grand goals. The compilation of articles constituting this eBook is the property of Frontiers. Frontiers Journal Series Each article within this eBook, and the eBook itself, are published under The Frontiers Journal Series is a multi-tier and interdisciplinary set of open-access, the most recent version of the Creative Commons CC-BY licence. online journals, promising a paradigm shift from the current review, selection and The version current at the date of dissemination processes in academic publishing. All Frontiers journals are driven publication of this eBook is CC-BY 4.0. If the CC-BY licence is by researchers for researchers; therefore, they constitute a service to the scholarly updated, the licence granted by community. At the same time, the Frontiers Journal Series operates on a revolutionary Frontiers is automatically updated to the new version. invention, the tiered publishing system, initially addressing specific communities of When exercising any right under the scholars, and gradually climbing up to broader public understanding, thus serving CC-BY licence, Frontiers must be the interests of the lay society, too. attributed as the original publisher of the article or eBook, as applicable. Dedication to Quality Authors have the responsibility of ensuring that any graphics or other Each Frontiers article is a landmark of the highest quality, thanks to genuinely materials which are the property of collaborative interactions between authors and review editors, who include some others may be included in the CC-BY licence, but this should be of the world’s best academicians. Research must be certified by peers before entering checked before relying on the CC-BY licence to reproduce those a stream of knowledge that may eventually reach the public - and shape society; materials. Any copyright notices therefore, Frontiers only applies the most rigorous and unbiased reviews. relating to those materials must be complied with. Frontiers revolutionizes research publishing by freely delivering the most outstanding Copyright and source research, evaluated with no bias from both the academic and social point of view. acknowledgement notices may not By applying the most advanced information technologies, Frontiers is catapulting be removed and must be displayed in any copy, derivative work or scholarly publishing into a new generation. partial copy which includes the elements in question. All copyright, and all rights therein, What are Frontiers Research Topics? are protected by national and Frontiers Research Topics are very popular trademarks of the Frontiers Journals international copyright laws. The above represents a summary only. Series: they are collections of at least ten articles, all centered on a particular subject. For further information please read With their unique mix of varied contributions from Original Research to Review Frontiers’ Conditions for Website Use and Copyright Statement, and Articles, Frontiers Research Topics unify the most influential researchers, the latest the applicable CC-BY licence. key findings and historical advances in a hot research area! Find out more on how ISSN 1664-8714 to host your own Frontiers Research Topic or contribute to one as an author by ISBN 978-2-88963-861-1 DOI 10.3389/978-2-88963-861-1 contacting the Frontiers Editorial Office: [email protected] Frontiers in Medicine 1 July 2020 | Nuclear Medicine in Personalized Medicine NUCLEAR MEDICINE IN THE CONTEXT OF PERSONALIZED MEDICINE Topic Editors: Françoise Kraeber-Bodéré, Centre de Recherche en Cancérologie Nantes Angers, France Francesco Cicone, University of Catanzaro, Italy Pierre Payoux, INSERM U1214 Centre d’Imagerie Neuro Toulouse (ToNIC), France Myriam Bernaudin, Centre National de la Recherche Scientifique (CNRS), France Citation: Kraeber-Bodéré, F., Cicone, F., Payoux, P., Bernaudin, M., eds. (2020). Nuclear Medicine in the Context of Personalized Medicine. Lausanne: Frontiers Media SA. doi: 10.3389/978-2-88963-861-1 Frontiers in Medicine 2 July 2020 | Nuclear Medicine in Personalized Medicine Table of Contents 05 Editorial: Nuclear Medicine in the Context of Personalized Medicine Jacques Barbet, Myriam Bernaudin, Pierre Payoux, Francesco Cicone, Marie-Hélène Gaugler and Françoise Kraeber-Bodéré 07 Interest of FDG-PET in the Management of Mantle Cell Lymphoma Clément Bailly, Thomas Carlier, Cyrille Touzeau, Nicolas Arlicot, Françoise Kraeber-Bodéré, Steven Le Gouill and Caroline Bodet-Milin 11 Interest of Pet Imaging in Multiple Myeloma Bastien Jamet, Clément Bailly, Thomas Carlier, Cyrille Touzeau, Cristina Nanni, Elena Zamagni, Louisa Barré, Anne-Victoire Michaud, Michel Chérel, Philippe Moreau, Caroline Bodet-Milin and Françoise Kraeber-Bodéré 20 [18F]-Fludarabine for Hematological Malignancies Louisa Barré, Narinée Hovhannisyan, Caroline Bodet-Milin, Françoise Kraeber-Bodéré and Gandhi Damaj 25 The Story of the Dopamine Transporter PET Tracer LBT-999: From Conception to Clinical Use Sylvie Chalon, Johnny Vercouillie, Pierre Payoux, Jean-Bernard Deloye, Cécile Malherbe, Florence Le Jeune, Nicolas Arlicot, Anne-Sophie Salabert, Denis Guilloteau, Patrick Emond and Maria-Joao Ribeiro 30 Clinical Results in Medullary Thyroid Carcinoma Suggest High Potential of Pretargeted Immuno-PET for Tumor Imaging and Theranostic Approaches Caroline Bodet-Milin, Clément Bailly, Yann Touchefeu, Eric Frampas, Mickael Bourgeois, Aurore Rauscher, Franck Lacoeuille, Delphine Drui, Nicolas Arlicot, David M. Goldenberg, Alain Faivre-Chauvet, Jacques Barbet, Caroline Rousseau and Françoise Kraeber-Bodéré 37 Hypoxia Imaging and Adaptive Radiotherapy: A State-of-the-Art Approach in the Management of Glioma Michael Gérard, Aurélien Corroyer-Dulmont, Paul Lesueur, Solène Collet, Michel Chérel, Mickael Bourgeois, Dinu Stefan, Elaine Johanna Limkin, Cécile Perrio, Jean-Sébastien Guillamo, Bernard Dubray, Myriam Bernaudin, Juliette Thariat and Samuel Valable 48 Rhenium-188 Labeled Radiopharmaceuticals: Current Clinical Applications in Oncology and Promising Perspectives Nicolas Lepareur, Franck Lacœuille, Christelle Bouvry, François Hindré, Emmanuel Garcion, Michel Chérel, Nicolas Noiret, Etienne Garin and F. F. Russ Knapp Jr. 67 Risk Management Through an “Activity Contradictions” Lens: Exposure to Low Doses of Radiation in Nuclear Medicine Romain Lonceint, Françoise Bodéré and Bénédicte Geffroy Frontiers in Medicine 3 July 2020 | Nuclear Medicine in Personalized Medicine 78 Innovative Molecular Imaging for Clinical Research, Therapeutic Stratification, and Nosography in Neuroscience Marie Beaurain, Anne-Sophie Salabert, Maria Joao Ribeiro, Nicolas Arlicot, Philippe Damier, Florence Le Jeune, Jean-François Demonet and Pierre Payoux 110 Cell Tracking in Cancer Immunotherapy Justine Perrin, Marisa Capitao, Marie Mougin-Degraef, François Guérard, Alain Faivre-Chauvet, Latifa Rbah-Vidal, Joëlle Gaschet, Yannick Guilloux, Françoise Kraeber-Bodéré, Michel Chérel and Jacques Barbet Frontiers in Medicine 4 July 2020 | Nuclear Medicine in Personalized Medicine EDITORIAL published: 09 June 2020 doi: 10.3389/fmed.2020.00252 Editorial: Nuclear Medicine in the Context of Personalized Medicine Jacques Barbet 1, Myriam Bernaudin 2, Pierre Payoux 3,4, Francesco Cicone 5,6, Marie-Hélène Gaugler 7 and Françoise Kraeber-Bodéré 8* 1 GIP Arronax, Saint-Herblain, France, 2 Université de Normandie, UNICAEN, CEA, CNRS, ISTCT/CERVOxy Group, GIP CYCERON, Caen, France, 3 Service de Médecine Nucléaire, CHU de Toulouse, Toulouse, France, 4 ToNIC, Toulouse NeuroImaging Center, UMR1214 Inserm, Toulouse, France, 5 Department of Experimental and Clinical Medicine, “Magna Graecia” University of Catanzaro, Catanzaro, Italy, 6 Department of Nuclear Medicine and Molecular Imaging, Lausanne University Hospital, Lausanne, Switzerland, 7 Université de Nantes, CNRS, Inserm, CRCINA, Nantes, France, 8 Université de Nantes, CHU de Nantes, ICO Gauducheau, CNRS, Inserm, CRCINA, Nantes, France Keywords: PET, theranostics, radionuclide therapy, solid tumors, hematological malignancies Editorial on the Research Topic Nuclear Medicine in the Context of Personalized Medicine Nuclear Medicine has been at the heart of theranostics even before the term was coined. It provides effective tools for precision medicine particularly with positron emission tomography (PET), and radioligand therapy. It allows the investigation of phenotypes and functions in all areas of medicine and provides innovative tools to kill cancer cells. This Research Topic for Frontiers in Medicine focuses on the role of Nuclear
Recommended publications
  • PET Imaging of Occult Tumours by Temporal Integration of Tumour-Acidosis Signals from Ph-Sensitive 64Cu-Labelled Polymers
    ARTICLES https://doi.org/10.1038/s41551-019-0416-1 PET imaging of occult tumours by temporal integration of tumour-acidosis signals from pH-sensitive 64Cu-labelled polymers Gang Huang 1, Tian Zhao1, Chensu Wang 1, Kien Nham2, Yahong Xiong2, Xiaofei Gao3, Yihui Wang3, Guiyang Hao 2, Woo-Ping Ge3, Xiankai Sun2, Baran D. Sumer 4* and Jinming Gao 1,4* Owing to the diversity of cancer types and the spatiotemporal heterogeneity of tumour signals, high-resolution imaging of occult malignancy is challenging. 18F-fluorodeoxyglucose positron emission tomography allows for near-universal cancer detec- tion, yet in many clinical scenarios it is hampered by false positives. Here, we report a method for the amplification of imaging contrast in tumours via the temporal integration of the imaging signals triggered by tumour acidosis. This method exploits the catastrophic disassembly, at the acidic pH of the tumour milieu, of pH-sensitive positron-emitting neutral copolymer micelles into polycationic polymers, which are then internalized and retained by the cancer cells. Positron emission tomography imaging of the 64Cu-labelled polymers detected small occult tumours (10–20 mm3) in the brain, head, neck and breast of mice at much higher contrast than 18F-fluorodeoxyglucose, 11C-methionine and pH-insensitive 64Cu-labelled nanoparticles. We also show that the pH-sensitive probes reduce false positive detection rates in a mouse model of non-cancerous lipopolysaccharide-induced inflammation. This macromolecular strategy for integrating tumour acidosis should enable improved cancer detection, surveil- lance and staging. ancer exhibits diverse genetic and histological differences tumours over the surrounding normal tissues often leads to false from normal tissues1.
    [Show full text]
  • Assessment of Cardiac Amyloidosis with 99MTC- Pyrophosphate (PYP) Quantitative Spect
    Assessment of Cardiac Amyloidosis With 99MTC- pyrophosphate (PYP) Quantitative Spect Chao Ren Peking Union Medical College Hospital Jingyun Ren Peking Union Medical College Hospital Zhuang Tian Peking Union Medical College Hospital Yanrong Du Peking Union Medical College Hospital Zhixin Hao Peking Union Medical College Hospital Zongyao Zhang Chinese Academy of Medical Sciences & Peking Union Medical College Fuwai Hospital Wei Fang Chinese Academy of Medical Sciences & Peking Union Medical College Fuwai Hospital Fang Li Peking Union Medical College Hospital Shuyang Zhang Peking Union Medical College Hospital Bailing Hsu University of Missouri-Columbia Li Huo ( [email protected] ) Peking Union Medical College Hospital https://orcid.org/0000-0003-1216-083X Original research Keywords: ATTR cardiomyopathy, 99mTc-PYP quantitative SPECT, standardized uptake value, diagnostic feasibility, the operator reproducibility Posted Date: June 5th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-32649/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/25 Version of Record: A version of this preprint was published on January 7th, 2021. See the published version at https://doi.org/10.1186/s40658-020-00342-7. Page 2/25 Abstract Background: 99mTc-PYP scintigraphy provides differential diagnosis of ATTR cardiomyopathy (ATTR-CM) from lightchain cardiac amyloidosis and other myocardial disorders without biopsy. This study was aimed to assess the diagnostic feasibility and the operator reproducibility of 99mTc-PYP quantitative SPECT. Method:Thirty-seven consecutive patients underwent a99mTc-PYP thorax planar scan followed by SPECT and CT scans to diagnose suspected ATTR-CM were enrolled. For the quantitative SPECT, phantom studies were initially performed to determine the image conversion factor (ICF) and partial volume correction (PVC) factor to recover 99mTc-PYP activity concentration in myocardium for calculating the standardized uptake value (SUV) (unit: g/ml).
    [Show full text]
  • A Technique for Standardized Central Analysis of 6-18F-Fluoro-L-DOPA PET Data from a Multicenter Study
    A Technique for Standardized Central Analysis of 6-18F-Fluoro-L-DOPA PET Data from a Multicenter Study Alan L. Whone, MRCP1; Dale L. Bailey, PhD2; Philippe Remy, PhD3; Nicola Pavese, MD1; and David J. Brooks, DSc1 1Division of Neuroscience and MRC Clinical Sciences Centre, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, United Kingdom; 2Department of Nuclear Medicine, Royal North Shore Hospital, Sydney, Australia; and 3CEA-Centre National de la Recherche Scientifique Unite´ de Recherche Associe´e 2210, Service Hospitalier Frederic Joliot, Orsay, France tralized analysis offers the potential for improved detection of We have recently completed a large 6-18F-fluoro-L-DOPA (18F- outcomes due to the standardization of the analytic approach DOPA) PET study comparing rates of loss of dopamine terminal and allows the analysis of large numbers of PET studies. function in Parkinson’s disease (PD) patients taking either the Key Words: PET; 18F-DOPA; Parkinson’s disease; progression; dopamine agonist ropinirole or L-DOPA. This trial involved a central analysis “distributed acquisition/centralized analysis” method, in which J Nucl Med 2004; 45:1135–1145 18F-DOPA images were acquired at 6 different PET centers around the world and then analyzed at a single site. To our knowledge, this is the first time such a centralized approach has been employed with 18F-DOPA PET and this descriptive basic science article outlines the methods used. Methods: One hun- With rapid advances in molecular medicine, the pro- dred eighty-six PD patients were randomized (1:1) to ropinirole duction of neuroprotective or neurorestorative agents that or L-DOPA therapy, and 18F-DOPA PET was performed at base- affect the progression of degenerative conditions such as line and again at 2 y.
    [Show full text]
  • [123I]FP-CIT SPECT in Atypical Degenerative Parkinsonism
    CONTRAST AGENT EVALUATION [123I]FP-CIT SPECT in atypical degenerative parkinsonism One of the most widely used techniques to support the clinical diagnosis of Parkinson’s disease is the SPECT scan with [123I]FP-CIT. This tracer binds reversibly and visualizes the striatal presynaptic dopamine transporters. Several uncertainties remain on the value of [123I]FP-CIT and SPECT in atypical degenerative parkinsonian syndromes. In this concise review, we discuss the contribution of SPECT and [123I]FP-CIT in supporting the clinical diagnosis of Parkinson’s disease and their role in the differential diagnosis of Parkinson’s disease and atypical degenerative parkinsonism. The chemistry, pharmacodynamics and pharmacokinetics of [123I]FP-CIT are also discussed. 1,2,3 KEywordS: atypical degenerative parkinsonism n FP-CIT n ioflupane n SPECT Ioannis U Isaias* , Giorgio Marotta4, Gianni Pezzoli2, Parkinson’s disease (PD) is the second most dystonic tremor [15] and psychogenic parkin- Osama Sabri5 [1] [16,17] 5,6 common neurodegenerative disorder , yet sonism . In this concise review, we will & Swen Hesse 123 early accurate diagnosis remains challenging. discuss the role of SPECT and [ I]FP-CIT in 1Università degli Studi di Milano, The estimated prevalence of PD is 0.5–1% in supporting the clinical diagnosis of PD and its Dipartimento di Fisiologia Umana, those aged 65–69 years and 1–3% in those aged differential diagnosis with ADP. Milano, Italy 2Centro per la Malattia di Parkinson e i ≥80 years [1]. Although the clinical diagnosis of Disturbi del Movimento,
    [Show full text]
  • DICOM Conformance Template
    g GE Heathcare Technical Publications Direction 5507068-1EN (DOC1584283) Revision 1 DaTQUANT Application™ DICOM CONFORMANCE STATEMENT Copyright 2015 by General Electric Co. Do not duplicate g GE Heathcare LIST OF REVISIONS REV DATE DESCRIPTION PAGES APPR. 1 May 2015 Initial Release All M. Mesh DATQUANT APPLICATION GE Healthcare DICOM CONFORMANCE STATEMENT DIR 5507068-1EN (DOC1584283) REV 1 THIS PAGE LEFT INTENTIONALLY BLANK DATQUANT APPLICATION GE Healthcare DICOM CONFORMANCE STATEMENT DIR 5507068-1EN (DOC1584283) REV 1 CONFORMANCE STATEMENT OVERVIEW DaTQUANT application is an application that uses NM and CT images and creates NM, SC and MFSC images. Table 0.1 provides an overview of the network services supported by the DaTQUANT application. Table 0.1 – APPLICATION SOP Classes User of Object Creator of Instances Object Instances Transfer Secondary Capture Image Storage No Yes Multi-frame True Color Secondary Capture Image Storage No Yes Nuclear Medicine Image Storage Yes Yes Computerized Tomography Image Storage Yes No 4 DATQUANT APPLICATION GE Healthcare DICOM CONFORMANCE STATEMENT DIR 5507068-1EN (DOC1584283) REV 1 1. INTRODUCTION ............................................................................................................... 8 1.1 Overview ..................................................................................................................................................................... 8 1.2 Overall DICOM Conformance Statement Document Structure ..........................................................................
    [Show full text]
  • 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]
  • The Role of 18F-Flortaucipir (AV-1451) in the Diagnosis of Neurodegenerative Disorders
    Open Access Review Article DOI: 10.7759/cureus.16644 The Role of 18F-Flortaucipir (AV-1451) in the Diagnosis of Neurodegenerative Disorders Saswata Roy 1 , Dipanjan Banerjee 2, 3 , Indrajit Chatterjee 4 , Deepika Natarajan 5 , Christopher Joy Mathew 2 1. General Medicine, Musgrove Park Hospital, Taunton, GBR 2. Internal Medicine, East Sussex Healthcare NHS Trust, Hastings, GBR 3. Neuroscience, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA 4. General Psychiatry, Wishaw University Hospital, Hamilton, GBR 5. General Surgery, North Cumbria Integrated Care (NCIC), Carlisle, GBR Corresponding author: Saswata Roy, [email protected] Abstract Tau protein plays a vital role in maintaining the structural and functional integrity of the nervous system; however, hyperphosphorylation or abnormal phosphorylation of tau protein plays an essential role in the pathogenesis of several neurodegenerative disorders. The development of radioligand such as the 18F- flortaucipir (AV-1451) has provided us with the opportunity to assess the underlying tau pathology in various etiologies of dementia. For the purpose of this article, we aimed to evaluate the utility of 18F-AV- 1451 in the differential diagnosis of various neurodegenerative disorders. We used PubMed to look for the latest, peer-reviewed, and informative articles. The scope of discussion included the role of 18F-AV-1451 positron emission tomography (PET) to aid in the diagnosis of Alzheimer’s disease (AD), frontotemporal dementia (FTD), dementia with Lewy bodies (DLB), and Parkinson’s disease with dementia (PDD). We also discussed if the tau burden identified by neuroimaging correlated well with the clinical severity and identified the various challenges of 18F-AV-1451 PET.
    [Show full text]
  • NEURACEQ Safely and Effectively
    HIGHLIGHTS OF PRESCRIBING INFORMATION • Obtain 15-20 minute PET images starting from 45 to 130 minutes after These highlights do not include all the information needed to use intravenous administration (2.3) NEURACEQ safely and effectively. See full prescribing information for • Image interpretation: refer to full prescribing information (2.4) NEURACEQ. • The radiation absorbed dose from a 300 MBq (8.1 mCi) dose of Neuraceq is 5.8 mSv in an adult (2.5). NEURACEQ (florbetaben F 18 injection), for intravenous use Initial U.S. Approval: 2014 --------------------- DOSAGE FORMS AND STRENGTHS -------------------­ 30 mL multi-dose vials containing a clear injectable solution at a strength of --------------------------- INDICATIONS AND USAGE -------------------------- 50 to 5000 MBq/mL (1.4 to135 mCi/mL) florbetaben F18 at End Of Synthesis Neuraceq™ is a radioactive diagnostic agent indicated for Positron Emission (EOS). At time of administration 300 MBq (8.1 mCi) are contained in up to Tomography (PET) imaging of the brain to estimate β-amyloid neuritic plaque 10 mL solution for injection (3) density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s Disease (AD) and other causes of cognitive decline. A ------------------------------ CONTRAINDICATIONS ----------------------------­ negative Neuraceq scan indicates sparse to no neuritic plaques and is None (4) inconsistent with a neuropathological diagnosis of AD at the time of image acquisition; a negative scan result reduces the likelihood that a patient’s ----------------------- WARNINGS AND PRECAUTIONS ---------------------­ cognitive impairment is due to AD. A positive Neuraceq scan indicates • Image interpretation errors (especially false positives) have been observed moderate to frequent amyloid neuritic plaques; neuropathological examination (5.1).
    [Show full text]
  • Tauvid Integrated Review Document
    CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 212123Orig1s000 INTEGRATED REVIEW Executive Summary Interdisciplinary Assessment Appendices NDA212123 Tauvid (flortaucipir F 18 injection) Integrated Review Table 1. Administrative Application Information Category Application Information Application type NDA Application number{s) 212123 Priority or standard Ptiority Submit date{s) 9/30/2019 Received date(s) 9/30/2019 PDUFA goal date 5/29/2020 Division/office Division oflmaging and Radiation Medicine (DIRM) Review completion date 5/27/2020 Established name Flo1taucipir F 18 (Proposed) trade name Tauvid Pharmacologic class Radioactive diagnostic agent (for PET imaging) Code name F18-AV-1451 , F18-T807, LSN3182568 Applicant Avid Radiopha1maceuticals Inc Dose form/formulation(s) Injection Dosing regimen 370 MBq (10 mCi), administered as a bolus intravenous injection Applicant proposed For positron emission tomography (PET) imaging ofthe brain to indication{s)/population{s) estimate the density and disttibution of ag~gated tau 4 nemofibrillary tangles (NFTs) !b>T m adult oatients who are bein~evaluat~d for AD (b)(4__<l>H_ •l Proposed SNOMED indication Regulatory action Approval Approved Tauvid is indicated for use with PET imaging of the brain to indication{s)/population{s) estimate the density and disttibution of aggregated tau NFTs in {if applicable) adult patients with cognitive impaiiment who are being evaluated for AD. Limitations ofUse: Tauvid is not indicated for use in the evaluation ofpatients for chronic traumatic encephalopathy (CTE) Approved SNOMED 386806002 Ihnpaired cognition (fmdiI1g) indication Integrated Review Template, version date 2019/09/25 Reference ID: 4615642 NDA212123 Tauvid (flortaucipir F 18 injection) Table of Contents Table ofTables ....................................................................................................................v Table ofFigures ...............................................................................................................
    [Show full text]