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A Picture of Modern Tc-99m Radiopharmaceuticals: Production, Chemistry, and Applications in Molecular Imaging. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9122526] [Citation(s) in RCA: 54] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Even today, techentium-99m represents the radionuclide of choice for diagnostic radio-imaging applications. Its peculiar physical and chemical properties make it particularly suitable for medical imaging. By the use of molecular probes and perfusion radiotracers, it provides rapid and non-invasive evaluation of the function, physiology, and/or pathology of organs. The versatile chemistry of technetium-99m, due to its multi-oxidation states, and, consequently, the ability to produce a variety of complexes with particular desired characteristics, are the major advantages of this medical radionuclide. The advances in technetium coordination chemistry over the last 20 years, in combination with recent advances in detector technologies and reconstruction algorithms, make SPECT’s spatial resolution comparable to that of PET, allowing 99mTc radiopharmaceuticals to have an important role in nuclear medicine and to be particularly suitable for molecular imaging. In this review the most efficient chemical methods, based on the modern concept of the 99mTc-metal fragment approach, applied to the development of technetium-99m radiopharmaceuticals for molecular imaging, are described. A specific paragraph is dedicated to the development of new 99mTc-based radiopharmaceuticals for prostate cancer.
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Meléndez-Alafort L, Ferro-Flores G, De Nardo L, Bello M, Paiusco M, Negri A, Zorz A, Uzunov N, Esposito J, Rosato A. Internal radiation dose assessment of radiopharmaceuticals prepared with cyclotron-produced99mTc. Med Phys 2019; 46:1437-1446. [DOI: 10.1002/mp.13393] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/04/2018] [Accepted: 12/28/2018] [Indexed: 12/28/2022] Open
Affiliation(s)
| | - Guillermina Ferro-Flores
- Laboratorio Nacional de Investigación y Desarrollo de Radiofármacos-CONACyT; Instituto Nacional de Investigaciones Nucleares; Carretera México-Toluca S/N. La Marquesa; Ocoyoacac Estado de México 52750 México
| | - Laura De Nardo
- Department of Physics and Astronomy; University of Padova; Via Marzolo 8 Padova 35131 Italy
| | - Michele Bello
- Department of Physics and Astronomy; University of Padova; Via Marzolo 8 Padova 35131 Italy
| | - Marta Paiusco
- Medical Physics Department; Veneto Institute of Oncology IOV-IRCCS; Via Gattamelata 64 Padova 35138 Italy
| | - Anna Negri
- Medical Physics Department; Veneto Institute of Oncology IOV-IRCCS; Via Gattamelata 64 Padova 35138 Italy
| | - Alessandra Zorz
- Medical Physics Department; Veneto Institute of Oncology IOV-IRCCS; Via Gattamelata 64 Padova 35138 Italy
| | - Nikolay Uzunov
- Faculty of Natural Sciences; University of Shumen; 115 Universitetska str. Shumen 9712 Bulgaria
| | - Juan Esposito
- Legnaro National laboratories; National Institute of Nuclear Physics; Viale della Università 2 Legnaro 35020 Italy
| | - Antonio Rosato
- Veneto Institute of Oncology IOV-IRCCS; Via Gattamelata 64 Padova 35138 Italy
- Department of Surgery, Oncology and Gastroenterology; University of Padova; Via Gattamelata 64 Padova 35138 Italy
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Boschi A, Martini P, Costa V, Pagnoni A, Uccelli L. Interdisciplinary Tasks in the Cyclotron Production of Radiometals for Medical Applications. The Case of 47Sc as Example. Molecules 2019; 24:molecules24030444. [PMID: 30691170 PMCID: PMC6385051 DOI: 10.3390/molecules24030444] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 01/22/2019] [Accepted: 01/24/2019] [Indexed: 11/17/2022] Open
Abstract
The growing number of cyclotrons of different sizes installed in the territory has given a strong impulse to the production of conventional and emerging radionuclides for medical applications. In particular, the great advantage of using medical cyclotrons is the possibility to produce on-site, when needed (on-demand), with medical radionuclides of interest encouraging the personalized medicine approach. Radiometals satisfy the ideal characteristics that radionuclides should have for routine employment in nuclear medicine, especially since they have a robust chemistry suitable to synthetize stable in vivo radiopharmaceuticals with high radiochemical yields. In this letter several interdisciplinary aspects involved in the radiometals cyclotron production cycle are summarized focusing the attention on cyclotron production facilities, target material, and chemical processing available for medical applications. As an example, the current status and recent development in the production of the theranostic radionuclide scandium-47 have been reported.
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Affiliation(s)
- Alessandra Boschi
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via Luigi Borsari, 46-44121 Ferrara, Italy.
| | - Petra Martini
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via Luigi Borsari, 46-44121 Ferrara, Italy.
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell' Università, 2, 35020 Legnaro (PD), Italy.
| | - Valentina Costa
- Department of Chemical and Pharmaceutical Sciences, University of Ferrara, Via Luigi Borsari, 46-44121 Ferrara, Italy.
| | - Antonella Pagnoni
- Department of Chemical and Pharmaceutical Sciences, University of Ferrara, Via Luigi Borsari, 46-44121 Ferrara, Italy.
| | - Licia Uccelli
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via Luigi Borsari, 46-44121 Ferrara, Italy.
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Esposito J, Bettoni D, Boschi A, Calderolla M, Cisternino S, Fiorentini G, Keppel G, Martini P, Maggiore M, Mou L, Pasquali M, Pranovi L, Pupillo G, Rossi Alvarez C, Sarchiapone L, Sciacca G, Skliarova H, Favaron P, Lombardi A, Antonini P, Duatti A. LARAMED: A Laboratory for Radioisotopes of Medical Interest. Molecules 2018; 24:E20. [PMID: 30577598 PMCID: PMC6337324 DOI: 10.3390/molecules24010020] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 12/18/2018] [Accepted: 12/19/2018] [Indexed: 02/07/2023] Open
Abstract
The widespread availability of novel radioactive isotopes showing nuclear characteristics suitable for diagnostic and therapeutic applications in nuclear medicine (NM) has experienced a great development in the last years, particularly as a result of key advancements of cyclotron-based radioisotope production technologies. At Legnaro National Laboratories of the National Institute of Nuclear Physics (LNL-INFN), Italy, a 70-MeV high current cyclotron has been recently installed. This cyclotron will be dedicated not only to pursuing fundamental nuclear physics studies, but also to research related to other scientific fields with an emphasis on medical applications. LARAMED project was established a few years ago at LNL-INFN as a new research line aimed at exploiting the scientific power of nuclear physics for developing innovative applications to medicine. The goal of this program is to elect LNL as a worldwide recognized hub for the development of production methods of novel medical radionuclides, still unavailable for the scientific and clinical community. Although the research facility is yet to become fully operative, the LARAMED team has already started working on the cyclotron production of conventional medical radionuclides, such as Tc-99m, and on emerging radionuclides of high potential medical interest, such as Cu-67, Sc-47, and Mn-52.
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Affiliation(s)
- Juan Esposito
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Diego Bettoni
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
- Department of Physic and Earth Science, University of Ferrara, Via Saragat, 1, 44122 Ferrara, Italy.
| | - Alessandra Boschi
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via L. Borsari, 46, 44121 Ferrara, Italy.
| | - Michele Calderolla
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Sara Cisternino
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Giovanni Fiorentini
- Department of Physic and Earth Science, University of Ferrara, Via Saragat, 1, 44122 Ferrara, Italy.
| | - Giorgio Keppel
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Petra Martini
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via L. Borsari, 46, 44121 Ferrara, Italy.
| | - Mario Maggiore
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Liliana Mou
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Micòl Pasquali
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Lorenzo Pranovi
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Gaia Pupillo
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Carlos Rossi Alvarez
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Lucia Sarchiapone
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Gabriele Sciacca
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Hanna Skliarova
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Paolo Favaron
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Augusto Lombardi
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Piergiorgio Antonini
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
| | - Adriano Duatti
- Legnaro National Laboratories, Italian National Institute for Nuclear Physics (LNL-INFN), Viale dell'Università, 2, 35020 Legnaro (PD), Italy.
- Department of Chemical and Pharmaceutical Sciences, University of Ferrara, Via L. Borsari, 46, 44121 Ferrara, Italy.
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