Nonclinical study and applicability of the absorbed dose conversion method with a single biodistribution measurement for targeted alpha-nuclide therapy.

Nonclinical study and applicability of the absorbed dose conversion method with a single biodistribution measurement for targeted alpha-nuclide therapy.
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单次生物分布测量的吸收剂量转换法用于靶向α核素治疗的非临床研究和适用性。

DOI:
10.1186/s40658-021-00425-z
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发表时间:
2021-12-11
期刊:
影响因子:
4
通讯作者:
Ishioka NS
Ishioka NS
中科院分区:
医学2区
文献类型:
--
作者:
Sakashita T;Matsumoto S;Watanabe S;Hanaoka H;Ohshima Y;Ikoma Y;Ukon N;Sasaki I;Higashi T;Higuchi T;Tsushima Y;Ishioka NS

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我们最近报道了一种新的吸收剂量转换方法,RAP(药代动力学比值),该方法使用单一生物分布测量,即注射剂量/g的百分比。然而,在确定单次测量注射剂量百分比/g的最佳时间时,存在一些数学上的模糊性。因此,我们的目的是在数学上重建RAP方法,并检查单次测量的最佳时机。我们导出了时间t的RAP剂量转换方法的新形式。此外,我们获得了一个公式,用于确定单次测量注射剂量百分比/g的最佳时间,假设生物清除率为单室模型。我们使用具有放射性衰变加权的代表性RAP系数来研究新形式的性能。代表性RAP系数的剂量转换预测真实[2111at]MABG吸收剂量的误差为10%或更小。在注入后4 h绘制的代表性RAP系数的逆曲线(之前的工作中报道的最佳时间)与注入后4 h RAP系数的新逆曲线非常接近。接下来,用物理半衰期分别为7.2 h和10 d的放射性标记化合物对不同生物清除半衰期的最佳时间进行了分析。最佳时间的行为图显示,随着目标生物清除半衰期的增加,趋向于收敛到一个恒定值。当目标生物清除半衰期与参比生物半衰期相等时,两种化合物在5%或10%预测误差内的最佳时间区域分布在最佳时间附近。最后,以[2111at]MABG为例,演示了RAP剂量转换。新形式修正的RAP剂量转换方法能够利用类似的药代动力学,如[131I]MIBG,估算[211At]MABG的吸收剂量。本公式揭示了两种放射性药物吸收剂量转换的最佳成像时间点。需要进一步的分析和临床数据来阐明针对α -核素治疗的单次测量最佳时间的行为图的有效性。在线版本包含补充材料,可在10.1186/s40658-021-00425-z获得。
We recently reported a new absorbed dose conversion method, RAP (RAtio of Pharmacokinetics), for 211At-meta-astatobenzylguanidine (211At-MABG) using a single biodistribution measurement, the percent injected dose/g. However, there were some mathematical ambiguities in determining the optimal timing of a single measurement of the percent injected dose/g. Thus, we aimed to mathematically reconstruct the RAP method and to examine the optimal timing of a single measurement. We derived a new formalism of the RAP dose conversion method at time t. In addition, we acquired a formula to determine the optimal timing of a single measurement of the percent injected dose/g, assuming the one-compartment model for biological clearance. We investigated the new formalism’s performance using a representative RAP coefficient with radioactive decay weighting. Dose conversions by representative RAP coefficients predicted the true [211At]MABG absorbed doses with an error of 10% or less. The inverses of the representative RAP coefficients plotted at 4 h post-injection, which was the optimal timing reported in the previous work, were very close to the new inverses of the RAP coefficients 4 h post-injection. Next, the behavior of the optimal timing was analyzed by radiolabeled compounds with physical half-lives of 7.2 h and 10 d on various biological clearance half-lives. Behavior maps of optimal timing showed a tendency to converge to a constant value as the biological clearance half-life of a target increased. The areas of optimal timing for both compounds within a 5% or 10% prediction error were distributed around the optimal timing when the biological clearance half-life of a target was equal to that of the reference. Finally, an example of RAP dose conversion was demonstrated for [211At]MABG. The RAP dose conversion method renovated by the new formalism was able to estimate the [211At]MABG absorbed dose using a similar pharmacokinetics, such as [131I]MIBG. The present formalism revealed optimizing imaging time points on absorbed dose conversion between two radiopharmaceuticals. Further analysis and clinical data will be needed to elucidate the validity of a behavior map of the optimal timing of a single measurement for targeted alpha-nuclide therapy. The online version contains supplementary material available at 10.1186/s40658-021-00425-z.
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