Kung Mei-Ping, Kung Hank F
Department of Radiology, University of Pennsylvania, Philadelphia, 19104, USA.
Nucl Med Biol. 2005 Oct;32(7):673-8. doi: 10.1016/j.nucmedbio.2005.04.002.
This paper discusses the effect of mass (chemical quantity) of injected dose on positron emission tomography (PET) and single-photon emission computed tomography (SPECT). Commonly, PET or SPECT imaging study uses a "no-carrier added" dose, which contains a small amount of radioactive imaging agent (in picogram to microgram). For small animal (rodent) imaging studies, specifically targeting binding sites or biological processes, the mass (chemical quantity) in the dose may significantly modify the binding, pharmacokinetics and, ultimately, the imaging outcome. Due to differences in size and other physiological factors between humans and rodents, there is a dramatic divergence of mass effect between small animal and human imaging study. In small animal imaging studies, the mass, or effective dose (ED(50)), a dose required for 50% of receptor or binding site occupancy, is usually not directly related to binding potential (B(max)/K(d)) (measured by in vitro binding assay). It is likely that dynamic interplays between specific and nonspecific binding in blood circulation, transient lung retention, kidney excretion, liver-gallbladder flow, soft tissue retention as well as metabolism could each play a significant role in determining the concentration of the tracer in the target regions. When using small animal imaging for studying drug occupancy (either by a pretreatment, coinjection or chasing dose), the mass effects on imaging outcome are important factors for consideration.
本文讨论了注射剂量的质量(化学量)对正电子发射断层扫描(PET)和单光子发射计算机断层扫描(SPECT)的影响。通常,PET或SPECT成像研究使用“无载体添加”剂量,其中含有少量放射性成像剂(皮克到微克)。对于小动物(啮齿动物)成像研究,特别是针对结合位点或生物过程时,剂量中的质量(化学量)可能会显著改变结合、药代动力学,并最终影响成像结果。由于人类和啮齿动物在大小和其他生理因素上存在差异,小动物成像研究和人类成像研究之间的质量效应存在巨大差异。在小动物成像研究中,质量或有效剂量(ED(50)),即50%受体或结合位点占有率所需的剂量,通常与结合潜力(B(max)/K(d))(通过体外结合试验测量)没有直接关系。血液循环中特异性和非特异性结合之间的动态相互作用、短暂的肺部滞留、肾脏排泄、肝胆流动、软组织滞留以及代谢等因素可能在决定示踪剂在靶区域的浓度方面各自发挥重要作用。当使用小动物成像研究药物占有率(通过预处理、共注射或追踪剂量)时,质量对成像结果的影响是需要考虑的重要因素。