Dipartimento di Chimica Generale e Chimica Organica, Università degli studi di Torino, Via Pietro Giuria, 7, 10125 Torino, Italy.
Anticancer Agents Med Chem. 2012 Jun;12(5):543-53. doi: 10.2174/187152012800617786.
Boron neutron capture therapy (BNCT) is based on the capture of thermal neutrons by boron 10 ((10)B) nuclei that have been selectively delivered to tumor cells. The amount of 10-30 μg of boron for g of tumor mass is needed to attain an acceptable therapeutic advantage. Despite that the potentialities of BNCT have been demonstrated in several preclinical studies, this technique has not yet been fully accepted in the armory of tools for tumor treatment. This is partly due to the differences in the uptake and distribution of (10)B among patients and also to the uncertainty found in the determination of tumor-to-blood (10)B concentration ratio. Attention is now being payed to use the main imaging techniques to determine the in vivo biodistribution of BNCT agents. Most of the work has been devoted to the most promising BNCT agents, namely BPA, BSH and carborane derivatives. This review surveys studies carried out over the last decade, and outlines the role that NMR, PET and SPECT imaging may have to improve the efficacy of BNCT.
硼中子俘获治疗(BNCT)基于热中子被硼 10(10B)原子核的捕获,这些原子核已被选择性地递送到肿瘤细胞中。需要每克肿瘤质量有 10-30μg 的硼才能达到可接受的治疗优势。尽管 BNCT 的潜力已在多项临床前研究中得到证实,但该技术尚未在肿瘤治疗工具的武器库中得到充分接受。这部分是由于(10)B 在患者中的摄取和分布存在差异,也由于肿瘤与血液中(10)B 浓度比的不确定性。现在人们开始关注使用主要的成像技术来确定 BNCT 试剂的体内生物分布。大部分工作都致力于最有前途的 BNCT 试剂,即 BPA、BSH 和碳硼烷衍生物。本文综述了过去十年的研究,概述了 NMR、PET 和 SPECT 成像可能在提高 BNCT 疗效方面发挥的作用。