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Development and biodistribution of 188Re-SSS lipiodol following injection into the hepatic artery of healthy pigs

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Abstract

Although intra-arterial radiotherapy with 131I-labelled lipiodol is a useful therapeutic approach in the treatment of hepatocellular carcinomas, various disadvantages limit its use. Here we describe the development of 188Re-SSS lipiodol, as well as its biodistribution in the healthy pig after injection into the hepatic artery. The 188Re-SSS lipiodol was obtained after dissolving a chelating agent, previously labelled with 188Re, in cold lipiodol. The radiochemical purity (RCP) of the labelling was checked immediately and at 24 and 48 h. The 188Re-SSS lipiodol was injected into the hepatic artery of six healthy pigs. They were killed 1, 24 and 48 h post injection, for ex vivo counting. An autoradiographic study was performed in three cases. 188Re-SSS lipiodol was obtained with a yield of 87%±9.1%. The immediate RCP was 93%±3.4%. This radiolabelling was reproducible and stable at 48 h in plasma: 90.6%±1.5% of the activity remained in the lipiodol with an RCP of 91%±4%. Ex vivo counting confirmed the predominantly hepatic uptake and revealed weak lung and intestinal uptake. There was very weak urinary elimination (2.3%±0.5% at 48 h) and a slightly higher level of intestinal elimination (4.8%±1.9% at 48 h). The autoradiographic studies showed 188Re-SSS lipiodol to be located mainly in sinusoids, like 131I-lipiodol. By using the method described here, 188Re-SSS lipiodol can be obtained with a very high yield and a satisfactory RCP. Its biodistribution in the healthy pig is in agreement with data published elsewhere concerning other types of radiolabelling used for lipiodol, except for the very weak urinary and intestinal elimination, which probably indicates better stability of 188Re-SSS labelling.

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References

  1. Bosch FX, Ribes J, Borras J. Epidemiology of primary liver cancer. Semin Liver Dis 1999; 19:271–285.

    CAS  PubMed  Google Scholar 

  2. Lau WY. Management of hepatocellular carcinoma. J R Coll Surg Edinb 2002; 47:389–399.

    CAS  PubMed  Google Scholar 

  3. Garin E, Bourguet P. Radiolipiodol of liver tumors. In: Ell PJ, Gambhir SS, eds. Nuclear medicine in clinical diagnosis and treatment, 3rd edn. Edinburgh: Elsevier Science; 2003:in press.

  4. Raoul JL, Guyader D, Bretagne JF, Heautot JF, Duvauferrier R, Bourguet P, Bekhechi D, Deugnier Y, Gosselin M. Prospective randomized trial of chemoembolization versus intra-arterial injection of131I-labeled iodized oil in the treatment of hepatocellular carcinoma. Hepatology 1997; 26:1156–1161.

    CAS  PubMed  Google Scholar 

  5. Raoul JL, Guyader D, Bretagne JF, Duvauferrier R, Bourguet P, Bekhechi D, Deugnier Y, Gosselin M. Randomized controlled trial for hepatocellular carcinoma with portal vein thrombosis: intra-arterial iodine-131-iodized oil versus medical support. J Nucl Med 1994; 35:1782–1787.

    Google Scholar 

  6. Lau WY, Leung TWT, Ho SKW, Chan M, Machin D, Lau J, Chan ATC, Yeo W, Mok TSK, Yu SCH, Leung NWY, Johnson PJ. Adjuvant intra-arterial iodine-131-labelled lipiodol for respectable hepatocellular carcinoma: a prospective randomized trial. Lancet 1999; 353:797–801.

    CAS  PubMed  Google Scholar 

  7. Jeong JM, Kim YJ, Lee YS, Ko JI, Son M, Lee DS, Chung JK, Park JH, Lee MC. Lipiodol solution of a lipophilic agent,188Re-TDD, for the treatment of liver cancer. Nucl Med Biol 2001; 28:197–204.

    Article  CAS  PubMed  Google Scholar 

  8. Lee YS, Jeong JM, Kim YJ, Chung JW, Park JH, Suh YG. Lee DS, Chung JK, Lee MC. Synthesis of188Re-labelled long chain alkyl diaminedithiol for therapy of liver cancer. Nucl Med Commun 2002; 23:237–242.

    Article  CAS  PubMed  Google Scholar 

  9. Sundram FX, Jeong JM, Zanzonico P, Bernal P, Chau T, Onkhuudai P, Divgi C, Knapp FF (Russ) Jr. Trans-arterial rhenium-188 lipiodol in the treatment of inoperable hepatocellular carcinoma. An IAEA sponsored multi-centre phase 1 study. World J Nucl Med 2002; 1:5–11.

    Google Scholar 

  10. Mévellec F, Tisato F, Refosco F, Roucoux A, Noiret N, Patin H, Bandoli G. Synthesis and characterization of the “sulfur-rich” bis(perthiobenzoato)(dithiobenzoato)technetium(III) heterocomplex. Inorg Chem 2002; 41:589–601.

    Google Scholar 

  11. Garin E, Noiret N, Malbert CH, Lepareur N, Roucoux A, Dazord L, Caulet-Maugendre S, Turlin B, Moisan A, Lecloirec J, Herry JY, Boucher E, Raoul JL, Bourguet P. Development of99mTc-labelled lipiodol: biodistribution following injection into hepatic artery of healthy pig. Nucl Med Commun 2003:in press.

  12. Hambue AS, Dobbeleir AA, Vervaet AM, Knapp FF Jr. Image quality with rhenium-188 and technetium-99m: comparative planar and SPECT evaluation in a phantom study and implications for dosimetry. World J Nucl Med 2002; 1:12–20.

    Google Scholar 

  13. Raoul JL, Bourguet P, Bretagne JF, Duvauferrier R, Coornaert S, Darnault P, Ramée A, Herry JY, Gastard J. Hepatic artery injection of I-131-labeled lipiodol. Part 1. Biodistribution study results in patients with hepatocellular carcinoma and liver metastases. Radiology 1988; 168:541–545.

    CAS  PubMed  Google Scholar 

  14. Lambert B, Bacher K, Gemmel F, Defreyne L, Jeong JM, Thierens G, Slegers G, Vandewiele C, Dierckx RA, De Vos F.188Re-lipiodol for locoregional treatment of hepatocellular carcinoma: a phase I study. Eur J Nucl Med Mol Imaging 2003; 30 (Suppl 2):S219.

  15. Kan Z, Ivancev K, Hägerstrand I, Chuang VP, Lunderquist A. In vivo microscopy of the liver after injection of lipiodol into the hepatic artery and portal vein in the rat. Acta Radiol 1989; 30:419–425.

    CAS  PubMed  Google Scholar 

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Acknowledgements

We cordially thank the League Against Cancer (Ille et Vilaine and Morbihan, France) for their financial support, and S. Abgrall and A. Trichet for their technical assistance in performing the autoradiographic studies.

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Correspondence to E. Garin.

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Garin, E., Noiret, N., Malbert, C. et al. Development and biodistribution of 188Re-SSS lipiodol following injection into the hepatic artery of healthy pigs. Eur J Nucl Med Mol Imaging 31, 542–546 (2004). https://doi.org/10.1007/s00259-003-1402-z

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