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[18F]FNDP PET neuroimaging test–retest repeatability and whole-body dosimetry in humans

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European Journal of Nuclear Medicine and Molecular Imaging Aims and scope Submit manuscript

Abstract

Purpose

Soluble epoxide hydrolase (sEH) is an enzyme that shapes immune signaling through its role in maintaining the homeostasis of polyunsaturated fatty acids and their related byproducts. [18F]FNDP is a radiotracer developed for use with positron emission tomography (PET) to image sEH, which has been applied to imaging sEH in the brains of healthy individuals. Here, we report the test–retest repeatability of [18F]FNDP brain PET binding and [18F]FNDP whole-body dosimetry in healthy individuals.

Methods

Seven healthy adults (4 men, 3 women, ages 40.1 ± 4.6 years) completed [18F]FNDP brain PET on two occasions within a period of 14 days in a test–retest study design. [18F]FNDP regional total distribution volume (VT) values were derived from modeling time-activity data with a metabolite-corrected arterial input function. Test–retest variability, mean absolute deviation, and intraclass correlation coefficient (ICC) were investigated. Six other healthy adults (3 men, 3 women, ages 46.0 ± 7.0 years) underwent [18F]FNDP PET/CT for whole-body dosimetry, which was acquired over 4.5 h, starting immediately after radiotracer administration. Organ-absorbed doses and the effective dose were then estimated.

Results

The mean test–retest difference in regional VT (ΔVT) was 0.82 ± 5.17%. The mean absolute difference in regional VT was 4.01 ± 3.33%. The ICC across different brain regions ranged from 0.92 to 0.99. The organs with the greatest radiation-absorbed doses included the gallbladder (0.081 ± 0.024 mSv/MBq), followed by liver (0.077 ± 0.018 mSv/MBq) and kidneys (0.063 ± 0.006 mSv/MBq). The effective dose was 0.020 ± 0.003 mSv/MBq.

Conclusion

These data support a favorable test–retest repeatability of [18F]FNDP brain PET regional VT. The radiation dose to humans from each [18F]FNDP PET scan is similar to that of other 18F-based PET radiotracers.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Code availability

Not applicable.

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Acknowledgements

This research was supported by NIH grants R33AG054802 and P41EB024495 (AGH, MGP).

The authors would like to thank Dr. Scott Mittman for the expert provision of arterial catheterization and the technical staff within the Johns Hopkins PET Center.

Funding

This work was supported by the National Institutes of Health [AG054802 and EB024495 (AGH and MGP)].

Author information

Authors and Affiliations

Authors

Contributions

YD, JMC, AA, AGH, MAL, SPR, and MGP jointly developed the concept of the manuscript. JMC, SES, CH, MKB, AZ, LKS, AR, RA, and LBS led the data acquisition. YD, AA, and MAL analyzed these imaging data. AA and MAL performed dosimetry calculations. DH, HF, WGL, AN, RFD, and AGH jointly completed each radiotracer synthesis, as well as the measurement and critical evaluation of radiotracer dynamic behavior in blood plasma. All authors were involved in the writing and proofreading of the manuscript.

Corresponding author

Correspondence to Martin G. Pomper.

Ethics declarations

Ethics approval and consent to participate

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies involving animals. The study was approved by the Johns Hopkins Investigational Review Board and Radiation Safety Committees. All subjects provided written informed consent.

Consent for publication

Not applicable.

Competing interests

AGH and MGP are co-inventors on a U.S. patent covering [18F]FNDP and, as such, are entitled to a portion of any licensing fees and royalties generated by this technology. JMC is the spouse of MGP. AGH, SPR, and MGP are consultants for Precision Molecular, Inc., which have licensed [18F]FNDP. This arrangement has been reviewed and approved by the Johns Hopkins University in accordance with its conflict-of-interest policies. All other authors have no relevant financial or non-financial interests to disclose.

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Du, Y., Coughlin, J.M., Amindarolzarbi, A. et al. [18F]FNDP PET neuroimaging test–retest repeatability and whole-body dosimetry in humans. Eur J Nucl Med Mol Imaging 50, 3659–3665 (2023). https://doi.org/10.1007/s00259-023-06331-z

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