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- W2156852064 abstract "In recent years, implementation of <sup>68</sup>Ga-radiometalated peptides for PET imaging of cancer has attracted the attention of clinicians. Herein, we propose the use of <sup>44</sup>Sc (half-life = 3.97 h, average β<sup>+</sup> energy [Eβ<sup>+</sup><sub>av</sub>] = 632 keV) as a valuable alternative to <sup>68</sup>Ga (half-life = 68 min, Eβ<sup>+</sup><sub>av</sub> = 830 keV) for imaging and dosimetry before <sup>177</sup>Lu-based radionuclide therapy. The aim of the study was the preclinical evaluation of a folate conjugate labeled with cyclotron-produced <sup>44</sup>Sc and its in vitro and in vivo comparison with the <sup>177</sup>Lu-labeled pendant. <b>Methods:</b><sup>44</sup>Sc was produced via the <sup>44</sup>Ca(p,n)<sup>44</sup>Sc nuclear reaction at a cyclotron (17.6 ± 1.8 MeV, 50 μA, 30 min) using an enriched <sup>44</sup>Ca target (10 mg <sup>44</sup>CaCO<sub>3</sub>, 97.00%). Separation from the target material was performed by a semiautomated process using extraction chromatography and cation exchange chromatography. Radiolabeling of a DOTA-folate conjugate (cm09) was performed at 95°C within 10 min. The stability of <sup>44</sup>Sc-cm09 was tested in human plasma. <sup>44</sup>Sc-cm09 was investigated in vitro using folate receptor–positive KB tumor cells and in vivo by PET/CT imaging of tumor-bearing mice <b>Results:</b> Under the given irradiation conditions, <sup>44</sup>Sc was obtained in a maximum yield of 350 MBq at high radionuclide purity (>99%). Semiautomated isolation of <sup>44</sup>Sc from <sup>44</sup>Ca targets allowed formulation of up to 300 MBq of <sup>44</sup>Sc in a volume of 200–400 μL of ammonium acetate/HCl solution (1 M, pH 3.5–4.0) within 10 min. Radiolabeling of cm09 was achieved with a radiochemical yield of greater than 96% at a specific activity of 5.2 MBq/nmol. In vitro, <sup>44</sup>Sc-cm09 was stable in human plasma over the whole time of investigation and showed folate receptor–specific binding to KB tumor cells. PET/CT images of mice injected with <sup>44</sup>Sc-cm09 allowed excellent visualization of tumor xenografts. Comparison of cm09 labeled with <sup>44</sup>Sc and <sup>177</sup>Lu revealed almost identical pharmacokinetics. <b>Conclusion:</b> This study presents a high-yield production and efficient separation method of <sup>44</sup>Sc at a quality suitable for radiolabeling of DOTA-functionalized biomolecules. An in vivo proof-of-concept study using a DOTA-folate conjugate demonstrated the excellent features of <sup>44</sup>Sc for PET imaging. Thus, <sup>44</sup>Sc is a valid alternative to <sup>68</sup>Ga for imaging and dosimetry before <sup>177</sup>Lu-radionuclide tumor therapy." @default.
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- W2156852064 date "2013-11-06" @default.
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- W2156852064 title "Promises of Cyclotron-Produced <sup>44</sup>Sc as a Diagnostic Match for Trivalent β<sup>−</sup>-Emitters: In Vitro and In Vivo Study of a <sup>44</sup>Sc-DOTA-Folate Conjugate" @default.
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- W2156852064 doi "https://doi.org/10.2967/jnumed.113.123810" @default.
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