Patent Application
20130004414
The invention relates generally to devices and methods for reducing radiolysis in the production and storage of radiopharmaceuticals.
Positron Emission Tomography (PET), together with Single Photon Emission Computed Tomography (SPECT), is a powerful medical imaging technology that is finding use in the expanding molecular imaging field in medical diagnostics and drug discovery.
The application of microfluidics and related technologies for the synthesis of radiopharmaceuticals for Positron Emission Tomography (PET) has gained increasing attention in the scientific community. Benefits such as reduced reaction times, highly efficient reactions, low reagent consumption, reduced system footprint and increased system automation are of high interest and have been demonstrated. Further downscaling is anticipated, especially for radiolabeling reactions that may benefit from high concentrations of one reactant over the other as well as for research studies utilizing cost-intensive precursors.
The downscaling of synthesis reaction volumes for radiopharmaceutical production implies an increase of activity per unit volume and is ultimately limited by radiolysis. Radiolysis, and more specifically autoradiolysis, is the decomposition of molecules at high concentrations of radioactivity over time. As used herein, radiolysis, radiolytic effects and autoradiolysis may be used interchangeably.
Radiolytic effects arise from the ionization and dissociation cascade initiated by the isotope decay event and the positron (beta+) emission. They occur in the range of several millimeters, depending on the utilized isotope and the surrounding media. The direct disintegration and ionization of molecules along the ionization path of the emitted positron may lead to subsequent formation of free reactive species that interfere with the radiopharmaceutical compound of interest. This process reduces the amount of useful radiopharmaceutical molecules and increases the concentration of impurities in the product solution. Radiolysis occurs in all commonly utilized PET radioisotopes such as 18F, 11C and 68Ga, however, autoradiolysis phenomena will vary depending on the respective positron energies for each type of isotopes.
Various national pharmacopoeias stipulate the minimum purity that a radiopharmaceutical product must meet at the time of injection to the patient. For example, 18F-fluoro-deoxy-glucose ([18F]FDG) typically has a minimum specification of greater than or equal to 95% purity; thereby defining the shelf life of the drug. Since such compounds sometimes have to be transferred from a production site to the customer, several techniques have been employed to increase the shelf life time.
To address radiolysis, certain techniques have been used to limit the interaction probability of free radicals with tracer molecules in a bulk solution. The techniques include dilution of the product, scavenging of free radicals by utilizing additives (e.g. ethanol) [Kiselev, M. Y., Tadino, V., inventors, 2006. Eastern Isotopes, Inc., Assignee. Stabilization of Radiopharmaceuticals Labeled with 18-F. U.S. Pat. No. 7,018,614.] or freezing [Wahl et al. “Inhibition of Autoradiolysis of Radiolabeled Monoclonal Antibodies by Cryopreservation”; Journal of Nuclear Medicine Vol. 31 No. 1 84-89] of the solution thus reducing the diffusion of free radicals. However, these techniques represent an additional process step to be integrated into production hence increasing the overall level of synthesis complexity. Furthermore, conventional scavenging and stabilizing methods may not be applicable under all circumstances for existing and future radiopharmaceutical compounds, chemistry methods utilized during synthesis and purification as well as fluid volumes and activity concentrations.
Therefore an approach which reduces the radiolytic effects of radiopharmaceutical compounds without the use of additives through production and storage is desirable. Such an approach may include the reduction of autoradiolysis of radiopharmaceutical compounds by partial geometric reduction of the positron emission induced ionization and decomposition effects. Thus designing a fluid confinement for the production or storage of radiopharmaceutical compounds, wherein the geometric arrangement has a characteristic dimension below the beta+/beta-energy dissipation range may provide a means of increasing synthesis efficiency in terms of radiochemical purity and the shelf life and efficacy of radiopharmaceutical compounds.
In one aspect, the present invention relates to a microfluidic devices and kits for containing radioisotopes. The devices and kits comprises at least one confining geometry comprising an opening to allow fluid transfer in to said confining geometry, a cross-section dimension below the beta(+) or beta(−) range of a radioisotope, when containing the radioisotope; and adjacent segments of the confining geometry configured such that neighboring segments are isolated from the nearest neighbor segment such that no measurable kinetic positron energy transfer occurs between the segments when containing the radioisotope.
In another aspect, the present invention relates to methods of storing radiotracers and synthesizing radiopharmaceuticals, using the aforementioned device. The radiotracers and radiopharmaceuticals comprises 18F, 11C, 14C, 99mTc, 123I, 125I, 131I, 68Ga, 67Ga, 15O, 13N, 82Rb, 62Cu, 32P, 89Sr, 153Sm, 186Re, 201Tl, 111In, or combinations thereof.
These and other features, aspects, and advantages of the present invention will become better understood when the following detailed description is read with reference to the accompanying figures wherein:
The following detailed description is exemplary and not intended to limit the invention of the application and uses of the invention. Furthermore, there is no intention to be limited by any theory presented in the preceding background of the invention or descriptions of the drawings.
Positron Emission Tomography (PET), together with Single Photon Emission Computed Tomography (SPECT), is a powerful medical imaging technology that is building the foundation of a rapidly expanding field of molecular imaging in medical diagnostics and drug discovery. As such, there has been a growing body of research in the area of microfluidic synthesis of PET tracers. In addition to the promise of higher reaction yields and improved process control, microfluidics has the potential to reduce the infrastructure burden of PET by reducing the overall size and shielding of tracer synthesizers.
The scale-down of radiochemistry from typical reaction volumes in the area of approx. 1000 μl, to micro reactors of approximately 100 μl or smaller, leads to higher concentrations of activity if a single synthesis batch is to produce the same amount of patient doses as the conventional equivalent process. However, it is known that with an increase of activity concentration, there is also a decrease in product yield and purity. For example, in a conventional scale reactor with a diameter of ca. 10 mm and a volume of 10 ml, approximately 99% of the positrons' energy is dissipated in the liquid matter inside the reactor in a process that can lead to radiolysis.
Further with respect to microfluidics, autoradiolysis, which is created by interaction of radical species, may be reduced by surface modifications to getter radicals that lead to a permanent or temporary capturing/binding of radicals to a surface. Due to short diffusion lengths for particles in micro-channels, the probability of a radical reaching the wall a capillary tube or a microfluidic structure before interacting with a radiolabeled molecule of interest is higher than compared to a conventional vessel. Therefore, controlling variations in geometry and scale may alter the positron's degree of interaction with the reactor contents as well as the interaction of radical species induced by positron energy dissipation, and thus impact the radiolysis process. Thus the design of the fluid confining geometry for reactor vessels, purification, or storage devices may enable increase output activities and more effective production systems at increased product shelf life capabilities.
The invention relates generally to a microfluidic reactor or storage vessels comprising fluid or fluid guiding elements wherein the guiding elements or fluid confining geometries have dimensions below the average beta+ and beta− interaction range of emitting radioisotopes, which may be contained within the elements. Beta decay is a type of radioactive decay in which a beta particle, an electron or a positron, is emitted. Beta+ (β+) emission refers to positron emission; electron emission is referred to as beta− (β−) emission. The geometry of the elements may reduce autoradiolysis or radiolytic effects. Radiolytic effects or autoradiolysis include positron emission induced direct disruption of molecules as well as radical species creation and side product formation.
In certain embodiments, the microfluidic reactor or storage vessel is used for the production and storage of beta+ and beta− emitting isotopes including, but not limited to those used in nuclear medicine for diagnostics, such as PET, SPECT, and nuclear therapy. Such isotopes include 18F, 11C, 14C, 99mTc, 123I, 125I, 131I, 68Ga, 67Ga, 15O, 13N, 82Rb, 62Cu, 32P, 89Sr, 153Sm, 186Re, 201Tl, 111In, or combinations thereof. Preferred isotopes include those used for PET such as 18F, 11C and 68Ga.
In certain embodiments, the geometries of the microfluidic reactor or storage vessel include a confining geometry such as a channels or channel-like assemblies and refers to a capillary, trench or groove like structure through which a fluid may flow. The term confining geometry and channel is used interchangeably. The channel may be defined in terms of its cross-sectional dimension or depth as well as the overall length of the channel. The cross-section and length may vary to provide an internal volume based on the application. In certain applications, the channel may be cylindrical or cubic shape. In certain applications the volume of the microfluidic vessel may be between approximately 0.01 to 10000 μl. In other embodiments, the volume of the vessel may be between approximately 1 to 1000 μl.
Furthermore, the channel may be arranged in non-linear geometric patterns to allow for packing efficiencies. In certain embodiments, the geometry may comprise meander-shaped, planar rectangular or coin-shaped structures or combinations thereof, wherein the characteristic dimensions are below the positron range of the encapsulated fluid containing the radioisotope. The fluid confining geometries may also be described in terms of channel segments, wherein a segment refers to a repeating pattern, for example in a spiral configurations the segments may be rings of concentric circles while in a meandering arrangement, the segments may be repeating units of a looping structure. Spacing of the segments may therefore be referred to as the distance between one segment and its nearest neighbor.
The channels comprise a proximal end and a distal end to allow fluid movement. In other embodiments, the channel may comprise a single opening wherein fluid transfer into and out of the vessel occurs through the same opening. Dimensions are dependent on the emitted beta+/beta− energy of the utilized radioisotope during decay and the resulting maximum beta+/beta− range. For example, for 18F, the maximum range for the positrons emitted in water is 2.3 mm Therefore embodiments for the reactor or storage vessel may comprise geometric arrangements with a characteristic size below 2.3 mm for use with 18F.
In other embodiments the fluid confining geometries maybe defined by the fluid volume itself such as droplets or fluidic segments with characteristic dimension below the beta+/beta− range of radioisotopes in use. The fluid confinements, which acts to encapsulate the radioisotopes, may be inside of another fluid with different viscosity e.g. oil or a solid substrate wherein segmentation may be attributed to surface tension of the encapsulating fluid. Examples are segmented-flow of digital microfluidics arrangements.
In other embodiments the fluid confining geometric structures are realized utilizing standard capillary tubes such as PEEK, PTFE, PE or similar capillaries with an inner radius with a characteristic dimension below the beta+/beta− range of radioisotopes in use.
In other embodiments the fluid confining geometry maybe a sponge-like or porous substrate with inner channels, chambers, conduits or fluid confinements with a characteristic dimension below the beta+/beta− range of radioisotopes in use.
In other embodiments the fluid confining geometric structure maybe a thin film or surface coating with at least one characteristic dimension below the beta+/beta− range of radioisotopes in use.
In other embodiments, the characteristic dimensions of the fluid confining geometric structures for fluid conduits, reactors or storage vessels may be defined based on the specific beta+/beta− emitters in use. This is shown but not limited to the values displayed in Table 1, which list maximum and average range of positrons in water for several common medical isotopes.
In certain embodiments, the microfluidic reactor or storage vessel comprising fluid or fluid guiding geometric elements such as mini- or microfluidic channels with a characteristic dimension. A reactor or storage vessel may have a channel width in the range of about 0.01 μm to 3000 μm and in another embodiment the channel depth may range from about 1 μm to 2000 μm. It is understood that the channel cross-section may be essentially cylindrical, oval or rectangular in shape or combinations thereof. The length of the channel is arbitrary in that it is chosen based on required volume capacity or flow.
The channels may be positioned as to provide a high packaging density. In certain embodiments, meander-shaped or wrapped geometric structures with high packaging density, low space consumption, may be used. As such, geometries of the microfluidic reactor or storage vessel may include capillaries and capillary-like assemblies such as cylindrical or cubic shapes as well as microfluidic geometries with meander-shaped, planar rectangular, coin-shaped structures or combinations thereof.
In designing for low space consumptions, positron emission and interaction to adjacent channels must be considered. For example, re-entering probabilities and energies for positrons emitted by 18-fluoride decay to adjacent channels has been calculated and estimated to show a small to negligible effect (Table 2). The results have been experimentally validated utilizing a shielded capillary setup (re-entering suppressed by appropriate shielding) and an on-chip meander structure (channel: 500 μm×500 μm, 250 μm spacing, material: COC 6017-SO4, illustrated in
Even though impact of positron interaction between adjacent structures has shown no significant impact for 18-fluoride with activity concentrations between 4.3 and 23.1 GBq/ml, in certain embodiments, shielding between adjacent fluid confining geometries may be of interest for beta+/beta− radiation with higher energies than 18F or for activity concentrations higher than the evaluated amounts.
As such, in certain embodiments, the fluid confining geometry is configured such that the whole geometry or a given segment of the geometry is substantially isolated from its nearest neighbor or neighbor segment such that no measurable kinetic positron energy transfer occurs between the fluid confining geometries or segments. Measurable positron energy transfer between channels refers to a shift in overall autoradiolysis suppression towards decreased values for decreasing channel spacing.
In certain embodiments a substrate material utilizing heavy materials that lead to high positron absorption and decrease the mean path length of positrons may be used. Materials for use in shielding includes usually solid or liquid materials of high density or mass or both, such as but not limited to lead, tungsten, epoxy and material combinations involving elements that lead to high beta+/beta− range damping or absorbance.
In certain embodiments shielding between adjacent fluid confining geometric structures may be achieved with absorbing material inserts between these structures (inlets). In other embodiments, design of adjacent or intermediate compensation structures such as channels or cavities filled with water or other fluids that lead to positron path length reduction or scattering may be used to reduce autoradiolysis induced between neighbor structures. The same shielding fluids may be utilized for heating and cooling of the structures that carry/transport the radioactive and non-radioactive reagents.
In certain embodiments, the reactor vessel is replaced by a segmented flow type arrangement for use with fluid volumes on the order of microliters to picoliters. In such embodiments, the outer dimensions of the respective droplets and the distance between these droplets define the characteristic dimensions for autoradiolysis reduction. In certain other embodiments, the reactor vessel is replaced by solid phase based surface chemistries. Solid phase based surface chemistries include, but is not limited to, chemistry on a frit or a functional surface, floating liquid films, interfacial chemistries and other assemblies wherein a thin layer of the radioactive compound may be included. In such embodiments the thin film shows characteristic dimensions below the beta+/beta− interaction range which leads to autoradiolysis reduction.
In certain embodiments, the reactor vessel may be used for the preparation of radiopharmaceuticals. The method may comprise adding a mixture of a radiotracer and a pharmaceutical carrier to the reactor. The mixture would be added and allowed to flow through the channels of the reactor and collected. The reactor would be designed such that the volume of the channel is controlled to provide adequate mixing or reaction time. The radiotracer may be a compound containing radioisotopes such as 18F, 11C, 14C, 99mTc, 123I, 125I, 131I, 68Ga, 67Ga, 15O, 13N, 82Rb, 62Cu, 32P, 89Sr, 153Sm, 186Re, 201Tl, 111In, or combinations thereof. Preferred isotopes include those used for PET such as 18F, 11C and 68Ga.
The pharmaceutical carrier refers to a composition which allows the application of the agent material to the site of the application, surrounding tissues, or prepared tissue section to allow the agent to have an effective residence time for specific binding to the target or to provide a convenient manner of release. The carrier may include a diluent, solvent or an agent to increase the effectiveness of the radiopharmaceutical produced. As such the carrier may also allow for pH adjustments, salt formation, formation of ionizable compounds, use of co-solvents, complexation, surfactants and micelles, emulsions and micro-emulsions. The pharmaceutical carrier may include, but is not limited to, a solubilizer including water, detergent, buffer solution, stabilizers, and preservatives.
In certain embodiments, the device may be used for storage of radiopharmaceuticals and may increase shelf-life times due to reduced autoradiolytic effects and formation of impurities. The device may be the reactor vessel itself or a separate device. For example, the storage device may be part of a microfluidic assembly or chip.
In other embodiments, the storage device is a separate container wherein the container comprises a fluid confining geometric structure with characteristic dimensions below the positron interaction range of radioisotopes in use, e.g. a capillary or planer structure. In still other embodiments, the container may comprise a sponge-like structures, wrapped structures, or pellets.
In certain embodiments, the storage device may further comprise a device for transferring the radioisotopes. For example, the storage device may be designed such that in may be inserted into a syringe or another element that can be pressurized and used for transferring the stored radioisotopes. In certain embodiments, the storage device may be part of an assembly which is loaded and unloaded utilizing high gas or fluid pressure,
18F decays in 97% of cases to 18O via β+ and νe emission and in 3% of cases via electron capture (Cherry S, Sorenson J, Phelps M, Physics in Nuclear Medicine, Saunders (2003)). During a β+ decay event, a proton decays into a neutron, a positron, and a neutrino, with the difference between the binding energy and the energy converted into mass, shared between the kinetic energy of the positron and the neutrino and, less often, a photon. Neutrinos interfere only very weakly with surrounding matter, and it is reasonable to ignore their effects in the autoradiolysis process, just as it is justifiable to neglect the statistically less likely decay process of 18F electron capture. In contrast, a positron of high energy is relevant as it can directly lead to a chain of ionization events in the process of dissipating its kinetic energy.
An intact [18F]FDG molecule can lose the 18F atom if it is ionized directly by a positron or hit by a radical that causes charge transfer between the two particles. At activity concentrations of <20 GBq/ml [18F]FDG in water, the probability of a positron ionizing intact [18F]FDG molecules directly is estimated as <1% based on molar concentrations of active compounds versus water molecules. For this reason, the dominant mechanism for autoradiolysis is the interaction of radical species with intact [18F]FDG molecules. Buriova et al. have reported that the post-autoradiolytic HPLC-MS and TLC analysis showed that OH and O2 are the two species that are most likely to cause 18F release (Buriova E. et al., Journal of Radioanalytical and Nuclear Chemistry, Vol 264 No 3 (2005) 595-602). Such reactions, if occurring with enough kinetic energy, lead to electron exchange and subsequent breaking of e.g. 18F bonds. Hence, autoradiolysis can be characterized based on the radiochemical purity (RCP) of a radiotracer solution which is determined by measurements of free 18F versus intact [18F]FDG molecules utilizing thin layer chromatography (TLC) or high pressure liquid chromatography (HPLC) coupled with a radiation detector (radio-HPLC).
The energy spectrum of the 18F decay has been studied and the kinetic energies of the positron have been determined to be Emax=0.633 MeV and a mean energy
After the release of the positron, its kinetic energy is dissipated via ionization, inelastic excitation, and positronium formation which after annihilation subsequently leads to the release of two photons, each with an energy of Eγ=511 keV. The distance in water where 90% of this radiation is deposited is approx. 24 cm which is much larger than the discussed geometries for reactor design <2 cm. Thus, the contribution of 511 keV γ radiation to ionization can be neglected in the autoradiolysis model. Furthermore, for positrons with kinetic energies of the 18F decay spectrum the energy losses due to radiation processes are negligible (Cherry S, Sorenson J, Phelps M, Physics in Nuclear Medicine, Saunders (2003)).
The energy transferred to the 18O daughter nucleus due to momentum conservation after a positron release, including relativistic considerations, has a maximum of approximately 31 eV since the mass ratio of a positron to an 18O atom is ˜105. Lapp and Andrews reported the mean ionization energy for water as 68 eV and the lowest ionization energy as 11.8 eV (Lapp, Andrews, Nuclear Radiation Physics, Prentice Hall, 1972, p. 154). This means that the recoil effect of positron emission on the daughter nucleus with max. 31 eV has negligible effect on autoradiolysis when compared to the direct effect of the positron which has an average energy in the range of 230000 eV.
It is assumed that the fraction H(r) of the total energy lost by the positron each time it collides and ionizes is approximately constant for all distances r from the daughter nucleus. Furthermore, it is assumed that the number of ions produced is proportional to the energy lost as ionization energy, and that the number of 18F atoms released correlates linearly on the number of positron-generated radicals in solution. Ionization energy is hereby defined as the energy that is lost by a positron during ionization of an atom. In general, not all the positron energy is lost to overcome the binding energy of an electron but it may also be lost in secondary processes such as photon emission or as kinetic energy transferred to the emitted electron.
The model developed for the estimation of autoradiolysis effects in small geometries is based upon energy conservation considerations and represents the worst case scenario. This means that due to the assumptions made in (2.) the measured autoradiolysis should not exceed the values predicted by the model. All calculations refer to 18F decay and the corresponding positron energy levels.
When the number of ions Nions produced is proportional to the deposited ionization energy, then Nions can be calculated as:
N
ion(r)∝H(r)·Eabsorb(r), (1)
where H(r) is the fraction of energy lost due to ionization for a constant distance r and Eabsorb(r) is the total energy deposited up to distance r. The results of Palmer and Brownell have been used for the estimation of the fraction of total deposited energy in the system (Palmer and Brownell, 1992 IEEE Trans. Med. Imaging 11, 373-8). Palmer et al. have reported that the 3D distributions of the positron annihilation events can be interpolated by the Gaussian function
Parameters r0 and σ, obtained by Gaussian fittings, have been reported for different isotopes. In order for P(r) to be the probability density, the normalization function Φ is introduced and defined as:
Φ(u)=∫0ue−x
It has been shown by Champion et al. that for 18F decay r0=0.04 mm and σ=0.789 mm for water as the decay event surrounding medium (Champion C, Le Loirec C, Phys. Med. Biol. 52 (2007), 6605-6625). Using these fit parameters the cumulative positron annihilation probability curve, defined as
T(x)=∫0xP(r)dr, (4)
is shown in
The range-energy relations for positrons and electrons have been broadly studied and the results from Katz and Penfold demonstrate that there is an empirical relation between the energy and the range (Katz L, Penfold A. S, Rev. Mod. Phys. 24, 28 (1952)).
For the transmission of a mono-energetic β particle beam in aluminum with an energy E0, where 0.01 MeV≦E0≦2.5 MeV, the following empirical relation has been postulated:
R(E1)=412·E′1.265−0.0954 ln(E′), (5)
where the range R(E′) is expressed in (mg/cm2) whereas E′ is dimensionless, given by
Using this relationship, the range in a specific matter can be calculated by dividing the range R(E′) by the density of the matter:
The empirical energy-range relation (5) can transform the cumulative annihilation probability distribution T(x) in (4), into a function that shows the fraction of total energy deposited Eabsorb(r) up to the distance r from the daughter nucleus. In a more general form:
E
absorb(r)=T(r)·Range−1(r), (7)
where T(r)=∫0rP(u)du is the annihilation probability and Range−1 denotes the inverse function of Range(E).
A rigorous derivation of equation (7) should consider backscattering, however, the work of Kobetich and Katz justify that backscattering can be neglected in this case (Kobetich R., Katz L., Physical Review, Vol 170 No 2, 1968).
The normalized dissipation energy curve for positrons in water based on (7) is shown in
It can be seen from the
A general cylindrical system suitable for analysis with the previously developed model is described by a cylinder with length L and radius r, such that L>>r. This approximation allows end-effects to be neglected. A further constraint for model applicability is that the cylinder is shielded or otherwise configured in a way such that a positron leaving the cylinder cannot reenter at another location. An embodiment of such a shielded cylinder is displayed in
The mean path length is hereby defined as the average distance of a positron traveling inside a given configuration of geometric boundaries such as a cylinder or a planar structure, taking multiple starting positions and directions in a three dimensional geometry into account. The mean path length correlates with the energy dissipated inside a geometric configuration. Hence, the mean path length represents the link between the autoradiolysis model of positron energy dissipation (
To calculate the mean path length as a function of the cylinder's radius for positrons emitted during 18F decay and their respective energy distribution and range, a Monte Carlo simulation was executed with 100,000 positrons for each cylinder radius varying between 0 to 2.3 mm. The result of the simulation is displayed in
The mean path length for a reactor consisting of two wide thin sheets (
With the mean path lengths for the cylindrical (
The results show that both geometric arrangements can be used for autoradiolysis reduction, if the characteristic dimensions are chosen small enough. With the assumption of Nion∝Eabsorb the results in
The model assumes that a positron loses a constant fraction of its instantaneous kinetic energy due to ionization, independent of the distance to the decaying atom. Upon first inspection, this approximation seems to be bold, since the total ionization cross-section for positrons in water is a complex function of the kinetic energy. The claim can be justified by considering not only the ionization cross-section but also cross-sections associated with the dissipative processes of inelastic excitations and positronium formation. Using the results of Champion et al. it can be shown that for positron energies >1 keV, the ionization fractional cross-section is almost constant at ˜80% (Champion C, Le Loirec C, Phys. Med. Biol. 52 (2007), 6605-6625).
The autoradiolysis trends predicted by the theoretical model were evaluated experimentally by synthesizing non-stabilized [18F]FDG and distributing the product into a variety of geometries. A GE TRACERlab MX synthesizer (GE Healthcare, Liege, Belgium) together with TRACERlab MXFDG cassettes (Cat. No: PS150ME, GE), the [18F]FDG reagents kit (Prod. No.: K-105TM, ABX, Radeberg, Germany) and Mannose Triflate plus (Prod. No.: 107.0025, ABX) were utilized for synthesis. A GE PETtrace cyclotron (GE Healthcare, Uppsala, Sweden) was used to irradiate two silver targets with 1.6 ml of H218O each (dual beam mode) for up to 90 minutes at 35 μA for each target to generate 18F-activity of up to ca. 200 GBq. The standard [18F]FDG synthesis protocol and cassette was modified to avoid introduction of ethanol into the process (ethanol vial in cassette replaced by empty flask). Prior to synthesis, two C18-cartridges were removed from the cassette and manually conditioned with 10 ml of ethanol, 20 ml of water, dried with air and subsequently reassembled into the cassette. A total number of ten syntheses were performed, each producing 4 ml of [18F]FDG at activity concentrations between 4 GBq/ml and 23 GBq/ml. No ascorbic acid, ethanol nor other stabilizers were added prior, during or after synthesis. The synthesis output was examined for residual ethanol by GC-MS (6890N Network GC-System with MS 5975B, Agilent Technologies, Germany).
The synthesis product was then distributed using an automated experimental set-up as shown in
Autoradiolysis suppression was defined as the reduction in autoradiolysis relative to a 3000 sample stored in a bulk reactor. The bulk reactor result was created from storage of non-stabilized [18F]FDG in a 2 ml glass vial which was part of the capillary filling routine.
The capillary filling routine also included a first step and a last step where 300 μl of [18F]FDG was dispensed into a vial with 15% ethanol solution present. These two samples were taken in order to evaluate the impact of the capillary filling time (about 20 min to 30 min) on the final autoradiolysis result after 14 hours, since the autoradiolysis rate is at its maximum directly after synthesis [16].
After 14 hours, the capillary contents were ejected into separate vials utilizing H2O and subsequently the ratio of free 18F to [18F]FDG in for each capillary output solution and all bulk vial standards was determined TLC (Polygram SIL G/UV 254; Macherey-Nagel) and an autoradiograph (Phosphor-Imager Cyclone Plus, PerkinElmer, Germany) were used to quantify the ratio of free 18F to [18F]FDG which also known as radiochemical purity (RCP).
The autoradiolysis suppression for all experiments is summarized in
The ethanol content was measured to <2 mg/l ethanol for all experiments (detection limit of the instrument). The difference in autoradiolysis between the 3000 ethanol stabilized samples taken prior and after capillary filling was measured <1%, suggesting that the filling time had no impact on the final results.
Apart from activity concentration, the results of
While only certain features of the invention have been illustrated and described herein, many modifications and changes will occur to those skilled in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the true spirit of the invention.
