New starch-based radiotracer for lung perfusion scintigraphy

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Lacœuille, Franck | Hindré, François | Denizot, Benoit | Bouchet, Francis | Legras, Pierre | Couturier, Olivier-François | Askiénazy, Serge | Benoît, Jean-Pierre | Le Jeune, Jean-Jacques

Edité par CCSD ; Springer Verlag (Germany) [1976-....] -

International audience.

PURPOSE:

In order to avoid the microbiological risks linked to human serum albumin macroaggregates (MAA) used for lung perfusion scintigraphy, we developed a new starch-based Tc-99m potential radiopharmaceutical.

METHODS:

Microparticles were prepared from oxidised starch coupled to natural polyamine for Tc-99m complexation. Suspensions were formulated as ready-to-use kits for easy one-step labelling procedures.

RESULTS:

Particle-size analysis, electron microscopy, and confocal microscopy were performed for microparticle characterisation, and gave a typical size distribution ranging from 7 to 63 microm, with a homogenous population of spherical or oval-shaped microparticles. Radiochemical purity exceeded 95%, and was stable for at least 8 h. When challenged with histidine and human plasma, labelling was also stable. Dynamic scintigraphic acquisitions and biodistribution studies conducted on healthy Wistar rats showed a tracer accumulation with more than 80% of the ID in the lungs after 15 min.

CONCLUSIONS:

With clinically significant characteristics such as a lung half-life of 3 h, a lung-to-vascular ratio of 900, and a lung-to-liver ratio of 90, starch-based microparticles exhibit all the qualities for an effective new lung perfusion agent.

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