Biodistribution and radiation dosimetry for a probe targeting prostate-specific membrane antigen for imaging and therapy

J Nucl Med. 2015 Jun;56(6):855-61. doi: 10.2967/jnumed.115.156133. Epub 2015 Apr 16.

Abstract

Prostate-specific membrane antigen (PSMA) is a promising target for diagnosis and treatment of prostate cancer. EuK-Subkff-(68)Ga-DOTAGA ((68)Ga-PSMA Imaging & Therapy [PSMA I&T]) is a recently introduced PET tracer for imaging PSMA expression in vivo. Whole-body distribution and radiation dosimetry of this new probe were evaluated.

Methods: Five patients with a history of prostate cancer were injected intravenously with 91-148 MBq of (68)Ga-PSMA I&T (mean ± SD, 128 ± 23 MBq). After an initial series of rapid whole-body scans, 3 static whole-body scans were acquired at 1, 2, and 4 h after tracer injection. Time-dependent changes of the injected activity per organ were determined. Mean organ-absorbed doses and effective doses were calculated using OLINDA/EXM.

Results: Injection of 150 MBq of (68)Ga-PSMA I&T resulted in an effective dose of 3.0 mSv. The kidneys were the critical organ (33 mGy), followed by the urinary bladder wall and spleen (10 mGy each), salivary glands (9 mGy each), and liver (7 mGy).

Conclusion: (68)Ga-PSMA I&T exhibits a favorable dosimetry, delivering organ doses that are comparable to (kidneys) or lower than those delivered by (18)F-FDG.

Keywords: 68Ga; PET; PSMA; dosimetry; prostate cancer.

MeSH terms

  • Aged
  • Antigens, Surface / metabolism*
  • Bone Marrow / radiation effects
  • Edetic Acid / analogs & derivatives*
  • Edetic Acid / pharmacokinetics
  • Gallium Isotopes
  • Gallium Radioisotopes
  • Glutamate Carboxypeptidase II / metabolism*
  • Humans
  • Kidney / radiation effects
  • Male
  • Middle Aged
  • Oligopeptides / pharmacokinetics*
  • Positron-Emission Tomography
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / diagnostic imaging*
  • Radiometry / methods*
  • Radiopharmaceuticals / pharmacokinetics*
  • Salivary Glands / radiation effects
  • Spleen / radiation effects
  • Tissue Distribution
  • Whole Body Imaging

Substances

  • Antigens, Surface
  • Gallium Isotopes
  • Gallium Radioisotopes
  • Oligopeptides
  • Radiopharmaceuticals
  • gallium 68 PSMA-11
  • Edetic Acid
  • FOLH1 protein, human
  • Glutamate Carboxypeptidase II