Whole organ and islet of Langerhans dosimetry for calculation of absorbed doses resulting from imaging with radiolabeled exendin

Sci Rep. 2017 Jan 9:7:39800. doi: 10.1038/srep39800.

Abstract

Radiolabeled exendin is used for non-invasive quantification of beta cells in the islets of Langerhans in vivo. High accumulation of radiolabeled exendin in the islets raised concerns about possible radiation-induced damage to these islets in man. In this work, islet absorbed doses resulting from exendin-imaging were calculated by combining whole organ dosimetry with small scale dosimetry for the islets. Our model contains the tissues with high accumulation of radiolabeled exendin: kidneys, pancreas and islets. As input for the model, data from a clinical study (radiolabeled exendin distribution in the human body) and from a preclinical study with Biobreeding Diabetes Prone (BBDP) rats (islet-to-exocrine uptake ratio, beta cell mass) were used. We simulated 111In-exendin and 68Ga-exendin absorbed doses in patients with differences in gender, islet size, beta cell mass and radiopharmaceutical uptake in the kidneys. In all simulated cases the islet absorbed dose was small, maximum 1.38 mGy for 68Ga and 66.0 mGy for 111In. The two sources mainly contributing to the islet absorbed dose are the kidneys (33-61%) and the islet self-dose (7.5-57%). In conclusion, all islet absorbed doses are low (<70 mGy), so even repeated imaging will hardly increase the risk on diabetes.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Cell Count
  • Diabetes Mellitus / etiology
  • Diabetes Mellitus / genetics
  • Disease Models, Animal
  • Female
  • Gallium Radioisotopes / chemistry
  • Gallium Radioisotopes / metabolism
  • Humans
  • Indium Radioisotopes / chemistry
  • Indium Radioisotopes / metabolism
  • Insulin-Secreting Cells / metabolism
  • Insulin-Secreting Cells / pathology*
  • Insulin-Secreting Cells / radiation effects
  • Intercellular Signaling Peptides and Proteins
  • Islets of Langerhans / metabolism
  • Islets of Langerhans / pathology*
  • Islets of Langerhans / radiation effects
  • Kidney / metabolism*
  • Kidney / radiation effects
  • Male
  • Middle Aged
  • Peptides / chemistry
  • Peptides / metabolism
  • Radiation
  • Radiation Dosage
  • Radiation Injuries / diagnosis*
  • Radiometry / methods*
  • Rats
  • Rats, Mutant Strains
  • Young Adult

Substances

  • Gallium Radioisotopes
  • Indium Radioisotopes
  • Intercellular Signaling Peptides and Proteins
  • Peptides
  • helospectin I
  • Gallium-68
  • Indium-111