PET - Tracer production

7 important questions on PET - Tracer production

You can bombard the target with different particles. Which ones?

Deutron, Neutron, proton. This can emit an alpha particle or a neutron in general.

What is [11C]SMW139? In which animals used?

11C is the active compound. The SMWis a molecule that target receptors in the brain and is therefore used for studies on alzheimer etc.
  • Experimental autoimmune encephalomyelitis (EAE) multiple sclerosis mouse models are standard models for brain inflammation and demyelination studies.

When you want to give a human 100 microgram, how much would you have to give to animals in your experiments?

1000 times the dose.
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What do you need to do before human application (5)

  • Follow regulations:
Chemistry, manufactoring, controls CMC, (about production process and quality control)
GMP = good manufacturing practice
  • You need reliable chemistry
  • GMP improves on manufacturing license
  • Dosimetry estimate: Toxicology studies > 1000 times the dose
  • Medical ethical committee approval

Name some facts about microdosing toxicity studies. (7)

  • 1000 fold larger dose
  • done in rodents
  • both in female and male
  • You need 5 animals per timepoints
  • You need at least 2 timepoints (1 and 14 days post injection)
  • Assess clinical chemistry ex vivo; during the first two week vital signs
  • You have to execute it in a lab with GLP (good laboratory practice)

How can you doe tracer validation? (first human study)

1. Tracer validation => For example you want to image neuroinflammation. Make sure you have a patient group with strong neuroinflammation; MS patients that are in the relapsing phase.
2. Control group
3. Dynamic scanning => 90 minutes, the more data the better
4 use metabolic analysis in arterial blood
5. Quantification => make sure that the amount is right
6. Very reproducible, variety in result is very small so you don’t need a lot of patients.

What is difficult in study logistics?

  • Cannot do a stability test for weeks => because of the half-life.
  • Injected iv => so it must be sterile => but there is no time to test that. So you must work in a clean room. Everything is strictly regulated.
  • Everything is time dependent: You are happy if you have 1% injected.
  • The purification needs to be short: test if there was no contamination, purity test, sterility test etc.

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