Nuclear medicine as a tool for diagnosis and targeted cancer therapy
https://doi.org/10.20538/1682-0363-2018-1-220-231
Abstract
The main trends and prospects of development of nuclear medicine, problems and possible ways of their solution are considered in the article. The main scientific directions in the development of radiopharmaceuticals for the diagnosis and radionuclide therapy of malignant tumors (radiopharmaceuticals that can accumulate in tissues surrounding the tumor; radiopharmaceuticals that can accumulate on the membranes of tumor cells, radiopharmaceuticals that can accumulate in tumor cells, radiopharmaceuticals for sentinel lymph nodes detection). It is shown that the current trends in the development of nuclear medicine are closely related to theranostics (therapy + diagnostics) using radiopharmaceuticals obtained on the basis of a target compound labeled with different isotopes intended for diagnosis or therapy. In nuclear medicine, such tandems are used to individualize and plan of radionuclide therapy. The results of our own research on the development of radiopharmaceuticals for tumor imaging and detection of sentinel lymph nodes are presented. The functional utility of radiopharmaceuticals and the prospects of their clinical use are shown.
About the Authors
V. I. ChernovRussian Federation
Chernov Vladimir I., DM, Professor, Head of the Nuclear Medicine Department, Deputy Вirector for Scientific Work and Innovative Activities.
5, Kooperativnii Str., Tomsk, 634009; 30, Lenina Str., Tomsk, 634050.
A. A. Medvedeva
Russian Federation
Medvedeva Anna A. PhD, Senior Researcher, Nuclear Medicine Department, Cancer Research Institute.
5, Kooperativnii Str., Tomsk, 634009.
I. G. Sinilkin
Russian Federation
Sinilkin Ivan G., Senior Researcher, Nuclear Medicine Department, Cancer Research Institute.
5, Kooperativnii Str., Tomsk, 634009.
R. V. Zelchan
Russian Federation
Zelchan Roman V., PhD, Radiologist, Nuclear Medicine Department, Cancer Research Institute.
5, Kooperativnii Str., Tomsk, 634009.
O. D. Bragina
Russian Federation
Bragina Olga D., PhD, Senior Researcher, Nuclear Medicine Department, Cancer Research Institute.
5, Kooperativnii Str., Tomsk, 634009.
E. L. Choynzonov
Russian Federation
Choynzonov Evgeny L., DM, Professor, Фcademician of the RAS, Cancer Research Institute.
5, Kooperativnii Str., Tomsk, 634009; 30, Lenina Str., Tomsk, 634050.
References
1. National guide of radionuclide diagnostics; edit. by Yu.B. Lishmanov, V.I. Chernov. In 2 v. V. 1. Tomsk: STT Publ., 2010: 290 (in Russ.).
2. National guide of radionuclide diagnostics; edit. by Yu.B. Lishmanov, V.I. Chernov. In 2 v. V. 2. Tomsk: STT Publ., 2010: 418 (in Russ.).
3. Zavadovskaya V.D., Kurazhov A.P., Kilina O.Yu., Choynzonov E.L., Chernov V.I., Slonimskaya E.M., Bogoutdinova A.V., Anisenya I.I., Rodionova O.V. 199Tl-chloride scintigraphy in differential diagnostics inflammatory and neoplastic processes of locomotor system. Medicinskaya radiologiya i radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 2009; 54 (3): 68–76 (in Russ.).
4. Titskaya A.A., Chernov V.I., Slonimskaya E.M., Sinilkin I.G. Comparison of 99mTс-MIBI mammoscintigraphy findings in planar and tomographic images. Medicinskaya radiologiya i radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 2008; 53 (5): 51–60 (in Russ.).
5. Chernov V.I., Bragina O.D., Sinilkin I.G., Medvedeva A.A., Zel’chan R.V. Radionuclide teranostic of malignancies. Vestnik rentgenologii i radiologii – Vestnik Rentgenologii i Radiologii. 2016; 97 (5): 306–313 (in Russ.).
6. Chernov V.I., Bragina O.D., Zel’chan R.V., Medvedeva A.A., Sinilkin I.G., Lar’kina M.S., Stasyuk E.S., Nesterov E.A., Skuridin V.S. Labeled Somatostatin Analogues in Theranostics of Neuroendocrine Tumors. Medicinskaya radiologiya i radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 2017; 62 (3): 42–49 (in Russ.).
7. Thyroid cancer. Modern approaches to diagnosis and treatment; ed. by P.O. Rumyantsev, A.A. Il’in, U.V. Rumyantseva, V.A. Saenko. M.: 2009: 448 (in Russ.).
8. Ryzhkov A.D., Shiryaev S.V., Odzharova A.A., Aplevich N.N., Krylov A.S., Goncharov M.O. 99m-Tc-labelled phosphonate metastases bone scintigraphy. Medicinskaya radiologiya I radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 2007; 52 (4): 62–68 (in Russ.).
9. Tsyb A.F., Krylov V.V., Drozdovskiy B.Ya., Karyakin O.B., Biryukov V.A., Medvedev V.N., Smirnova I.A., Vorob’eva S.L. Radionuclide therapy with samarium-oxabiphore, 153Sm for breast and prostate cancer with bone metastases. Sibirskii onkologicheskii journal – Siberian Journal of Oncology. 2006; 3: 8–17 (in Russ.).
10. Kochetova T.Yu., Krylov V.V., Smolyarchuk M.Ya., Voloznev L.V., Lunev A.S. 188Re-zoledronic acid – a new domestic therapeutic radiopharmaceutical: the first clinical experience. Povoljskii oncologicheskii vestnik – Oncology Bulletin of the Volga Region. 2014; 3: 41–47 (in Russ.).
11. Ryzhkov A.D., Gabuniya R.I., Shiryaev S.V. Treatment of pain syndrome with strontium-89 chloride in patients with prostate cancer with bone metastases. Oncourologiya – Cancer Urology. 2006; 1: 44–47 (in Russ.).
12. Chernov V.I., Bragina O.D., Sinilkin I.G., Medvedeva A.A., Zel’chan R.V. Radioimmunotherapy: current state of the problem. Voprosi oncologii – Oncological Questions. 2016: 62 (1): 24–30 (in Russ.).
13. Chernov V.I., Bragina O.D., Sinilkin I.G., Medvedeva A.A., Zel’chan R.V. Radioimmunotherapy in the treatment of malignancies. Sibirskii onkologicheskii journal – Siberian Journal of Oncology. 2016; 15 (2): 101–106 (in Russ.).
14. Vlasova O.P., German K.E., Krylov V.V., Petriev V.M., Epshteyn N.B. New radiopharmaceuticals for diagnosis and treatment of metastatic prostate cancer based on inhibitors of prostate-specific membrane antigen. Vestnik Rossiiskoi аkademii nauk – Annals of the Russian Academy of Medical Sciences. 2015; 70 (3): 360–365 (in Russ.).
15. Shilova O.N., Proshkina G.M., Lebedenko E.N., Deev S.M. Internalization and recycling of the HER2 receptor by interaction of the targeted phototoxic protein DARPIN-MINISOG with human adenocarcinoma cells. Acta Nature. 2015; 7 (3): 141–148 (in Russ.).
16. Bragina O.D., Larkina M.S., Stasyuk E.S., Chernov V.I., Yusubov M.S., Skuridin V.S., Deyev S.M., Zelchan R.V., Buldakov M.A., Podrezova E.V., Belousov M.V. Development of highly specific radiochemical compounds based on 99m Tc-labeled recombinant molecules for targeted imaging of cells overexpressing Her-2/neu. Bulletin sibirskoi medicini – Bulletin of Siberian Medicine. 2017; 16 (3): 25–33 (in Russ.).
17. Shiryaev S.V. The possibilities of nuclear medicine in the diagnosis and therapy of neuroendocrine tumors. Effectivnaya farmakoterapiya – Effective Pharmacotherapy. 2010; 22: 50–52 (in Russ.).
18. Rodichev A., Garbuzov P., Drozdovskiy B., Krylov V., Guseva T., Davydov G., Parshin V., Il’in A., Chebotareva I.. Twenty-year experience of radioiodine therapy of distant metastases of differentiated thyroid cancer in children and adolescents. Vestnik RONC im. N.N. Blokhina – Herald of the RCRC. NN Blokhin RAMS. 2009; 20 (2): 19–20 (in Russ.).
19. Giammarile F., Chiti A., Lassmann M., Brans B., Flux G. EANM procedure guidelines for 131I-meta-iodobenzylguanidine (131I-mIBG) therapy. Eur. J. Nucl. Med. Mol. Imaging. 2008; 35: 1039–1047.
20. Krylov A.S., Shiryaev S.V., Odzharova A.A., Goncharov M.O. Scintigraphy with 99mTc-technetril and 67Gacitrate in evaluating the effectiveness of treatment of soft tissue sarcomas in children. Medicinskaya radiologiya i radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 2011; 56 (3): 46–53 (in Russ.).
21. Lishmanov Yu.B., Chernov V.I., Krivonogov N.G., Glukhov G.G., Maslova L.V. Perfusion myocardial scintigraphy with 199Tl-chloride in the experiment. Medicinskaya radiologiya i radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 1988; 33 (3): 13–16 (in Russ.).
22. Lishmanov Yu.B., Chernov V.I., Krivonogov N.G., Efimova I.Yu., Vesnina Zh.V., Zavadovskiy K.V., Minin S.M., Sazonova S.I., Skuridin V.S., Pan’kova A.N., Saushkin V.V., Il’yushenkova Yu.N., Efimova N. Yu.. Radionuclide research methods in the diagnosis of cardiovascular diseases. Sibirskii medicinskii journal – The Siberian Medical Journal. 2010; 25 (4-1): 8–13 (in Russ.).
23. Karpov R.S., Pavlyukova E.N., Vrublevskiy A.V., Chernov V.I., Usov V.Yu. Modern methods of diagnosing coronary atherosclerosis. Sibirskii nauchnii medicinskii journal – Siberian Scientific Medical Journal. 2006; 26 (2): 105– 117 (in Russ.).
24. Chernov V.I., Garganeeva A.A., Vesnina Zh.V., Lishmanov Yu.B. Perfusion scintigraphy of myocardium in the evaluation of the results of course treatment with trimetazidine in patients with coronary heart disease. Kardiologiya – Cardiology. 2001; 41 (8): 14–16 (in Russ.).
25. Titskaya A.A., Chernov V.I., Slonimskaya E.M., Sinilkin I.G. Mammoscintigraphy with 199Tl in the diagnosis of breast cancer. Sibirskii onkologicheskii journal – Siberian Journal of Oncology. 2008; 6: 5–10 (in Russ.).
26. Zel’chan R.V., Chernov V.I., Medvedeva A.A., Sinilkin I.G., Bragina O.D., Chizhevskaya S.Yu., Choynzonov E.L. Using singlephoton emission computed tomography with 99mTcMIBI and 199Tl-chloride in the diagnosis and evaluation of the effectiveness of chemotherapy for primary and recurrent tumors of the larynx and larynx. Evraziiskii oncologicheskii journal – Eurasian Oncology Journal. 2016; 1 (8): 9–16 (in Russ.).
27. Chernov V.I., Zel’chan R.V., Titskaya A.A., Sinilkin I.G., Chizhevskaya S.Yu., Surkova P.V., Choynzonov E.L. The use of gamma scintigraphy with 99mTc-technetril in the complex diagnosis and evaluation of the efficacy of neoadjuvant chemotherapy of laryngeal and laryngeal cancer. Medicinskaya radiologiya i radiacionnaya bezopasnost – Medical Radiology and Radiation Safety. 2011; 56 (2): 38–43 (in Russ.).
28. Kanaev S.V., Novikov S.N., Krivorot’ko P.V., Semiglazov V.F., Kryzhevitskiy P.I., Zotova O.V., Zhukova L.A., Semiglazova T.Yu. Methodical issues of radionuclide diagnostics of breast cancer using 99mTc-technetryl. Voprosi Oncologii. 2012; 58 (6): 768–772 (in Russ.).
29. Zeltchan R., Medvedeva A., Sinilkin I., Chernov V., Stasyuk E., Rogov A., Il’ina E., Larionova L., Skuridin V. В Study of potential utility of new radiopharmaceuticals based on technetium-99m labeled derivative of glucose. AIP Conference Proceedings 2016: С. 020072-1-020072-4.
30. Kanaev S.V., Novikov S.N., Krivorot’ko P.V., Semiglazov V.F., Zhukova L.A., Krzhivitskiy P.I. Methodological issues of biopsy of signaling lymph nodes in patients with breast cancer. Voprosi Oncologii. 2013; 59 (2): 90–94 (in Russ.).
31. Chernyshova A.L., Kolomiets L.A., Sinilkin I.G., Chernov V.I., Lyapunov A.Yu. The choice of the volume of surgical treatment in patients with cervical cancer. Malignant tumours. 2015; 2 (13): 64–70 (in Russ.).
32. Chernov V., Titskaya A., Sinilkin I., Zelchan R., Varlamova N. Possibility to use the radiopharmaceutical based on the gamma-aluminum oxide labeled with 99mTc to identify sentinel lymph nodes in the experiment. Advanced Materials Research. 2015; 1084: 443–446.
33. Chernov V.I., Sinilkin I.G., Zelchan R.V., Medvedeva A.A., Lyapunov A.Yu., Bragina O.D., Varlamova N.V., Skuridin V.S. Experimental study of 99mTc-aluminum oxide use for sentinel lymph nodes detection. AIP Conference Proceedings 2016: 020012-020012-5.
34. Sinilkin I.G., Chernov V.I., Kolomiets L.A., Slonimskaya E.M., Medvedeva A.A., Zel’chan R.V., Chernyshova A.L., Doroshenko A.V., Lyapunov A.Yu. The first experience of the clinical application of the new domestic radiopharmaceutical 99mTc-gamma-alumina for the visualization of sentinel lymph nodes in malignant neoplasms. Medicinskaya vizualizaciya – Medical Visualization. 2016; 2: 57–62. (in Russ.).
35. Sinilkin I.G., Chernov V.I., Lyapunov A.Y., Medvedeva A.A., Zelchan R.V., Chernyshova A.L., Kolomiets L.A. The use of 99mTc-Al2O3 for detection of sentinel lymph nodes in cervical cancer patients. IOP Conference Series: Materials Science and Engineering 8 “VIII International Scientific Conference “Issues of Physics and Technology in Science, Industry and Medicine”” 2016: 012043.
36. Doroshenko A., Chernov V., Medvedeva A., Zeltchan R., Slonimskaya E., Varlamova N., Sinilkin I., Skuridin V., Dergilev A. The first experience of using of 99mTcAl2O3 for detection of sentinel lymph nodes in breast cancer. IOP Conference Series: Materials Science and Engineering 8 “VIII International Scientific Conference “Issues of Physics and Technology in Science, Industry and Medicine”” 2016: 012011.
Review
For citations:
Chernov V.I., Medvedeva A.A., Sinilkin I.G., Zelchan R.V., Bragina O.D., Choynzonov E.L. Nuclear medicine as a tool for diagnosis and targeted cancer therapy. Bulletin of Siberian Medicine. 2018;17(1):220-231. (In Russ.) https://doi.org/10.20538/1682-0363-2018-1-220-231