Small animal PET as non-invasive tool for preclinical imaging Marta Oteo Vives marta.oteo@ciemat.es Biomedical Applications of Radioisotopes and Pharmacokinetic Unit Small animal PET as non-invasive tool for preclinical imaging Preclinical imaging - Animal models - Major challenge for small animal imaging Available imaging modalities Preclinical PET equipment design Small animal PET as a tool for quick and cheaper translational research PET tracer development MicroPET imaging examples Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 2 Why do we need preclinical imaging on living animals? Non-invasive in vivo validation of the candidate drugs and probes (observing multi-scale changes, from organ, tissue, cell, down to molecular level induced by physiological, pathological or pharmacological effects) is critical prior to perform human trials. In vitro and ex vivo systems lack the interacting physiological factors present in vivo, facilitating investigation of systemic aspects of physiological processes and disease What small animal models are commonly used? Mouse is the most used, followed by rat Mouse is the ideal model: Prolific (fast breeding cycle) Inexpensive to house Reproductive and nervous system are like those of humans Same diseases as humans 99% homology with human genome Big advances in mouse genomics Wide range of animal models of human disease Rat is commonly used in Neuroscience (because of the bigger size of its brain) Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 3 What is the major challenge for small animal imaging? To visualize anatomical structures and monitor physiological activities on such a small scale High resolution imaging modalities are required Sensitivity Spatial resolution Signal/Noise Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 4 Available small animal imaging modalities Optical imaging PET imaging Magnetic resonance imaging SPECT imaging Ultrasound imaging CT imaging Jürgen K.William et all (2008). Molecular imaging in drug developement. Nature Reviews Multimodality systems provide functional and anatomical information PET/CT, PET/MR, SPECT/CT, SPECT/MR Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 5 Comparative spatial resolution of clinical and preclinical imaging modalities and associated design refinements Modality Spatial resolution (mm) Clinical-to-preclinical design refinement(s) Clinical Preclinical MRI ~1 0.1 Higher field-strength magnets, improved gradient fields and coils MRSI ~10 ~2 Higher field-strength magnets, improved gradient fields and coils PET ~5 1-2 Reduced detector element size, smallerdiameter detector rings SPECT ~10 0.5-2 Pinhole collimation (and resulting magnification) CT 1-2 0.2 Higher X-ray flux, smaller focal spot, and higher magnification US 1-2 0.1 Higher-frequency scan heads Fabian Kiessling and Bernd J. Pichler. “Small Animal imaging” Basics and Practical Guide. ISBN: 978-3-642-12944-5 Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 6 Performance parameters and logistical features of small-animal imaging modalities Modality Time per study, min No. of animals per study Spatial Intrinsic resocontrast lution, mm Probe or contrast agent sensitivity Dynamic imaging Radiation Equipment dose, cost, cGy $ MRI Up to ~10 1 0.1 M-mM Yes 0 MRSI Up to ~60 with set-up ~2 Variable M-mM No 0 PET 5-60 1 or 2 1-2 None Sub pM Yes 10-100 600-800K SPECT 30-90 1 0.5-2 None Sub pM No 10-100 600-800K CT 10-15 1 0.2 High among soft tissues/ bone; none among soft t. mM No 10-20 200-400K US Up to ~60 with set-up 1 0.1 Low; high between cystic & solid structures ? Yes 0 200K Optical: bioluminescence ~5 Up to 5 ~10 None nM Yes 0 200-400K Optical: fluorescence ~5 1 <5 Variable nM No 0 100-200K 1 <5 None pM No 0 200-300K NIR: ~10 fluorescence Cracow PET Symposium 23/09/2014 High (C) Marta Oteo, CIEMAT, Madrid ~ 1M 7 Clinical PET equipments To Preclinical PET equipments spatial resolution and sensitvity: To improve detector instrumentation and overall system design: • novel detector geometry ( ring diameter / detector size) • new scintillators • reconstruction methods: iterative algorithms Low positron range Radiotracer specific activity Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 8 Characteristics of preclinical PET Scanners Inveon Siemens Mosaic HP Philips ClearPET Argus Raytest Sedecal Detector material LSO LYSO LYSO/ LuYAP LYSO1/ Crystal dimension, mm 1.51x 1.51x10 2x2x10 2x2x10 1.45x1.45x 1.8x 1.8x7 1.12x 71/82 1.12x13 40x40x10 Ring diameter, mm 161 197 135225 118 50+ 181 111 Axial FOV 127 119 110 48 94 94,8 40 Energy window, 350-625 385keV 665 250650 560700 150650 250750 350650 Peak detection efficiency, % 6.72 2.83 3.03 4.32 14 7.7 2 Transaxial FWHM resolution @5mm, mm 1.64 2.34 2.02 1.66 1.4 ~1.6 1.55 Cracow PET Symposium 23/09/2014 Genisys4 Sofie bio sciences NanoPet/C Albira T Mediso Bruker BGO LYSO GSO2 LYSO monolithic Claudia Kuntner and David Stout. Frontiers in Physics. February 2014 | Volume 2 | Article 12 (C) Marta Oteo, CIEMAT, Madrid 9 Identification of the target molecule Preclinical PET imaging Find a probe that binds specifcally to the target Probes or labeled drugs evaluation and characterization in vivo (pharmacodynamics and pharmacokinetics) Radioactive labeling of the probe In vitro tests (binding affinity, stability etc.) Translational research In vivo experiments - quicker translation to clinical practice - better scientific foundation - more rapid elimination of ineffective compounds - reduced number of experimental animals Clinical PET imaging Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 10 Main goal in radiotracer development Specific probes Peptides - fast blood clearance - rapid tissue penetration - Low antigenicity mAb: Immuno-PET Labeling strategies: high specificity low blood clearance high tissue penetration immunogenic Direct (halogens) Indirect (metals) : using chelators Positron Emitter (PET) Half life 18F 1.83h 124I 100.3h 68Ga 1.13h 64Cu 12.7h 76Br 16.2h 86Y 14.7h 89Zr 78.4h mAb -Diagnosis peptide Cracow PET Symposium 23/09/2014 -Treatment (C) Marta Oteo, CIEMAT, Madrid “THERANOSTICS” 11 68Ga Applications 68Ge/68Ga generator GMP compliant Eckert & Ziegler Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 12 Immuno-PET Combines the high resolution and sensitivity of a PET camera with the unique ability of a mAbs to selectively bind specific antigens. Application in diagnostic as well as in prognostic and therapeutic oncology Radioisotopes more suitable for ImmunoPET: • 124I (103 h) – For Ab that do not became internalized (not residualizing) • 89Zr (78,4 h) – For Ab that became internalized (residualizing) Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 13 Melanoma overexpressing MC1R (a-MSH receptor) MC1R (melanocortin -1 receptor) a-MSH (a-melanocyte-stimulating hormone) B A Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid C 14 PET detection of pulmonary NETs overexpressing SSTR using SST analogs. Lung Cancer transgenic mouse model Developed at Molecular Oncology Unit (CIEMAT) 18F-FDG 68Ga-DOTATATE Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 15 Detection of NETs (Meningioma) overexpressing SSTR using SST analogs Mouse model s.c. implanted with CH157-MN (Meningioma cell line) Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 16 Detection of NETs (Pheochromocytoma) overexpressing SSTR using SST analogs Mouse model s.c. implanted with PC-12 (Pheochromocytoma rat cell line) 68Ga-DOTATATE Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 17 Immuno-PET • • • • Nude mice Implanted (s.c) with the glioblastoma cell line U87-MG Two weeks later: 1-2 mg mAb/Kg (50-150 µCi) PET performed at different times post-administration 89Zr-DFO-anti-MMP14 Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 18 Immuno-PET Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 19 Concluding remark PET molecular imaging allows for the non-invasive assessment of biological and biochemical processes in living subjects, contributing to improve our understanding of disease and drug activity during preclinical and clinical drug development. Cracow PET Symposium 23/09/2014 (C) Marta Oteo, CIEMAT, Madrid 20 Biomedical Applications of Radioisotopes and Pharmacokinetic Unit (CIEMAT) Cracow PET Symposium 23/09/2014 marta.oteo@ciemat.es (C) Marta Oteo, CIEMAT, Madrid 21